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What Causes Swollen Hands, Neck Pain And Lower Back Pain?
Question: I have stiff swollen hands all day, right thumb very sore to bend , neck pain, strange feeling some times in the head (light headed), some times blurred vision, lower back pain, when I put my head down have pain down to right shoulder blade, once had shape pain in right buttock.
What's wrong with me. Who do I go to?
Thanks, XXXXXX
What's wrong with me. Who do I go to?
Thanks, XXXXXX
Brief Answer:
Rheumatoid arthritis with postural hypotension.
Detailed Answer:
Hi XXXXXXX
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Looking at the clinical symptoms and query, my opinion is as follows:
1. It appears to be rheumatoid arthritis, possibly early onset.
2. Increased stiffness in morning and swollen joints in hands are commonly the initial finding.
3. Other symptoms like light headedness and blurred vision is possibly due to postural hypotension. It could occur commonly due to change in posture like from sitting to standing or sleeping to standing. Slow change in posture should help.
If it becomes severe, venous stocking for lower limb to avoid pooling of blood should be helpful.
4. Lower back pain and neck pain could be due to weak back. You will require back exercises and neck exercises to strengthen it. Physiotherapy will also be helpful.
5. For Rheumatoid arthritis, you need to meet a Rheumatologist. He will need to get an X-ray and blood tests done for confirmation. If a Rheumatologist is not available, a Physician will also be helpful.
You will require Disease modifying anti-rheumatic drugs to slow down the progression. Meet the doctor at the earliest. Both are common in the elderly. Not to worry.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM
Rheumatoid arthritis with postural hypotension.
Detailed Answer:
Hi XXXXXXX
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Looking at the clinical symptoms and query, my opinion is as follows:
1. It appears to be rheumatoid arthritis, possibly early onset.
2. Increased stiffness in morning and swollen joints in hands are commonly the initial finding.
3. Other symptoms like light headedness and blurred vision is possibly due to postural hypotension. It could occur commonly due to change in posture like from sitting to standing or sleeping to standing. Slow change in posture should help.
If it becomes severe, venous stocking for lower limb to avoid pooling of blood should be helpful.
4. Lower back pain and neck pain could be due to weak back. You will require back exercises and neck exercises to strengthen it. Physiotherapy will also be helpful.
5. For Rheumatoid arthritis, you need to meet a Rheumatologist. He will need to get an X-ray and blood tests done for confirmation. If a Rheumatologist is not available, a Physician will also be helpful.
You will require Disease modifying anti-rheumatic drugs to slow down the progression. Meet the doctor at the earliest. Both are common in the elderly. Not to worry.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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