5/1/11

Joint pain not caused by arthritis?

Joint pain not caused by arthritis?I have severe pain that started in my left knee about 8 weeks ago. This is a pain I've had off and on for years and was originally diagnosed at Patellafemoral Syndrome. It flared up again about 8 weeks ago and then about 6 weeks ago, the same pain flared up in my right knee. About 2 weeks ago, I started to get the same severe pain in my left wrist. The doctor has me on an anti-inflamatory, Tylenol 3 at night and Tramadol during the day. The anti-inflamatory does nothing for the pain. The Tylenol 3 does help me sleep a little better, but is otherwise ineffective against the pain and the Tramadol does make the pain more manageable, but I am still unable to stand up or sit down with out using my hands and arms to support my weight (by the way, I am 5'9" and about 160lbs-well within what is normal and healthy). It is impossible for me to put weight on either of my knees and now my left wrist without severe consequences. I have had tests rule out rheumatoid arthritis and gout as well and my x-ray looked clean. My doctor does not believe it is arthritis-related, but does not seem to have any other leads. Is anyone out there familiar with a non-arthritic joint pain that spreads rather rapidly from joint to joint? I am not extremely active and have not suffered any recent injuries nor have any of my lifestyle habbits or eating habbits changes. I am just at a loss as to where to go next and am tired of being in pain and being doped up on narcotics that work only minimally. I am extremely frustrated. Please help...thanks!
In response to the first answer, I know that it is not PFS due to the fact that it is now in my other knee and the doctor ruled that out. Also, PFS doesn't explain how it is happening in my left wrist as well. But thanks so much for the response!

gillianprowe
Managing patellofemoral pain syndrome is a challenge, in part because of lack of consensus regarding its cause and treatment. Contributing factors include overuse and overload of the patellofemoral joint, biomechanical problems and muscular dysfunction. The initial treatment plan should include quadriceps strengthening and temporary activity modification. Additional exercises may be incorporated as dictated by the findings of the physical examination. Footwear should be closely evaluated for quality and fit, and the use of arch supports should be considered.
So now you have both knees affected and by your own statement: I am still unable to stand up or sit down with out using my hands and arms to support my weight, which explains why your wrists are now affected.
You need to start on the quadriceps strengthening and temporary activity modification and see a Podiatrist in case the real problem is with your feet or posture: biomechanical problems.

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