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Health Encylopedia

 
Joint pain
 
SubjectContents
Definition Arthralgia is pain in one or more joints. See also arthritis (inflammation of joints), muscle pain , and bursitis.
Alternative Names Stiffness in a joint; Pain - joints; Arthralgia
Considerations Joint pain is not always caused by arthritis but can still be very bothersome. Osteoarthritis is degeneration of cartilage at a joint and growth of bone spurs. It is very common in adults over 45 years old. Bursitis is inflammation of the bursa. The bursa are fluid-filled sacs that cushion and pad bony prominences, allowing muscles and tendons to move freely over the bone.
Common Causes
  • unusual exertion or overuse, including strains or
  • sprains
  • accidental injury including
  • fracture
  • gout
  • (especially found in the big toe)
  • osteoarthritis
  • -
  • degenerative joint disease
  • septic arthritis
  • tendinitis
  • bursitis
  • infectious diseases, including
  • influenza
  • measles
  • rheumatic fever
  • Epstein-Barr viral syndrome
  • hepatitis
  • mumps
  • rubella
  • varicella
  • chondromalacia patellae
  • osteomyelitis
  • Home Care
  • Follow prescribed therapy in treating the underlying cause.
  • For nonarthritis joint pain, both rest and exercise are important. Warm baths, massage, and stretching exercises should be used as frequently as possible. Anti-inflammatory medications may help relieve pain and swelling . (Consult your health care provider before giving aspirin or NSAIDs to children.)
    Call your health care provider if
  • fever
  • is not associated with
  • flu symptoms.
  • there is an involuntary
  • weight loss of 10 or more pounds.
  • the joint pain persists beyond 3 days.
  • there is severe, unexplained joint pain especially if accompanied by other unexplained symptoms.
  • What to expect at your health care provider's office The medical history will be obtained and a physical examination performed. Medical history questions documenting joint pain may include:
  • location
  • Where is the pain?
  • Which joint hurts?
  • Is the pain on one side or both sides?
  • time pattern
  • How long have you been having this pain?
  • Have you had this pain before?
  • Did this pain begin suddenly and severely or slowly and mildly?
  • Does the pain recur?
  • Has the pain become more severe?
  • Is the pain constant or does it come and go?
  • aggravating factors
  • What started your pain?
  • Have you injured your joint?
  • Have you had repeated injuries?
  • Have you had an illness?
  • Fever ?
  • What makes the pain worse?
  • Does moving the joint make the pain worse?
  • Does resting the joint make the pain worse?
  • relieving factors
  • What reduces the pain?
  • Does resting the joint reduce the pain?
  • Does moving the joint reduce the pain?
  • Are there positions that are comfortable?
  • Does keeping the joint elevated help?
  • Do medications reduce the pain?
  • Does massage help?
  • Does applying heat help?
  • other
  • What other symptoms do you have in addition to the joint pain?
  • Is the joint swollen or red or tender to touch?
  • Is there any
  • numbness ?
  • Can you bend and straighten the joint?
  • Does the joint feel stiff?
  • Does movement cause pain?
  • Can you use the joint for normal activities?
  • Diagnostic tests that may be performed include:
  • blood studies (such as
  • CBC or blood differential )
  • X-rays of affected areas (rarely done) (see
  • joint X-ray ) Intervention: Physical therapy for muscle and joint rehabilitation may be recommended. After seeing your health care provider: If a diagnosis was made by your health care provider related to joint pain, you may want to note that diagnosis in your personal medical record.
      

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