For the last four months I have been experiencing random and migratory, severe pain and swelling in many of my joints including; ankles, knees, elbows, shoulders, wrists and fingers. I have been attended by several doctors across several different disciplines at reputable facilities. All blood work has been normal and other than ruptured disks(T4 T5) and pre-hypertension, I am a healthy 37 yr old male. My details are below:
Me: 37 yr male. Single, professional, active. Raised in NC but currently live in South Florida and the Caribbean. I have no major family history other than a sibling with RA and known cause specific cancers in two Grandparents.
Symptoms: Episodes usually begin as a “slept-on-it-wrong” feeling but quickly escalate to severe pain, moderate swelling and warmness in a random joint, or most recently in multiple joints. The episodes last from ~24-36 hours after which some soreness remains for to several weeks. Symptoms have been witnessed by my GP and an emergency room Dr. The symptoms have been diagnosed as Gout but medications for gout have not been helpful. Only NSAIDs seems to have some effect. Prescription pain medications help as needed for sleep but really have little affect on the symptoms. The attacks have been isolated to a single random joint until last week when an attack hit three separate joints in series over about 36 hours. Today I have a multi joint attack too. The single joint attacks were much, much more painful and included swelling and heat. The Multi joint attacks are less painful and do not have visible swelling. All attacks cause decreased mobility and strength in the affected area.
Testing: After initial visits and testing by my local Dr.'s I was an out patient for two weeks at the Cleveland Clinic in Florida. At CC I saw a wide range of Dr's and had many tests done. All nerve test , blood work, MRI's and Xray's were normal except for the T4 T5 slipped disks. Some minor arthritis was noted in my back as well but was not concerning to the Dr.. I asked for a Lyme Test, as a precaution, and due to my outdoor lifestyle. I have had 4 Uric acid tests looking for Gout and none showed elevated amounts of Uric Acid. RA, Lupas, etc all negative.
Medications: The symptoms have been diagnosed as Gout by two Doctors however blood work has never confirmed this. Medications have been hard to assess as the symptoms go away unassisted very quickly. I have been prescribed Gout medications, that did not work, Pain Medications, NSAIDs and anti-Inflammatory. The NSAIDs and Anti-inflammatory meds help a little with the symptoms. Prescription pain meds help as needed with sleep but do little to alleviate the symptoms.