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Ask Dr.Saleem Your Own Question
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 2134
Experience:  MBBS
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Shin,groin, thigh,knees, hands and ankle aches or pains,

Resolved Question:

shin,groin, thigh,knees, hands and ankle aches or pains, especially at night.
Stiffness in ankles and hands in the morning.
Submitted: 1 month ago.
Category: Medical
Expert:  Dr.Saleem replied 1 month ago.

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

Expert:  Dr.Saleem replied 1 month ago.

Sorry to hear that. For how long now?

Does the pain involve both sides?

Any swelling that you might have noticed?

Any fever? Skin rash?

Any bowel issues? Any back pains?

Any joint illnesses in the past?

Do you take calcium and vit D? A

Customer: replied 1 month ago.
Lower back problems years ago, six cortisone injections,get a little lower back pain now n again.
Have had several cortisone injections left sholder years ago.
No vitamin d levels are fine I was tested.
I have had symptoms for 7 months now, got neurology appointment 31st August.
Expert:  Dr.Saleem replied 1 month ago.

Do you think its a burning pain at night? ? Is it more around your joints or in the muscles?

Customer: replied 1 month ago.
Feels like bone pain in shins worst pain at night as soon as I lie down, eases a bit when I lie on my back with knees bent
Expert:  Dr.Saleem replied 1 month ago.

Well you need a few tests here . Like RA factor, ESR / CRP, CBC, Serum Uric acid levels, ANA , serum Calcium levels, DEXA scan to look for bone mineral density, an x ray on your shins, serum and urine light chains.

Night time bone / joint pains should be taken seriously to rule out anything more sinister like bone tumours for example.

You will need pain relief like naproxen or mild opioids like tramadol till then.

Hope it helped

Expert:  Dr.Saleem replied 1 month ago.

hope it answered your query.

Feel free to ask any more queries.

Please reward a 5 stars rating if you are satisfied.

You can always opt-out if you need a second opinion.

Please avoid leaving a low rating as it hurts an expert's standing

Customer: replied 1 month ago.
I've had the blood test all clear so I imagine i will have some bone X-rays done next. It's driving me mad, I know I shouldn't google back can't seam to come up with my exact symptoms.
I was just a bit worried as we are going away for a long weekend break and my pain is getting worse. Have tried to get earlier appointment to no avail.
Customer: replied 1 month ago.
I have been given gabapentin but I only really take it if I have to, I'm finding nytol is giving me a better interrupted sleep.
Expert:  Dr.Saleem replied 1 month ago.

Yes i can imagine , its quite frustrating. But except the pain relief i cant quite recommend you anything more till we get the x rays done. Pain relief should hopefully help. Naproxen and gabapentin both will help.

Dr.Saleem and 4 other Medical Specialists are ready to help you
Customer: replied 1 month ago.
Thanks for your help
Expert:  Dr.Saleem replied 1 month ago.

You are welcome.

Wishing you great health.

Kind regards