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Pain and soreness in shoulder, back and hips. Treated for arthritic shoulder with cortisone injections. Help?

Symtoms: Painful major joints: Hi, I am male and 76 and have been on travel from California with my wife for the past 4 weeks, 2weeks in NewZealand, and we then came to Australia ( Cairns) . We recently had a four day cruise to the Great Barrier reef. Tomorrow we plan to go to Papua NG for 4 days. Befrore we left we had the usual injections etc for travelling abroad. Soon after we arrived in NZ I noticed more pain than usual in my shoulders, back and hips. ( I was treated for an arthritic right shoulder condition with cortisone injections immediately before I left, 2 injections and both unsuccessful, so I am used to a little pain here. But the current pain is considerably worse with no pain killers. Also I have other pain and soreness in my back, hips, neck/head, and left shoulder. I take 1 naproce/day,a nd 2 tylenol for the pain which helps somewhat. The symtoms are much worse in the morning until the pills work . Can you suggest anything ?
Asked On : Mon, 14 Oct 2013
Answers:  2 Views:  23
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

From your description, I suppose that you pain in the multiple joints could be related to viral arthralgia (as you are travelling a lot exposed to different atmospheres in short intervals) which is usually self limiting.

The other possible cause could be exposure to cool climatic conditions, wherein during early morning hours all the soft tissues around the joints (ligaments, tendons, muscles) will be stiff causing you more pain to feel in the morning time.

I suggest you to do simple and gradual warming up exercises in the form of gentle stretching (which should not be painful) after getting up from bed. Before activities, gentle heating can help loosen the muscle. Apply a heat pack to the painful area prior to stretching or exercising. As a general rule of thumb, remember to heat before an activity and ice afterwards.

Local massaging with creams and gels may provide temporary relief from osteoarthritis pain. Some creams numb the pain by creating a hot or cool sensation. Pain creams work best on joints that are close to the surface of your skin.

Hope this information is helpful. Have a nice time.
Answered: Mon, 14 Oct 2013
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