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...
The local weather forecast calls for pain increasing over the next five days and tapering off towards the end of the week. Sound familiar? Many people who have arthritis are very familiar this forecast and know that weather effects pain severity. In fact, many people know what the weather is doing just by how a joint feels. Pain, stiffness and swelling can be as accurate at forecasting the weather as a meteorologist. And those who live in certain climates know exactly how painful some climates can be. What do scientists have to say about this weather phenomenon? Are the rumors true? Does joint pain forecast the weather?
Ouch, it's cold outside. Just looking at temperature, one can easily conclude that l ow temperatures increase pain not only in a joint, but everywhere. Knee pain , rheumatoid pain, and osteoarthritis pain all show consistent increases in severity has the mercury plunges. The reason for this phenomenon probably has something to do with nerve conduction slowing in t...
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...
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