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Feeling weakness in the hands, pain in the joints. Diagnosed with hyperthyroidism. Symptoms persisting after medication. Why?

Hi I am 41 years old woman, and I am Asian. In around June 2013, I noticed that I had weakness in my two hand when I woke up in the morning. When I started to squeeze my hand, I noticed that all joints of my fingers had most pain. The weakness would stay for an hour after I got up from the bed, and I felt normal during the day. This happened for over 3 weeks until I decided to see a doctor. I saw rheumatologist and performed blood test . The result did not show any problem about rheumatism . Finally, I went back to see family doctor to perform thyroid blood test, and I was diagnosed as having hyperthyroidism . I was under the medication for around 5 months, and then my thyroid hormone is in the normal range for 3 months until now. However, since the first day until today which is 8 months already, my weakness in my hands when I wake up in the morning has not been changed. Some days, I have more weakness and pain. Is my weakness and pain related to hyperthyroidism? If it is, why do I still have this problem when my thyroid is under controlled and being in normal range?
Asked On : Wed, 3 Apr 2013
Answers:  2 Views:  58
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Internal Medicine Specialist 's  Response
Hello dear

You have been diagnosed as having hyperthyroidism about 8 months back, which is under control. But the issue that is bothering you is the weakness and pain in both hands in the morning hours. I think we need to understand the details of your smyptoms first.
We need to clearly understand your symptoms to be able to help you out.
When we say weakness with pain are you suggesting that you find it difiicult to hold a object, use your palm or is it that due to stiffness and pain in the hands on waking you find it difficult to carry out any activity. Are your hands swollen then?
As you rightly carried out a rheumatology examination, we still need to know that the tests to know the tests that were done to reach to a diagnosis. At times in rheumatology , certain tests are negative despite classical features of the disease.
So I would suggest you to discuss your case with a rheumatologist again with all your lab results and if possible a picture of your hand when it is painful for doctors to see if there are any obvious signs of disease.
Hope this helps.
Answered: Wed, 3 Apr 2013
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Internal Medicine Specialist Dr. Omer's  Response
u are suffering from thyroid polyneuropathy with myopathy...very less people present with this potentiates after taking high medicine for decrease in thyroid level...or it usually disappears after 7-9 months with normal thyroid level......since u r rheumatoid negative...get an emg ncs and see a neurologist
take care
Answered: Wed, 3 Apr 2013
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