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    Unknown Transient Pains
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    Hugoriffic posted:
    For approximately 4 months -- maybe longer -- I've suffered from what can only be described as transient pains throughout my joints and muscles. Transient as in not long lasting and as in moving. Each episode comes out of nowhere, lasts for approximately three days, and then moves to another location of my body. The pain is intense at the site (if I am to touch the specific area that is affected) but does not radiate much beyond this. The pain can only be described as similar to being hit by something in the affected area. I've often described the pain in my feet and knees as feeling as if I had been struck by a baseball bat. The pain in my elbows as being similar to hitting your "funny bone". The pain also moves from one area of my body to another with what appears to be no rhyme or reason. Let me explain more in depth: one day I will awaken to have my left knee, right shoulder, and right wrist suffering from this pain and within three days the pain will move to my left ankle (more Achilles area really), left elbow, and right hip (SI joint area) only to move to other areas within the three day mark. Sometimes I am lucky and the pain is found in only one area and other days it can happen in up to five differing areas. The areas that have been affected are: The bottoms of my feet -- this is where it all started -- which was originally diagnosed as Plantar fasciitis, but the area will move from one area of my foot to another. And no description I've ever read of Plantar fasciitis describes a pain that moves. The areas most affected by this pain on my feet are the soft tissue on the outside edge of my foot, beneath my toes (pain is in between toes and not underneath), and in the heel area. After the initial foot pain the next area to suffer was my Achilles. The pain felt as if it started at the heel and moved up through the muscles of the calf. The joint here felt quite stiff and this, along with the pain, made it very difficult for me to walk. The next area to suffer was my knees. When my knees hurt it feels as if my patella is bruised and not like a joint or muscle injury. The pain generally starts in the middle of the patella and works down towards my shin. Usually the inner side of my shin. The next areas to suffer were my shoulders and elbows. The shoulder pain is similar to going out and throwing a baseball as hard as you can for an hour and then suffering the next day. My elbows hurt on the outside where you might rest on the arm of a chair. They also feel very stiff when they are sore. I essentially listed the pain in order of where it hurt and how it moved to begin with. Once each of these areas was affected then they were thrown in to the mix of transient pain. This is to say before my shoulders or elbows hurt only my legs suffered this pain. Once my elbows and shoulders did hurt were then included within the random transient pain. All these symptoms lasted for several months. In the meantime I went to my GP and had blood work done, X-Rays taken, and have given samples of urine to be tested. This has been done of three separate occasions. Nothing was found. All tests were well within the normal ranges. Lately, within the past 3 weeks or so, my hips (SI joint), wrists, shins (more musculature in nature) and right palm near the pinky finger have been affected. I did suffer from a running related injury a year or so ago in my left SI joint. I did rehab and kept up on the stretches. The pain I feel in both of my hips feels very similar to this pain yet is far more intense. My wrists feel more stiff than painful, but I notice a loss of strength now when my wrists are affected. Might be due to the nature of how we use our wrists vs. the other areas I've mentioned. My shins feel like shin splints although I have not run in approximately 6 months. And my right palm feels like I slammed it down on a table while making a fist. I had a boxers fracture in my left hand and this is in that general area.
     
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    Hugoriffic responded:
    If anyone has any ideas as to what this might be, and can offer up tests (if available for my doctor to run), I'd be most appreciative. I've spoken to my doctor several times after my last visit to discuss the symptoms but all she can offer at this time is to double check the tests she's already run. I cannot see re-running the same tests each and every month if nothing is going to change or show up. Isn't that the definition of insanity? Also, if you need any additional information or would like to ask me specific questions please feel free to do so. If me providing more specifics might help someone to help diagnose this properly or offer additional testing to be run I'm willing to help in any way possible. Just another bit of info: my doctor ran tests to check for inflammation (which were normal) but I've heard there is a specific test to check for arthritis. Is this correct, and if so, are there more than one test since there is more than one type of arthritis? BTW, I am a 38 yo male.
     
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    taterbug1949 responded:
    Has your doctor considered fibromialgia (sp)? I don't have it but know several that do have it. Ann
     
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    Hugoriffic responded:
    I would like to mention that I am in no way looking for a proper diagnoses over the internet. I realize that no one can be properly diagnosed over the internet on a forum. What I am looking for is whether these symptoms fit within any specific ailment or disease, and if so, what tests I might ask my GP to run to either rule out these ailments or to then be able to properly diagnose my symptoms. I cannot afford (financially or psychologically) to return to my GP only to have her run the same tests she's already run only to inform me that nothing wrong was found. This avenue is a dead end. Please, if you believe any specific testing should be done, or if a doctor who practices a specific specialty should be seen on my part please feel free to post this information for me.
     
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    Hugoriffic responded:
    My doctor is of the belief that fibromyalgia "...is a ?non-disease?, due in part to a lack of objective laboratory tests or medical imaging studies to confirm the diagnosis." (Taken from wikipedia). To date she has prescribed a thyroid medication (even though my numbers were only slightly out of normal ranges) and Prozac (due to my last visit where I told her I was becoming depressed over these symptoms).
     
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    sewhit responded:
    Hi, Just my thoughts on this. first, you might want to consider seeing a rheumatologist. They specialize in the different types of arthritis, fibro and other disorders. When I was first diagnosed with rheumatoid arthritis, my pains would travel. One day it would be my knee, one day my wrist etc. In the beginning there was no inflammation at all. If your gp is finding nothing, but you are still in pain, it is time to do something new. Fibromyalgia is no longer considered a non disease. There are several tests that a qualified rheumy could run to test for certain types of arthritis or fibro. Wikipedia is not the best source of info since anyone can log on and give information or misinformation to that site. Best of luck to you finding your answers. :smile:
     
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    Hugoriffic responded:
    sewhit, Thank you for the information. Monday morning I will call to schedule an appointment with a rheumatologist. Hopefully this will be the doctor that can help me out with whatever ails me. Also, you hit on something I forgot to mention: there is no inflammation during each episode -- only pain. And yes, wikipedia is not the best source for info but I was needing a sentence to describe my GP's thoughts on fibromyalgia -- and it was one of the first sites to pop up on Google.
     
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    taterbug1949 responded:
    Don't be too surprised if it takes a while to get an appointment with a rheumatologist. It sometimes is months before you can get an initial appointment with one. Ann
     
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    echorain responded:
    Hi! Sometimes RA doesn't show up on lab work. There is a type of RA called "seronegative" RA. Only a rheumatologist can tell you if you have RA. What he or she should do is lab work, physical exam and xrays or MRI's. With this combination they can figure out what the matter is. When I was diagnosed, my doc ordered xrays of my whole body. It showed RA in almost every joint except my hips, but my lab work came back negative. When he did the physical exam he could see and feel the swelling and inflammation of the joints. There is a lab test called C-Reactive Protein. Hope that helps when you see a rheumatologist. At least this will give you a idea of what to expect. Hope things get better for you.
     
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    Hugoriffic responded:
    I called to set up an appointment on Monday with a rheumatologist. They only do doctor to doctor referrals so I called my GP and am now waiting for the rheumatologist's office to call back and set up an appointment. My GP sent over my history and it will be a few days before I hear back from anyone. Hopefully it won't be months before I can get in, but we'll see.
     
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    508Buzz responded:
    I've had similar pain. Initially treated for a shoulder inflamation and Physical Therapy vs cortisone shot. Pain "migrated from R side to neck over the course of a week then I awoke with sharp pain in mid forearm area. Quick trip to ER to eliminate heart issue and the Doc diagnosed "tendonitis" and prescribed motrin 800mg. NSAIDs take the edge off but the pain only in a manner to mask whatever is going on. Pain continued down to L palm - dead center (Think stigmata) then back to elbow then to shoulder, just under jaw/glands felt swollen. Then pain in thumb area. Currently in R shoulder. The pain is always on the topside of the area except for the palms (front of shoulder, top of forearm, top of elbow and once on inside of L ankle. RA test came back positive and we are working our way through the alphabet soup of bloodwork... I'm a 48yo male, nonsmoker, avg/above avg healthwise.
     
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    Hugoriffic responded:
    I called to schedule an appointment with the rheumatologist and was put down for April 13th, yet they just called and I am going in tomorrow. There was a cancellation. Kind of nervous because I don't know what to expect. Yet, very happy to be getting in so soon since the last few weeks have been harder. My appointment is an hour long and I need to show up fasting. I'm assuming for blood work. As soon as I know anything I'll update here.
     
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    Hugoriffic responded:
    Results of the blood work and the bone scans will be given to me on the 12th of this month.


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