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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for hypothyroidism when diagnosed with osteoarthritis

Answered by
Dr. Shehzad Topiwala


Practicing since :2001

Answered : 1663 Questions

Posted on Fri, 26 Aug 2016 in Thyroid Problem and Hormonal Problems
Question: Good afternoon - I have hypothyroidism, and am on 50 micrograms of thyroxine. I have over the past few weeks experienced joint/muscle pain in my shoulders, back, wrists and knees. Can this be associated with this condition. I do have osteoarthritis in my left shoulder and forefingers. Medications I am on currently are gabapentin for nerve pain, levothyroxine, omeprazole for heartburn and fluoxetine 40mg for recent stress and anxiety. I am a 60 year old woman, who had a hysterectomy at age 29 for widespread endometriosis, which may be a contributory factor. I am also on medication for HBP and as a consequence of this am on the Renal Register at my GP Practice which is being monitored regularly by blood tests.
Answered by Dr. Shehzad Topiwala 1 hour later
Brief Answer:

Detailed Answer:
Sorry to learn about your bothersome symptoms.

If your thyroid lab test results are at goal then your symptoms are extremely unlikely to be related to the thyroid condition.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Shehzad Topiwala 1 hour later
I know that my renal function tests have to be repeated earlier than normal (with respect to electrolytes). Could a change in these cause the joint/muscle pains. I am having these repeated next week (two months following my usual annual haematology checks)?
Answered by Dr. Shehzad Topiwala 52 minutes later
Brief Answer:
Follow up

Detailed Answer:
It is unlikely you would get such symptoms from change in renal function.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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