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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 33779
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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I have widespread joint pain, all joints, no swelling, not

Customer Question

I have widespread joint pain, all joints, no swelling, not consistent, focus shifts. Only thing that works is to sleep and avoid use. Although if I engage rage I can still for a time be very strong and feel nothing. To be able to stand I must keep my weight around 70Kg or less, this figure drops with time, I am 1.9m and 54. Fibromyalgia has been suggested by a previous Dr. X-Rays show nothing unusual, blood tests are normal. ibuprofen & naproxen either do not work or not for very long, paracetamol just makes me feel a bit sick.
I am very flexible, can touch my forehead with both ankles, I have always used all of my strength and have lifted heavy items, being a full time carer picking up a heavy relative when needed.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Chip replied 3 years ago.
Hi--what specific blood tests have you had for this?
Customer: replied 3 years ago.

As far a I know everything, quite a few over several months, nothing.

Expert:  Dr. Chip replied 3 years ago.
Would that include an autoimmune panel with antinuclear antibody titer. rheumatoid factor, sed rate, and C reactive protein?
Customer: replied 3 years ago.

Yes, rings a bell

Expert:  Dr. Chip replied 3 years ago.
OK-- do you know if those were normal and have you seen a rheumatologist for this?
Customer: replied 3 years ago.

Told they were normal, rheumatologist seen found nothing, simple examination, mentioned that I seemed weak as I wobbled, this was last October or November, I am getting worse. It can be hard to breath sometimes.

Expert:  Dr. Chip replied 3 years ago.
OK Ian. Any MRI's of the spine or brain?
Customer: replied 3 years ago.

NO

Expert:  Dr. Chip replied 3 years ago.
OK And we can continue after this. Fibromylalgia is a diagnosis of exclusion and there are no specific tests for it. While that might be the problem here I would get the MRI's to look for disk and spinal nerve problems. I would also do more specific testing for autoimmune disorders and check your EBV viral titer for chronic fatigue syndrome.
Dr. Chip and other Medical Specialists are ready to help you
Customer: replied 3 years ago.

Your in the US? Could do with you over here in the UK. Letter to the doctor in UK?

Expert:  Dr. Chip replied 3 years ago.
Yes I'm in the US but you can print this page and give it to your doctor as my recommendations Ian