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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trigger point therapy and Ibuprofen for Pisiformis symptoms, pain in knees, stiffness. Any ideas ?

I am a 59 year old woman, in decent health, although somewhat overweight . Two weeks ago, started with pisiformis/ sciatica symptoms, and headache behind eyes. Pisiformis symptoms diminished over 1 week with home administered trigger point therapy and prescription dose amounts of ibuprofen . Headache worsened one day, to a one sided severe headache with a watery eye. I have not had cluster headaches for over 25 years. Headache subsided with prescription doses of ibuprofen. Next day, pain began in knees. Walking was nearly impossible. Knees were too stiff to bend and unstable. After 48 hours on the same doses of ibuprofen, knee pain subsided. Today I have actually felt good, but a rash began on my knees, and is now spreading. Any ideas?
Mon, 7 Oct 2013
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General & Family Physician 's  Response
Hello, the problem is artheritis with a rash and an episode of headache. For the Artheritis with Rash, essential to have some basic investigations done as it could be due to a Viral artheritis, Reiters syndrome, Psoriatic artherits, Rheumatoid artheritis and SLE.

Thus it cannot be ignored and detailed examination would be helpful find the cause. Indeed, treatment would be Ibuprofen like drugs, but some of these diseases would require long term follow-up and specialised care.

Lastly cluster headaches do occur after a long interval, the symptoms are classical of a Cluster headache.

With best wishes
JN
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Trigger point therapy and Ibuprofen for Pisiformis symptoms, pain in knees, stiffness. Any ideas ?

Hello, the problem is artheritis with a rash and an episode of headache. For the Artheritis with Rash, essential to have some basic investigations done as it could be due to a Viral artheritis, Reiters syndrome, Psoriatic artherits, Rheumatoid artheritis and SLE. Thus it cannot be ignored and detailed examination would be helpful find the cause. Indeed, treatment would be Ibuprofen like drugs, but some of these diseases would require long term follow-up and specialised care. Lastly cluster headaches do occur after a long interval, the symptoms are classical of a Cluster headache. With best wishes JN