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What causes stiffness in back, feet, ankles, fluid and pain in knees?

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Posted on Thu, 19 May 2016
Question: Stiffness of the back, feet, and ankles in the morning. Stiff leg muscles. Fluid on the knees and inflamed muscle above knees with some occassional pain. Inflamed around the lateral epicondyle area, with some actual pain. Some twitches of pain in wrist and left arm. And foggy mind at times with bad memory.
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Needs a rheumatological work up. Autoimmune disorder / osteoarthritis

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Stiff back, feet and ankles in morning with sore muscles and joint pains with negative rheumatoid arthritis and positive ANA test should be digged up further as positive ANA suggests its autoimmune probably Lupus and need further workup with further confirmatory tests like anti double stranded , anti XXXXXXX antibodies. A complete autoimmune profile is advised. All your symptoms fit in this rheumatological conditions and should be evaluated and clinically correlated after thorough blood work up. At age of 50 age related articular degeneration like osteoarthritis should also be on the table while reaching a diagnosis.

Talk to your rheumatologist and let them decide what is best for you. I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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doctor
Answered by Dr. Shafi Ullah Khan (35 minutes later)
Brief Answer:
Needs work up to confirm

Detailed Answer:
Thank you for getting back to me

GERD involves GI tract and an autoimmune disorder may involve it. So yes it may be connected. Lump at the bottom of the neck should be evaluated as it could be a lymph node or a thyroid swelling and yes that can be connected if autoimmune profile confirmed. Urinary incontinence may be separate entity or secondary to some local process either infective like UTi or neurological > Only complete clinical correlation will tell.

I hope it helps.
Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (4 minutes later)
Not sure if these are related with other systoms, but I have Gerds, a bludge on the bottom part of my neck where it meets the spine, and have been experiencing ome urinary incontinence


Lump is at the bottom back part of the neck. Lab results show negative for UTi.
doctor
Answered by Dr. Shafi Ullah Khan (13 hours later)
Brief Answer:
Needs work up to confirm

Detailed Answer:
Thank you for getting back to me

Lump at bottom back of the neck is likely a soft tissue and not connected. Usually a swollen lymph node or a lipoma or any other benign lesion can present as that lump. Needs work up to connect all the dots.

I hope it helps.
Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (2 hours later)
Thank you for your time and great advise
doctor
Answered by Dr. Shafi Ullah Khan (4 hours later)
Brief Answer:
:)

Detailed Answer:
you are welcome. I will be here for you if you need me.
Regards XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What causes stiffness in back, feet, ankles, fluid and pain in knees?

Brief Answer: Needs a rheumatological work up. Autoimmune disorder / osteoarthritis Detailed Answer: Thank you for asking I read your question and i understand your concern. Stiff back, feet and ankles in morning with sore muscles and joint pains with negative rheumatoid arthritis and positive ANA test should be digged up further as positive ANA suggests its autoimmune probably Lupus and need further workup with further confirmatory tests like anti double stranded , anti XXXXXXX antibodies. A complete autoimmune profile is advised. All your symptoms fit in this rheumatological conditions and should be evaluated and clinically correlated after thorough blood work up. At age of 50 age related articular degeneration like osteoarthritis should also be on the table while reaching a diagnosis. Talk to your rheumatologist and let them decide what is best for you. I hope it helps. Take good care of yourself and dont forget to close the discussion please. Regards Khan