Unexplained Joint Pain: Causes and When to Seek Medical Help - Orthopedics

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Joint pain


Recently, I've been experiencing unexplained soreness in my hands, knees, and ankle joints, even though I haven't sustained any injuries.
Could this be related to the change in weather, or is there an underlying issue? If I need to get checked, which specialty should I consult?

Fenfen, 10~19 year old female. Ask Date: 2015/12/04

Dr. Shi Guozheng reply Orthopedics


Changes in weather can sometimes cause joint pain due to insufficient warmth.
The first step is to determine if there is symmetrical involvement, meaning whether the same joints on both sides of the body are affected simultaneously.
Additionally, it is important to assess the duration of the pain, whether there is any redness or swelling, and if there is morning stiffness upon waking.
If any of these symptoms are present, it may be necessary to suspect rheumatoid arthritis, and a visit to the hospital for blood tests is recommended.
You can consult an orthopedic specialist.

Reply Date: 2015/12/04

More Info


Unexplained joint pain can be a perplexing and concerning issue, especially when it arises without any known injury or trauma. There are several potential causes for joint pain, and understanding these can help guide you on when to seek medical attention and what type of specialist to consult.


Possible Causes of Unexplained Joint Pain
1. Weather Changes: Many individuals report increased joint pain during changes in weather, particularly with drops in temperature or humidity. This phenomenon is often attributed to changes in barometric pressure, which can affect the joints and surrounding tissues.

2. Inflammatory Conditions: Conditions such as rheumatoid arthritis, lupus, or gout can cause joint pain without any prior injury. These are autoimmune or inflammatory diseases where the body’s immune system mistakenly attacks its own tissues, leading to pain and swelling.

3. Osteoarthritis: This is a degenerative joint disease that can develop over time, often without a clear cause. It results from the wear and tear of cartilage, leading to pain, stiffness, and swelling in the joints.

4. Infections: Sometimes, joint pain can be a sign of an infection, such as septic arthritis. This condition can occur when bacteria enter the joint space, leading to inflammation and severe pain.

5. Tendinitis or Bursitis: Overuse or repetitive strain can lead to inflammation of the tendons (tendinitis) or the bursae (bursitis) surrounding the joints, causing pain and discomfort.

6. Fibromyalgia: This chronic condition is characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. It can often be mistaken for other conditions due to its varied symptoms.

7. Other Systemic Conditions: Conditions such as diabetes, thyroid disorders, or even vitamin deficiencies (like Vitamin D or B12) can manifest as joint pain.


When to Seek Medical Help
If your joint pain persists for more than a few days, worsens, or is accompanied by other symptoms such as swelling, redness, warmth, fever, or difficulty moving the joint, it is essential to seek medical attention. Additionally, if you experience joint pain after a recent illness or infection, it is advisable to consult a healthcare professional.


Which Specialist to Consult
For unexplained joint pain, you may want to start by seeing a primary care physician. They can perform an initial evaluation, including a physical examination and possibly some basic blood tests or imaging studies (like X-rays) to rule out significant issues. Based on their findings, they may refer you to a specialist, such as:
- Rheumatologist: If an autoimmune or inflammatory condition is suspected, a rheumatologist specializes in diagnosing and treating these types of diseases.

- Orthopedic Surgeon: If there are concerns about structural issues within the joints, an orthopedic surgeon may be consulted.

- Physical Therapist: For rehabilitation and management of pain through exercises and physical modalities.


Conclusion
In summary, unexplained joint pain can arise from various causes, including weather changes, inflammatory conditions, or even systemic diseases. It is crucial to monitor your symptoms and seek medical advice if the pain persists or worsens. Starting with a primary care physician is a good approach, and they can guide you to the appropriate specialist based on your specific situation. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out for help.

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