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Severe muscle or bone pain in legs
For last one month or more i am experiencing severe body pain in upper thighs (front side most), then in both calf, pain on back side of knee joint (it pain if i push muscles or nerves by massage there). Get worse in morning while sleep, can't sleep.i got blood test, tsh normal, uric 7.2,vit d was 265,calcium &b12 injections taken, b12 is normal, mri lower back normal with finding "curvature is straightened". Creatine kinase test normal,ra test normal, aso titre serum normal. Ggtp 90,sgpt 70. Had taken tab etogave mr and magsbina gold 2 weeks. Pain is now in right shoulder, wrist and thumb while typing. Please help please
Answers (5)
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Your symptoms involve multiple muscle groups and joints, while your MRI spine and CK (creatine kinase) are normal, making a major muscle disease or significant lumbar spine problem less likely. A Vitamin D level of around 26.5 can contribute to generalized musculoskeletal pain, but it may not be the only cause. Since your pain has persisted for over a month, is worse in the morning, and is now involving your shoulder, wrist, and thumb, I would advise a detailed evaluation by a Physician or Rheumatologist to rule out inflammatory, metabolic, or other systemic causes. Avoid self-medicating with painkillers for prolonged periods. You can also book an online consultation with me to review all your reports in detail and guide you further.
Next Steps
1.Consult a Physician/Rheumatologist with all your reports.
2.Repeat Vitamin D after treatment if advised.
3.Discuss additional tests such as ESR, CRP, ANA profile, HbA1c, thyroid profile review, and liver function evaluation with your treating doctor.
4.Continue only prescribed medications and start supervised stretching/physiotherapy if recommended.
Health Tips
Seek urgent medical attention if you develop progressive muscle weakness, fever, significant joint swelling, bowel/bladder symptoms, or unexplained weight loss.
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Consult rheumatologist
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Your symptoms involve several muscle groups and joints and are not fully explained by the lumbar MRI finding of “straightened curvature.” Normal CK, RA factor and ASO titres are reassuring, but they do not exclude every inflammatory, metabolic or medication-related condition. Morning/night pain with new shoulder, wrist and thumb symptoms warrants an in-person assessment by a orthopedician , particularly if stiffness lasts more than 30–60 minutes.
The uric acid of 7.2 alone usually would not explain widespread muscle pain unless there are typical episodes of a red, hot and swollen joint.
Next Steps
Consult an orthopedician with all reports. Clinical examination of muscle strength, joints, nerves and pulses is important. The doctor may consider CBC, ESR/CRP, complete liver and kidney profile, electrolytes including calcium, magnesium and phosphorus, fasting glucose/HbA1c, repeat vitamin D with units, and further tests depending on examination.
Please verify whether the vitamin-D result was 26.5 or 265, and confirm the units. If it is genuinely 265 ng/mL, stop further vitamin-D supplements and obtain prompt medical review, because very high levels can be harmful
Health Tips
Avoid continuing painkillers, muscle relaxants or supplements without medical supervision because your liver enzymes are elevated. Avoid alcohol, stay hydrated and do only gentle stretching until examined.
Seek urgent care for progressive weakness, inability to walk, dark urine, fever, significant joint or calf swelling/redness, chest pain, breathlessness, loss of bladder/bowel control or numbness around the groin
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Get personalised consultation done
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Rheumatology consultation required
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.