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Having joint pain shoulder on and of
My age 32
I am having body pain leg shoulder pain. I have done test like
Esr value= 25
Ra factor =negative
Crp= negative 0.5
Anti ccp= negative
Ana =negative
My esr is high but there is no inflaminatin in joints.but my right leg menisus is tear for the last 2 year but under control. Do i have ra or arthritis. I will be very thankful for ur support.
Answers (20)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Sir / Madam,
I got your health concern , it can be treated with further evaluation, medical counselling, and proper treatment.
Pls do contact .
Dr Hemanth.
MBBS, MEM, FISR .
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Eterocoxib thyocholchicide two times a day after food for five days.
Already have a losing, u can not left it untreated.
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Get a CRP level quantitative
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Thank you for providing detailed test results. At age 32, with body pain (leg and shoulder), a controlled meniscus tear, and normal inflammatory and autoimmune markers (RA factor, CRP, Anti-CCP, ANA all negative)âyour lab profile does not support Rheumatoid Arthritis (RA) or autoimmune arthritis.
Your ESR of 25 is only mildly raised and can be due to:
Chronic soft tissue strain (like meniscus injury)
Vitamin D deficiency
Post-viral fatigue
Stress, poor sleep, or low physical activity
Suggested Next Steps:
Vitamin D3 & B12 test â commonly low in such cases
Gentle physiotherapy/stretching for joint and muscle support
Orthopedic review for the meniscus if pain worsens
Rheumatology follow-up only if new joint swelling, morning stiffness >30 mins, or fatigue appears
Currently, you do not have RA or inflammatory arthritis as per reports. Focus on rehabilitation and supportive care.
For consultation, connect with me on Practo for video consultations. For WhatsApp queries only: Eight Seven Six Two Seven Four Nine Nine Seven Four
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If you have an unhealed meniscal tear then make sure to take treatment to heal it. Any ligament injury if not treated or unhealed will lead to early onset of Osteoarthritis of knee. These days PRP injections give very good relief for these injuries
Next Steps
Consult with a Pain Management Specialist
Health Tips
Avoid sitting cross legged
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Leg pain is most likely due to meniscus tear, shoulder pain could be muscular. Does the pain occur on movements? Is there stiffness after rest?
More details are needed as to duration of pain, aggravating and relieving factors, do you play some active sports like badminton?
High ESR only indicates that there is some problem for some days.
Next Steps
Get MRI scan done for the painful shoulder as well, to exclude a ligament or cartilage injury.
Health Tips
Take tab Flexon M.R. one every 8 hours ,after meals for 4 to 5 days. Tie crepe bandage over leg while walking.
Try using both arms for any manual work you do.
Connect for online consultation.
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Hi,
That's quite an elaborate report of your complaints. It's important for me to firstly understand what kind of joint pain you are having.
I would like to connect with you over a consult. Only if your pain is an inflammatory type of pain, diseases like RA even come into consideration.
Tests don't help there. Your symptoms do
Thank you
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Kindly connect
Need few more details.
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Need few more details
Kindly consult
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As per the lab results you don't have Ra. ESR 25 is not significantly high.Torn meniscus though asymptomatic,on the Long run may contribute to developing arthritis of the affected joint.
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
Kindly consult.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated.
Do consult.
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Dr. Sunita Sinha
Gynecologist/Obstetrician
7 yrs exp
Patna
Having any family history of arthritis
If have than it may be have arthritis
Other by take for 1 months -Corcium plus OD
and D3 60k for week
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please consult for further management
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Dear Patient,
Thank you for sharing your detailed test reports. Based on your symptoms and investigations, here's my professional assessment:
Key Findings:
1. Your ESR of 25indicates mild inflammation, but negative RA factor, CRP, Anti-CCP and ANA rules out common inflammatory arthritis like Rheumatoid Arthritis.
2. The meniscus tear(even if controlled) can cause referred pain patterns affecting your shoulder and leg.
3. Other possibilities include:
- Mechanical pain from posture/work habits
- Early degenerative changes
- Fibromyalgia (if tender points present)
Recommended Next Steps:
- A detailed physical examination is crucial to correlate your pain patterns with clinical findings
- Consider MRI of affected joints if pain persists
- Evaluation for muscle imbalances or nerve involvement
Important Note:
While your tests are reassuring for major arthritis, persistent pain needs proper evaluation to:
Identify the exact source
Prevent chronicity
Start targeted treatment
I recommend scheduling a consultation with me for:
- Comprehensive musculoskeletal assessment
- Personalized management plan
- Guidance on exercises/therapies
For appointment booking, you can reach me on WhatsApp at Eight Zero Zero Nine Eight Two One Three Three Two.
Let's work together to get you pain-free and functionally active.
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
What are your symptoms
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Arthritis
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