Transient joint pain
Hello, two days ago I noticed that my finger joints in my hands experience brief pain (lasting about 1 to 2 seconds, occurring once or twice, then disappearing).
There is no pain when using the joints, and there is no redness or swelling, but when I forcefully curl my fingers, I feel a slight sensation in the joint area (when pressing with the other hand, it feels a bit painful, possibly due to excessive pressure).
After a while, it feels better, and I also noticed that my toes have the same issue.
There isn't a specific time when this occurs; my joints are not stiff in the morning.
Additionally, there are two very close muscles on either side of the elbow joint that feel a bit sore.
Yesterday, when I pressed one of them, it felt achy.
Three days ago, I visited a doctor because I was concerned about my dry syndrome (I have dry mouth; my eyes feel fine, although they get strained from excessive screen time; the dry mouth first appeared about two and a half years ago, lasted about a month, then disappeared, and has recurred twice since, each time lasting about 2 to 4 weeks).
The doctor said it doesn't sound typical but decided to run some tests (drawing five vials of blood; I didn't look closely at what was tested, and I will check the report in two weeks).
After researching, I found that dry syndrome often has complications with rheumatoid arthritis, and now I'm extremely worried.
I have a BMI of 19 and am male, with no family history of this disease.
Should I schedule a follow-up appointment? Am I in serious trouble?
xuesheng, 20~29 year old female. Ask Date: 2020/05/31
Dr. Shi Guozheng reply Orthopedics
There's no need to rush; just wait for your appointment time to return for your consultation.
Rheumatoid arthritis can still be treated effectively.
Reply Date: 2020/05/31
More Info
It sounds like you are experiencing some concerning symptoms related to your joints, particularly in your fingers and toes, along with some muscle soreness in your arms. I understand that you are feeling anxious about the possibility of having an autoimmune condition like Sjögren's syndrome, especially since you have a history of dry mouth. Let's break down your symptoms and discuss potential causes, as well as when you should seek further medical help.
Understanding Your Symptoms
1. Temporary Joint Pain: The brief episodes of pain in your finger joints and toes that last for just a second or two could be due to several factors. Common causes of transient joint pain include:
- Overuse or Strain: If you've been using your hands or feet more than usual, this could lead to temporary discomfort.
- Tendonitis: Inflammation of the tendons around the joints can cause short bursts of pain, especially with certain movements.
- Nerve Compression: Conditions like carpal tunnel syndrome can lead to brief pain or discomfort in the fingers.
- Gout: Although less common, gout can cause sudden, intense pain in the joints, typically in the big toe.
2. Muscle Soreness: The soreness you feel in the muscles between your upper and lower arms could be due to muscle strain or overuse. If you've been engaging in activities that require repetitive motion or heavy lifting, this could explain the discomfort.
3. Dry Mouth: Your history of dry mouth is noteworthy. Sjögren's syndrome is indeed associated with dry mouth and dry eyes, but it can also lead to joint pain. However, not all cases of dry mouth indicate an autoimmune condition.
When to Seek Help
Given your symptoms and concerns, here are some guidelines on when to seek further medical evaluation:
- Persistent Symptoms: If the joint pain becomes more frequent, lasts longer, or is accompanied by swelling, redness, or warmth in the joints, you should consult a healthcare provider.
- Muscle Weakness: If you experience significant weakness in your arms or legs, or if the soreness does not improve with rest, it’s important to seek medical advice.
- Dry Mouth and Eyes: Since you have a history of dry mouth, it’s wise to follow up with your doctor regarding the tests they performed. If you start experiencing dry eyes or other symptoms like fatigue, joint swelling, or rashes, these could be signs of an autoimmune condition.
- Anxiety About Your Health: If your anxiety about your health is affecting your daily life, consider discussing this with a healthcare professional. They can provide reassurance and help you understand your symptoms better.
Next Steps
1. Follow Up with Your Doctor: Since you have already had blood tests done, it’s crucial to wait for the results and discuss them with your doctor. They can interpret the findings in the context of your symptoms and medical history.
2. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any activities that seem to trigger them. This information can be valuable for your healthcare provider.
3. Lifestyle Modifications: In the meantime, consider gentle stretching and strengthening exercises for your hands and arms. Staying hydrated and maintaining a balanced diet can also support overall joint and muscle health.
4. Stay Informed: While it’s good to be informed, be cautious about self-diagnosing based on internet searches. Conditions like Sjögren's syndrome have specific diagnostic criteria that a healthcare professional can assess.
In conclusion, while your symptoms may be concerning, they could also be due to benign causes. It’s essential to follow up with your healthcare provider for a thorough evaluation and to address your anxiety regarding your health. Remember, early intervention can lead to better outcomes, so don’t hesitate to seek help if needed.
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