Unexplained Joint Pain: Causes and Concerns

Unexplained joint pain?

Hello, doctor.
I sometimes experience swelling and pain in my joints.
Before the pain occurs, I don't recall any significant impact or injury.
Generally, I might feel some soreness the day before, and then the next day, I experience swelling or pain.
For example, it might start with pain in my left knee, and then I notice my fingers feeling stiff and sore when bending.
The following day, both sides may hurt, and multiple areas can be affected at once (like my left knee, left ankle, fingers, and elbows).
The pain usually eases after about three days, and overall, I feel less discomfort for approximately 4 to 6 days.
I recall that this didn't happen much during the summer, but it started when autumn began, and then it subsided.
Recently, I don't know if it's related to eating lamb hot pot, the significant temperature fluctuations between day and night, or the spring cleaning, but the symptoms have returned.
I'm unsure why this is happening.
Additionally, I've read that joint diseases can lead to deformities in severe cases.
Could you please tell me, if left untreated, how long it might take for joints to become deformed?

A-Hsing, 20~29 year old female. Ask Date: 2017/01/09

Dr. Shi Guozheng reply Orthopedics

It is normal for joints to hurt if they are overused.
However, if there is pain all over, it may be necessary to check for conditions like rheumatoid arthritis.
You can consult an orthopedic specialist or a rheumatologist.
In the early stages of arthritis, joints typically do not deform; it takes a long time for deformities to develop.

Reply Date: 2017/01/09

More Info

Understanding unexplained joint pain can be quite complex, as it often involves a variety of potential causes ranging from inflammatory conditions to mechanical issues. Based on your description, it seems that you are experiencing intermittent joint pain and swelling, which can be indicative of several underlying conditions.

One possible explanation for your symptoms could be inflammatory arthritis, such as rheumatoid arthritis or reactive arthritis. These conditions can cause joint pain and swelling without a clear history of trauma. Inflammatory arthritis often presents with morning stiffness, swelling, and pain that can affect multiple joints symmetrically. The fact that your symptoms seem to fluctuate with changes in weather or physical activity may also suggest a connection to inflammatory processes.

Another potential cause could be gout, which is characterized by sudden and severe pain, often in the big toe, but can affect other joints as well. Gout is caused by the accumulation of uric acid crystals in the joints, leading to inflammation. The dietary changes you mentioned, such as consuming lamb, could potentially trigger a gout attack if you are predisposed to this condition.

Additionally, conditions like fibromyalgia could also explain the widespread pain and discomfort you are experiencing. Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. It often coexists with other conditions, including anxiety and depression, which can exacerbate the perception of pain.

In terms of the timeline for joint deformity, it is essential to understand that the progression of joint diseases can vary significantly from person to person. In conditions like rheumatoid arthritis, if left untreated, joint damage can begin within months to years of the onset of symptoms. The degree of deformity can depend on various factors, including the severity of the disease, the joints involved, and how early treatment is initiated. Early intervention with disease-modifying antirheumatic drugs (DMARDs) can significantly slow down the progression of joint damage and deformity.

It is crucial to consult a healthcare professional for a thorough evaluation, which may include blood tests, imaging studies like X-rays or MRIs, and possibly referral to a rheumatologist. These steps can help identify the underlying cause of your joint pain and guide appropriate treatment options.
In the meantime, managing your symptoms with rest, ice, compression, and elevation (RICE) can provide some relief. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may also help reduce pain and inflammation. However, it is essential to discuss any medication use with your healthcare provider, especially if you have other underlying health conditions or are taking other medications.

In summary, unexplained joint pain can arise from various causes, and it is vital to seek medical advice for a proper diagnosis and treatment plan. Early intervention can prevent long-term complications, including joint deformity, and improve your overall quality of life.

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