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This is Dr. David
your ESR is high
and your prior CK levels have been high.
you should be seeing a rheumatologist
and getting to check for autoimmune disorders where your body makes antibodies which can attack your own muscles.
you need an ANA blood test which is an anti nuclear antibody blood test.
are you willing to go and see a rheumatologist to get these test done?
Hello - I have had an ANA test and the results were normal.
I am in a country where medical care is not good, hence the reason I am on this website
then you need to get a muscle fiber biopsy for evaluation.
I see you had a muscle biopsy already
and it was inconclusive
This has already been done. The results are attached. I went through all of this with another doctor on here yesterday and he is the one who told me to get the tests done which I was emailing about today
why were you given zocor?
was your cholesterol level high?
do you have diabetes?
No to both, it was a bad doctor in a bad country who mis-prescribed
The biopsy results have been sent to you
are you still having muscle pain?
if you got that CK level drawn after exercise or heavy lifting or heavy labor, this can elevate your CK level.
Yes sometimes, I am a pilot so I am also sitting a lot of the time and I get pain
No I do not exercise that much
The CK has been taken a number of times and not after exercise
you could have a polymyositis muscle inflammation disorder going on.
you might need to go on steroid therapy to help decrease inflammation in your body to help the pain.
How did you determine that? The biopsy appeared to be normal
How can we conclude 100%?
it could have been just the area where you had the sample taken.
nothing in medicine is 100%
polymyositis diagnosis is often made by your clinical symptoms and elevation of CK levels.
Did you see the ESR results? This was something that the doctor I chatted to on here yesterday suggested I did
He also suggested Vitamin D which was a little low
yes, they are high as well.
So what would you suggest to do now?
find a rheumatologist in your country.
hopefully one trained in the USA.
and see if you would benefit from steroid therapy.
and keep taking the vitamin D.
Thank you - one can continue a normal life with such a condition?
And what usually causes such a condition?
you are welcome
we don't know why one person will get myositis and someone else won't
steroids can help keep the muscle pain and inflammation calmer
but there are side effects to steroids.
so your doctor will have to balance these two issues.
good luck to you
let me know if you have questions.
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