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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for hypothyroidism when diagnosed with osteoarthritis

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

default
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.
doctor
Answered by Dr. Shehzad Topiwala 1 hour later
Brief Answer:
Thyroid

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
doctor
default
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)?
doctor
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
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Hba1c

doctor1 MD

I have been suffering from dehydration for a month and a half. The problem is when I get fluids from the ER, it comes back again because I have...

doctor1 MD

My Father has been gone through the medical health check-up.I need your input over the attached reports.Mainly i want to know the health of the...

doctor1 MD

Can I reverse a possible chance that I have Typ 2 diebetties ?