Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

174 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest remedy for joint stiffness and back pain

Answered by
Dr. Karl Logan

Orthopaedic Surgeon

Practicing since :1999

Answered : 705 Questions

Posted on Tue, 3 Nov 2015 in Bones, Muscles and Joints
Question: I am 00 years old. In the last few months, I have found increasing difficulty getting up out of a chair and walking other than a short distance. While able to move around in my office/at home, I cannot go any length on foot. I try to sit properly having an ergonomic cushion on my desk chair to support my lower back when working on my computer. Lying down is not an issue and am able to get up and recline back at night generally once with little difficulty. I only experience occasional pain but have a feeling of stiffness/tightness when sitting and walking. I'm becoming concerned going to the likes of a shopping centre, market etc in case I lock up and can't get back to my car to return home. Have a longstanding whiplash injury for which I received hyperbaric treatment about 8 years ago after a fall. What to do in the first instance please?
Answered by Dr. Karl Logan 5 hours later
Brief Answer:
Hi Thanks for your question

Detailed Answer:
To help answer your question I need some further information.

Do you feel the stiffness in all of your joints or just one particular joint / area?

Are you stiffer in the morning when you get our of bed or towards the end of the day?

Do you have any pain at all and if you do where is it and what does it feel like?


Above answer was peer-reviewed by : Dr. Neel Kudchadkar
Follow up: Dr. Karl Logan 32 hours later
The stiffness of concern I'm experiencing is in my lower back making it distressing to have to get up & down, to bend to pick up things at floor level and to reach forward to move/pick up items. Holding items between my right thumb and forefinger is difficult enough as I have arthritis and I cannot maintain the grip and often drop what I've grasped but that's another matter. I've been recommended to have an operation to remove a bone at the base of my thumb which I'm planning to do soon. So, my worry is my lower back as it's affecting my mobility. I need a pointer to what the problem may be so that I can plan to suit. Do I need an MRI to determine what the problem may be if physical?
Answered by Dr. Karl Logan 18 hours later
Brief Answer:
Trapeziometacarpal osteoarthritis and back pain.

Detailed Answer:

thanks for the information.

I'm sorry to hear you are having so much trouble with your hand and back.

The problem in your hand is very common and called trapeziometacarpal osteoarthritis. This is one of the commonest locations to get arthritis. The operation that you are waiting for is a trapezectomy which is an excellent operation to get rid of the pain you are experiencing, however it takes approximately 3 months before you start feeling real benefit from the surgery. In the mean time a soft splint that wraps around your wrist and protects your thumb can help as well as antiinflammtory medication if you can take it (you could check this with your family dr).

This stiffness in your lower back sounds disabling. Lower back pain is very common and can often be helped with antiinflammatory medication (if you can take it), massage and physiotherapy. If despite these measures your pain is ongoing then an Xray of your lower back may show some of the problems that are leading to your symptoms. In the abscence of any leg pain (sciatica), weakness or numbness then it is unlikely that any surgery will be of benefit although with Xrays of your lower back a specialist could counsel you with regard to this. If you do have pain that seems consistent with nerve entrapment or have claudicant symptoms in your legs (calf pain on walking which resolves on resting) then an MRI scan may be indicated.

I hope this answers your questions.

Best wishes

Above answer was peer-reviewed by : Dr. Raju A.T
Follow up: Dr. Karl Logan 31 hours later
Many thanks - would I have to have a general anaesthetic for the trapezectomy?
Answered by Dr. Karl Logan 3 minutes later
Brief Answer:
Usually done under general anaesthesia

Detailed Answer:

thanks for the follow up question

Usully yes you would need a general anaesthetic although it may be possible to use a brachial plexus block or a briers block and for you to be awake.

best wishes
Above answer was peer-reviewed by : Dr. Sonia Raina

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Lab Tests
Medical Topics

Recent questions on  Whiplash injury

doctor1 MD

HI I have asymptomatic stenosis of one tricuspid valve that does not open fully. I bike, kayak, and xc ski regularily often getting my heart rate quite high and have no problems. I also have a whiplash injury that sometimes has pain in my back...

doctor1 MD

Hello, For the last 25 years I have suffered from a moderate whiplash injury that involves my neck, spine and lower back. Over the last 3 weeks I've suffered worsening sciatica where it has become very painful to sit, stand and walk. I have been...

doctor1 MD

Hi. Today i was driving with my aunt, she was pulling into a parking space slowly maybe going 2-3 mph (if that) and she hit wall lightly scraping her car. We didnt reallt feel anything. I shouldnt have whiplash or concission from that? I called my...

doctor1 MD

I had whiplash incident in October 2010 but I realised that time my injury will get better and heal later but didn t and I was up and down worse almost one year after incident such as dizziness , headaches , neck and back aching. The bus hit from behind was not very high speed but was the double decker bus so I can felt the very high force within seconds my neck suddenly jerk forward then backward. I didn t see I got injury that time and pain was developed from middle of the night and my whole body was started aching badly. Actually my lower back pain middle and left side are currently getting worse and it was gradually develop since from incident. I also had both sides shoulder , arms, chest, bullocks, ribs next to chest got pain tender points currently. Especially lower back is more painful and uncomfortable when sitting or lay down currently. Do you think, I got serious injury my spine? From my neck to middle back along to lower back had pains muscles tenderness since from injury until current. Do you know why these back muscles pains doesn t go away? I had done MRI scan to T6/T7 in mid 2011 that was normal but couple of last few weeks ago my blood test result was antinuclear positive. Do you think that antinuclear positive results are related to whiplash injury and causes even my health worse? I m also still waiting further MRI scan for lower back that they never scan it after the incident. I didn t have any health and lower back pain problems berfore the accident. Please advice.

doctor1 MD

I had a fall down stairs and went to hospital. I was diagnosed with whiplash, possible mild concussion. They did a full X-ray of my spine with no fractures. I was then admitted to hospital the next day with bleeding from the bowel. I had a camera inserted into the bowel with no problem diagnosed. This occurred last Saturday and Sunday. I am a rower. The first time I rowed being Thursday I vomited. I raced on Friday and vomited 5 times at the 500m mark. My vision is blurred and I got an intense headache like my head was going to explode. What is wrong with me?