Sudden onset of whole body severe joint and muscle pain. Hx of MS x 10years with chronic nueropathic pain and spastcicty, Rocky Mountain Spotted Fever 2008. Status post staph infection 14 days ago treated with I and D of abscessed wound and sulfatrim DS BID x 28 days, Hx of multiple tick, mosquito and buffalo gnats x 1 month. Onset of ` 12 hours ago of increasingly severe muscle and joint pain . swelling in L knee only. Feels as if muscles have become extremely shortened and are unable to fully extend. (all muscle groups, especially large muscle groups in extremities. bilaterally) Joints with throbbing type pain- both muscle and joint pain exacerbate with movement and activity. Afebrile at present. methods tried thus far for relief, medical cannabis,Vicodin ES, Valium - no relief noted and pain is intensifying as day progresses. Currents meds: Sulfatrim DS BID, Cymbalta 60MG 1 x daily, , Vicondin ES PRN, Valium 2mg QID for spasticity May increase to 8mg QID as needed for increased spastcity, Ativan 1mg PRN for anxiety related to chronic pain , medical cannabis for spasticity and nueropathic pain from MS.
Please note - I live with chronic pain and have a high tolerance for pain, utilize many non pharma methods to assist with management of the chronic nueropathic pain. This pain had advanced from 6/10 to 9/10 over a period of approximately 12 hours.