Evaluation Of Pain In Many Joints
In evaluating joint pain, doctors first try to decide whether joint pain is caused by a disorder of the joints or a serious bodywide illness. Serious bodywide disorders may need specific immediate treatment. The following information can help people decide when to see a doctor and know what to expect during the evaluation.
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How Can I Help Myself
There are a number of things you can do to help manage your fatigue.
Planning your time wisely to spread your energy over the course of a day or week can help. Its also important to factor some gentle exercise into your day and to have a healthy diet.
Theres a strong link between getting enough good quality sleep and fatigue. And there are several positive steps you can take to improve your chances of sleeping well.
Stress and worry can make your fatigue feel worse, so its a good idea to spot anything that is causing you stress and try to deal with them in good time.
Causes Of Fatigue In Arthritis
Inflammation, pain, inactivity and lifestyle factors can cause extreme tiredness when living with arthritis.
Everyone gets worn out from time to time. But exhaustion that disrupts your daily life and doesnt get better after a good nights sleep has its own medical term: fatigue. Fatigue significantly affects the quality of life for people with many forms of arthritis-related diseases, includingrheumatoid arthritis,psoriatic arthritis, spondyloarthritis, lupus, fibromyalgia andosteoarthritis. Your lack of energy may be caused by your inflammatory disease and other health conditions you have, as well asmedications side effectsand lifestyle habits.
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Normal And Abnormal Twitching
Occasional muscle twitches that do not last longer than a few days are normal and generally go unnoticed. Recurring muscle twitches are often caused by dietary insufficiencies, drug interactions, and side effects or exercise. Twitches that occur in the eyelids, thumbs or calves are generally considered benign symptoms of stress and anxiety, according to the University of Maryland Medical Center. Muscle twitching that is accompanied by muscle fatigue, weakness or sensation loss may indicate an underlying neurological disorder.
- Occasional muscle twitches that do not last longer than a few days are normal and generally go unnoticed.
- Recurring muscle twitches are often caused by dietary insufficiencies, drug interactions, and side effects or exercise.
What Causes Chronic Fatigue Syndrome
Scientists have been researching chronic fatigue syndrome for many years, but they still dont know for sure what causes it.
Many doctors believe that the way some conditions interact within the body and mind might leave some people at risk for CFS. For example, if someone has a and is under a lot of stress, the combination of these two things might make them more likely to develop CFS.
These things are believed to interact with each other in this way, putting some people at risk for CFS:
- infections. Experts have wondered if infections like measles or Epstein-Barr virus might increase the risk for CFS. The role Epstein-Barr plays in CFS is not clear because studies have not confirmed it as a cause.
- problems with the immune system or the nervous system
- hormone imbalances
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> > > Best Joint Pain Treatment Available
Osteoarthritis affects the entire joint and causes inflammation and changes in the bone and connective tissues. Symptoms vary according to the severity of the condition. If you have this disorder, you might be experiencing pain in any joint. Its common to experience symptoms in the knee and hips. You may also develop bone spurs around the affected joint. Its important to consult with your doctor if you have these symptoms.
Symptoms of osteoarthritis include swelling and bone spurs around the affected joint. You may also experience soft tissue inflammation around the joint. Your doctor may prescribe pain relievers and suggest a program of physical activity. For those with severe osteoarthritis, surgery may be the best option. The best course of treatment depends on the severity of the condition and the symptoms youre experiencing. Ultimately, the best way to manage your osteoarthritis symptoms is to find a solution that works for you. Symptoms: Muscle Pain, Fatigue, Muscle Weakness, Joint Stiffness
Fatigue Cause No : Diabetes
In people with diabetes, abnormally high levels of sugar remain in the bloodstream instead of entering the bodyâs cells, where it would be converted into energy. The result is a body that runs out of steam despite having enough to eat. If you have persistent, unexplained fatigue, ask your doctor about being tested for diabetes.
Fix: Treatments for diabetes may include lifestyle changes such as diet and exercise, insulin therapy, and medications to help the body process sugar.
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Fibromyalgia As A Cause Of Joint Pain And Fatigue
If you havent heard of Fibromyalgia yet, you will be surprised to learn that it causes joint pain and fatigue. It can be termed as a condition that is characterized by fatigue and pain in the joints. While there be little or absolutely no swelling or inflammation in your joints, those plagued by fibromyalgia have reported of severe pain in the neck and shoulder joints. As the condition worsens over time, the pain spreads to the entire body and in the process produces burning, sore or stiff muscles and joints. The fatigue fibromyalgia patients feel can be more debilitating than joint pain. Patients suffering from fibromyalgia say that they suffer from a lack of energy, minimized endurance levels and exhaustion, which is typically seen in people who are down with a bad case of the flu. These people also tend to feel tired after waking up from a good nights sleep.
Rare Causes Of Muscle Weakness
Certain rare conditions can cause muscle weakness:
- Dermatomyositis: Dermatomyositis is an inflammatory myopathy, or muscle disorder, that also causes skin irritation and rash. Due to the inflammation that develops with dermatomyositis, muscle tissue can break down, causing pain and weakness.
- Rheumatoid arthritis : RA is an inflammatory, autoimmune form of arthritis that causes progressive joint inflammation and damage, leaving joints painful and stiff and causing muscle weakness around affected joints.
- Sarcoidosis: Sarcoidosis is a systemic, inflammatory condition of unknown cause with symptoms like arthritis, joint pain, and sarcoid myopathy, which is characterized by muscle weakness, pain, and fatigue.
- Secondary hyperparathyroidism: Secondary hyperparathyroidism, or excessive parathyroid hormones, is a common complication of kidney disease. Secondary hyperparathyroidism can cause joint pain and muscle weakness as increased parathyroid hormone levels contribute to muscle protein breakdown.
- Systemic lupus erythematosus : SLE is a systemic, autoimmune condition that causes a skin rash and joint inflammation. It also causes myalgia and myositis , leading to muscle weakness.
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Sleep Disorders And Fatigue
Symptoms: Chronic fatigue, feeling exhausted upon awakening, snoring
Sleep disorders are a group of conditions that disrupt or prevent restful, restorative sleep. That can take a toll on your health and quality of life, so its important to look out for signs and symptoms.
Sleep apnea is one of the most common sleep disorders. If you or your partner notices loud snoring and you wake up tired and stay that way, you could have sleep apnea. More than one-third of adults in the U.S. snore at least a few nights a week. But if the snoring stops your breathing for seconds at a time, it could be sleep apnea. Learn more about the best sleep positions and see if sleeping on your stomach is bad or not.
Obstructive sleep apnea causes low blood oxygen levels. Thats because blockages prevent air from getting to the lungs. The low oxygen levels also affect how well your heart and brain work. Sometimes, the only clue that you might have sleep apnea is chronic fatigue.
Your doctor may prescribe a medical device called CPAP that helps keep your airways open while you sleep. In severe cases of sleep apnea, surgery may help. The surgeon will remove tissues that are blocking the airways. If left untreated, sleep apnea can increase your risk of a stroke or heart attack.
But sleep apnea is just one of many sleep disorders that cause fatigue. Other common types include:
Multiple Sclerosis As A Cause Of Joint Pain And Fatigue
Multiple sclerosis affects the immune system by attacking the brain, optic nerves and spinal cord, say experts.
The disease also destroys myelin, the sheath that protects and covers the nerves. This hinders signals between the brain and the body. This can results in numbness, pain and tremors common symptoms of the disease.
In fact, MS can resemble lupus as well as Lyme disease. It can also cause fatigue and joint pain. One of the common symptoms include numbness and a tingling sensation.
Studies suggest that a majority of Americans have MS with the diseases affecting people between 20-40 years. Women are more likely to fall prey to MS as opposed to men.
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If your joint pain is caused by a sports injury or a serious condition, visit a doctor as soon as possible. Sometimes, joint pain is referred by other parts of the body. For example, a slipped disc in the back can cause leg pain, a condition known as sciatica. So, its important to visit a doctor as soon as possible. You can take a medication that will relieve your symptoms. Symptoms: Muscle Pain, Fatigue, Muscle Weakness, Joint Stiffness
Coping With Chronic Fatigue In Rheumatoid Arthritis
For some people with rheumatoid arthritis , chronic fatigue can be as debilitating as joint pain. A person might sleep for 8 hours and wake up feeling like he or she never slept. This exhaustion can affect mental concentration and lead a person to feel frustrated and helpless.
Unfortunately, there is no quick fix for eliminating chronic fatigue. Managing fatigue often requires a multi-pronged approach that incorporates both medical treatment and lifestyle changes.
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What Is Sjgrens Syndrome
Sjögrens syndrome is an autoimmune condition. This means that the immune system, which is the bodys natural self-defence system, gets confused and starts to attack your bodys healthy tissues.
Inflammation is your bodys normal reaction to injury or infection. You might notice inflammation if you have a cut or a wound. It causes the affected area to hurt and turn red. It may also become hot, as fluid rushes to the area and causes swelling.
The inflammation seen in Sjögrens syndrome particularly affects the glands in your body that produce tears and saliva. This causes your eyes and mouth to become dry. Other parts of the body can also be affected, leading to dryness of the:
Menopause Fatigue Remedies: Your Guide To Crashing Fatigue During Menopause
Fatigue is also a common symptom of menopause, and it can interfere with your normal day-to-day activities. But there are ways you can boost your energy levels and beat menopausal fatigue.
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Get A Good Nights Sleep
Its important to try to get a good nights rest because poor sleep patterns can cause fatigue or make it worse.
If youre having trouble sleeping, or you regularly wake up feeling unrefreshed, it would probably help to look at ways you might be able to sleep better. Healthcare professionals talk about a principle called sleep hygiene, which covers things you can do to improve your chances of getting a good nights sleep.
Too much sleep can also cause fatigue. Thinking about what a good nights sleep means to you, can help. Your activity charts can tell you a lot about how youre sleeping.
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Diagnosis And Treatment For Muscle Weakness
Your doctor will ask you questions about your medical history, medications you are taking, and any unusual symptoms you are experiencing.
Diagnostic tests that may be ordered to help determine a diagnosis include:
- Bloodwork to assess levels of enzymes, electrolytes, hormones, and inflammatory markers
- Genetic testing to assess for genetic risk
- Magnetic resonance imaging of your brain, spinal cord, and nerves to assess for damage
- Electromyography to assess the electrical activity of your muscles
- Nerve conduction tests to assess how signals travel from your nerves to your muscles
- Muscle biopsies to examine the quality of your muscle tissue
- Lumbar puncture, also called a spinal tap, to assess the quality of your cerebrospinal fluid within your spinal canal
Only a licensed healthcare provider can determine proper treatment depending on the cause of your muscle weakness. Treatment options include medication, dietary changes, physical and occupational therapy, and in certain cases, surgery.
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Seeing A Sleep Specialist
A sleep specialist will conduct a thorough evaluation and sleep study, in which you are monitored while sleeping, and then develop a treatment plan.
Your better sleep treatment plan may include medication as well as good sleep hygiene techniques â ways to prepare your body for sleep. Avoiding caffeine after lunch, not consuming alcohol within six hours of bedtime, and not smoking or using any type of nicotine product before bedtime are some sleep hygiene techniques. Experts may also teach you relaxation techniques and cognitive therapy, in which you learn to replace sleep worries with positive thoughts.
âWe also use a very powerful technology called âstimulus control,ââ says Auger. Essentially, stimulus control is a behavioral technique that limits the time you spend in bed.
It teaches people to use the bedroom for sleep and sex, and to leave the bedroom after about 20 minutes if they canât fall asleep and engage in a relaxing activity,â he says. âIt can be as powerful as medications and possibly more powerful in the long term.â
Genetic Conditions Affecting Muscles
Muscular dystrophies: these are inherited diseases which affect muscles. They are rare disorders but the best known and most common is Duchenne muscular dystrophy. This occurs in children and leads to gradual loss of muscle power from toddler-hood.
Some rare muscular dystrophies: these can present in adulthood and include Charcot-Marie-Tooth syndrome and the facioscapulohumeral dystrophies. They also cause gradual loss of power and function in muscles. Those who have these conditions may become wheelchair-bound.
Sarcoidosis: this is a rare disease in which clumps of cells form in skin, lungs and soft tissues, including muscles. The condition usually goes away after a few years.
Amyloidosis involves deposits of an unhelpful abnormal protein called amyloid throughout the body, including muscles and kidneys.
Other rare causes: direct damage to muscles can occur in rare inherited metabolic conditions. Examples include:
- Glycogen storage diseases .
- Even rarer, mitochondrial diseases which occur when the energy systems inside muscle cells dont work properly.
Myotonic dystrophy: this is a rare genetic muscle disorder in which muscles become extremely tired. Myotonic dystrophies are passed down through families and they tend to occur earlier and become worse as they move through the generations.
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Muscle Weakness Fatigue And Joint Pain
Nerve impingement is often neglected as the symptoms are not severe enough to prompt action, yet it can be a precursor to nerve inflammation, a very painful and serious condition.
Nerve inflammation Muscle Weakness, Fatigue, And Joint Pain
An impinged nerve can become inflamed. The inflammation further increases pressure on the affected nerve and causes its dysfunction. This is symptomised by sudden sharp shooting or stabbing pain, which follows the nerve pathway, therefore it tends to radiate from an epicentre to another part of the body e.g. along a limb. It can cause muscle spasms and reduced function in the affected limb. In both nerve impingement and inflammation, the symptoms can occur with or without movement but are often worsened by specific positions. Sciatica for example, is inflammation of the sciatic nerve and causes pain down the side and back of the leg, the inner thigh and into the foot. Viral infections such as Shingles also cause nerve inflammation.Nerve inflammation can be excruciating. You should seek medical advice as soon as possible as permanent nerve damage can result if the cause is untreated.
Muscle spasms and strains
Conditions Affecting Brain ‘drive’ To Muscles
Anxiety: generalised tiredness can be caused by anxiety. This is due to overactivity of the body’s adrenaline system.
Depression: general weariness and a feeling of generalised tiredness can also be caused by depression.
Note: anxiety and depression are both conditions which tend to cause a sense of tiredness and ‘fatigability’ rather than true weakness.
Chronic pain: a general effect on energy levels can result from chronic pain. Like anxiety, it stimulates the production of chemical substances in the body which respond to pain and injury. These chemicals lead to feelings of tiredness or fatigue. In chronic pain, true weakness can result, as muscles may not be used due to pain and discomfort.
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What Kind Of Treatment Could Help Against Fatigue
Sometimes is still a major problem despite adjusting your daily schedule, doing physical exercise and getting support from other people. Then professional help may be an option, for instance in the form of psychological treatment or occupational therapy. Some specialized programs have been developed specifically for people who have fatigue as a result of autoimmune diseases like rheumatoid arthritis. Theyâre designed to do things like help you plan activities and make sure you donât use up all of your energy at once.
Cognitive behavioral therapy strategies can also be learned to help cope with . Some involve recognizing and then changing certain thoughts, beliefs and behaviors that make it more difficult to live with the disease.
Studies on non-drug treatments show that approaches used in occupational therapy and psychotherapy can relieve exhaustion.
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