Dear Dr. Krant: I am a 55 year-old man who has had osteoarthritis in my feet for 17 years. During the last 3 years it has spread throughout my spine, skull to tailbone, in the shoulders/hips/knees and hands, and nodes on fingers. I also have some difficulty walking. Is this a normal progression, or an extreme variation? You have had osteoarthritis for almost twenty years, beginning in your early 30s. Many people develop aches and pains in the large weight-bearing joints relatively early, even in their twenties. X-ray evidence of joint space narrowing, loose bodies and asymmetry throughout the weight-bearing surfaces usually does not appear until the 40s, although certain people will develop abnormalities early on. This is particularly true when cartilage has been surgically removed from the knees, when work involves repetitive lifting, bending and weight-bearing heavy loads, and when there is a genetic link to an affected parent. Nodes on the fingers (called Heberden...
Stiffness in a joint; Pain - joints; Arthralgia
Follow prescribed therapy in treating the underlying cause.
For nonarthritis joint pain, both rest and exercise are important. Warm baths, massage, and stretching exercises should be used as frequently as possible.
Anti-inflammatory medications may help relieve pain and swelling. Consult your health care provider before giving aspirin or NSAIDs such as ibuprofen to children.
Call your health care provider if
Contact your health care provider if:
You have fever that is not associated with flu symptoms
You have lost 10 pounds or more without trying (unintended weight loss)
Your joint pain lasts for more than 3 days
You have severe, unexplained joint pain, particularly if you have other unexplained symptoms
What to expect at your health care provider's office
Your health care provider will perform a physical exam and ask you about your medica...
Diseases that fall under spondyloarthritis umbrella are ankylosing spondylitis , reactive arthritis (known previously as Reiter's syndrome) psoriatic arthritis and psoriatic spondylitis, and the arthritis or spondylitis associated with the inflammatory bowel diseases, ulcerative colitis and Crohn's disease . Still other patients may develop undifferentiated spondyloarthritis. This means they have symptoms or signs of one of the illnesses above, but don't develop the full blown disease. The disease most frequently begins between ages 20 and 40, but may begin before age 10. It affects more males than females. Risk factors include a family history of ankylosing spondylitis and male gender. Symptoms of Spondyloarthris The disease starts with hip or low back pain that comes and goes and is worse at night, in the morning, or after inactivity. Back pain may begin in the sacroiliac joints (between the pelvis and the spine) and involve all or part of the spine. Pain may go aw...
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