Discussions By Condition: Medical Stories

Wrist and Ankle Pain in 36 y.o. Male: Does this sound like Rheumatoid Arthritis?

Posted In: Medical Stories 19 Replies
  • Posted By: wrmason3
  • June 19, 2007
  • 03:34 PM

New here - Any comments appreciated.

Wrote this out for my doctor(s) as I always seem to leave one detail out that might help. Some details might be unrelated to the "joint" pain (I say "joint" because the pain seems to be more in the surrounding tissues and tendons).

History:


Right wrist soreness began in 2002 low level only after extended computer / mouse use
Noticed second larger non tender subcutaneous nodule in right arm in 2003 (first one in 1997, thought benign)
Pain in wrists becomes bilateral in 2004 becomes bad enough that work becomes difficult
Tested Seronegative for RA in 2004.
Carpal Tunnel Surgery in 2004 "mini open" in both wrists; pain subsides somewhat
Noticed another subcutaneous nodule in upper leg
Ankle soreness as of 2005 in Achilles tendon
Ankle soreness spreads to upper arch of foot (top of foot) 2006
General sense of fatigue, off and on in 2006, prone to nausea, irritable digestive system
Ankles and wrists everpresent soreness as of 2007
Finger joints painful after waking up, intermittently through the day as of summer 2007


Recent Symptoms Observed:


Inflamed with burning sensation right after waking up for about an hour, especially if exercise involved day before
Anti-inflammatory medications seem to help reduce pain and soreness but don't eliminate it - seem actually worse the following morning when on medication?
Swollen and painful ankles and wrists after extended use or exercise
Some level of pain even if excercise did not involve wrists specifically
Waves of nausea come and go during day trips
Driving is painful/uncomfortable in the hands and feet, especially in traffic where foot hovers over accelerator and in wrists recorrecting the wheel.



Have a new blood test on the way for RA, results in a few days. Is it still possible for it to be RA and still be seronegative?

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19 Replies:

  • Did you have stomachache or a cold/flu? Low grade fever? Thirst? White tongue? Lasting fatigue?Flu shots?
    Eatafruit78 960 Replies Flag this Response
  • Did you have stomachache or a cold/flu? Low grade fever? Thirst? White tongue? Lasting fatigue?Flu shots? Anything like that would have been some years ago when I did get a flu shot. Perhaps 2004. Nothing like that recenrly. I do have a tendency towards nausea that is recent, but not a stomach ache per se.
    wrmason3 3 Replies Flag this Response
  • Hi, I have very similar symptoms and cannot find any relief from them. Have you made any progress in attaining a diagnosis or treatment?
    cjbernier 2 Replies
    • January 29, 2008
    • 04:56 AM
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  • Hi, I have very similar symptoms and cannot find any relief from them. Have you made any progress in attaining a diagnosis or treatment? Yes, cjbernier. I have had great progress with Doxycycline. I had a "herx" reaction a couple of days after going on it and symptoms abated. I am being treated for Lyme Disease. I never tested positive for Lyme, but I am not going to question the incredible results a cheap bottle of antibiotics has provided. All tests for rheumatoid have come back negative, btw. The subcutaneous nodules were benign fatty cysts. Only problem is, I've been on Doxy now for over half a year, and each time I try to go off (twice now), my symptoms flare back up within a week, and bad. So either I need a stronger course of antibiotics, or I have some other mystery illness and the doxy has been workign as an anti-inflammatory. But that would not explain the horrible herx reaction(s) I had... I was actually bitten by a tick, head embedded in my upper back some years ago (my wife saw it in bed, could have been there for days), so the Lyme seems to make sense with the symptoms and reaction to the antibiotics. I live in an area where Lyme is less common however (but I do live in the deep woods where deer abound), so anything is possible. For now the Doxycycline allows me to forget about having this problem (aside from the 2 times a day I take it). I don't want to take Doxycycline forever, though...so I hope this eventually goes away or I may have to move on to the "harder stuff".
    wrmason3 3 Replies
    • January 29, 2008
    • 04:21 PM
    • 0
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  • Thanks so much for responding. It's great to hear you've found relief from your symptoms. I will definitely look into this. As of late my symptoms, specifically the pain in my wrists and ankles, have be come so intense as to incapacitate me. If my symptoms can also be abated with some antibiotics it would be a god send. Thanks again,Chadd
    cjbernier 2 Replies
    • January 30, 2008
    • 01:29 AM
    • 0
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  • I wanted to share my experience in hopes that someelse out there will be free from their constant pain.I am 42 year old woman - over weight...as like most people - but had been healthy for a long time. In 2005 I lost my father to lung cancer, moved to the USA and got married all within 3 months. The stress to say the least was unbelievable. I started getting my symptoms in June 2005 after I got married. I was constantly tired and my feet started feeling numb every day after waking up. I visited a Neurologist and did the gammit of tests. Thankfully no MS and no nerve issues. In the fall I began getting more symptoms, now these were in my hands and wrists. They appeared to be carpal tunnel but it seemed so strange because I was tested and there was nothing wrong. Test after test, my feet continued to be numb, my hands and wrists ached. My whole body began to ache all the time. Doctor after doctor, no one could figure it out. I tried cymbalta, I tried lyrica, I tried neurotin....nothing took the pain away. My body always felt tired, achey and just plain always in pain.The pain wasn't sharp, it felt like I a steam roller went all over my body through the night. I felt swished. I also felt like my body was swollen but it wasn't.Then a miracle stumbled into my life. You wouldn't believe what I was able to figure out that a medical doctor couldn't. I found out SOY was my trigger to my pain. I had been lactose intolerant for years and have occasionally had soy products but I didn't see the effects completely until one day I had a protein shake made with soy milk. Within 1/2 hour the symptoms come back with a vengance. My hands and wrists felt like they were going to explode. I wanted to pull them off my body I ached so bad.I took two benedryl and went to bed. The next morning I realized I had to try to validate this huge hunch on what might be causing my pain. I started looking at everything thing I ate. It had soybean in it! Believe it, look at the labels and see what every manufacturer puts in their products. Soybean oil, soy lethicin, soy...everything! In three days, no word of a lie, I was pain free, I had energy that I couldn't believe was real. Did you also know that meat has soy in it too? Yes the people who feed the cattle give them soy in their ration....I can't believe the difference it has made in my life.I am even going to the washroom more. I had cronic constipation for years. I hope that anyone who reads this gives this a try and believe me...it is worth everything to have your health back.Now if I can just get a refund from all those doctor bills....LOLPeace and Good Health to all....
    Anonymous 42789 Replies
    • January 31, 2008
    • 07:57 PM
    • 0
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  • I too suffer for significant ankle and wrist pain and although I don't recall ever being bit by a tick however my childhood environment certainly would have allowed for that to happen. At any rate I have been to many doctors and treated for Rheumatoid Arthritis with no results. I also have had a thyroid disease which resulted in the removal of my thyroid. I've actually gone to Mayo Clinic in Florida and had no luck there. At any rate about 2 years ago I saw a homeopathic D.O. that believes I have Lyme disease. I often do research on the internet and up until now I've never talked to anyone with similar symptoms. My symptoms are much worse with activity and I agree driving with your foot hovering over the petals and steering can really make for an uncomfortable situation. I have not taken the "traditional" method of therapy as I've pretty much stopped seeing doctors however it's nice to have some type of confirming evidence that there are others out there with similar symptoms and diagnosis.Thanks for taking the time to post your case on line! I hope you are feeling better and have had a successful reaction to your treatment.
    Anonymous 42789 Replies Flag this Response
  • I would like to thank BarbM for posting the information on Soy and the problems it caused her. I too was suffering from wrist and hand pain for months as a result of taking Soy supplements and drinking Soy Milk. I had been to various doctors and was getting ready to have surgery when I saw Barbs post. After only a few days I noticed a big difference in my wrists and also in my hips which were starting to have pains and i`m still noticing a difference every week I stay away from Soy. Evidentally, from what i`m finding out researching Soy and problems in people, Soy binds to minerals in the body, possibly depleting the body of necessary ones. I hope you read this Barb because I cannot thank you enough for taking the time and effort to bring your experience with Soy to everyones attention. Without your help, I would most likely still be in pain. It`s people like you who make a big difference on Medical Forums such as this. : ) Stan
    Stan1954 6 Replies Flag this Response
  • Barb, I'm curious if you stopped eating meat at this time along with soy ? ~Kimberly~
    Anonymous 42789 Replies
    • November 13, 2008
    • 01:41 PM
    • 0
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  • wrmason3,Have you found anything more out over the last year? I ran across this thread today and am very curious because I'm having similar problems. I'm a 38 yr old female and for a few years I've had various wrist and ankle/foot problems, which I always thought of as isolated incidents, but over the past few months, it seems like both ankles and both wrists are having pain most of the time. So, I think there is something more systemic going on than just injury-related pain. Plus, other than overuse, I haven't really had any injuries that could explain it. Definitely have a lot of pain in the right wrist when I use the computer a LOT. I've gone to a podiatrist for the wrist/foot pain and am currently getting some custom braces for my ankles. I have very flat feet, so that is what the ankle pain is attributed to. And I'm sure that that is part of the problem and that braces will help, but with the wrist pain involved too, I am worried that it is something that will just get worse and worse. As it is, I have trouble driving and some days walking. Everything could feel relatively fine and then I pick something up or twist a lid off something and then I can do anything with my wrist for severe pain. Then it goes away after a few hours or a couple days. A couple months ago I actually sprained my left ankle by just WALKING! Good grief! I thought that's what ankles were FOR!So, all that to say, I would love to hear if you've gotten any more clues as to what you're dealing with.Thx!frengen33
    Anonymous 42789 Replies Flag this Response
  • I just came across this thread when searching for wrist and ankle pain. I'd long suspected soy to be a problem for me, but I think the info here confirms it. I had soy chicken nuggets this morning and my ankles, which don't normally hurt this much, are killing me. I was eating soy products to be "healthy" but I'm going to completely cut them out now. I hadn't really noticed the connection before, but in hindsight the worse the pain, the more soy I had been eating. This pain I've had just shouldn't be here. I'm 38 and in great health - not overweight, no health problems whatsoever, no family history of any major health problems. Yet the pain keeps me up at night, and prevents me from functioning on a daily basis.And yes, soy is in things you don't even realize. Scary.
    Anonymous 42789 Replies Flag this Response
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  • I just came across this thread when searching for wrist and ankle pain. I'd long suspected soy to be a problem for me, but I think the info here confirms it. I had soy chicken nuggets this morning and my ankles, which don't normally hurt this much, are killing me. I was eating soy products to be "healthy" but I'm going to completely cut them out now. I hadn't really noticed the connection before, but in hindsight the worse the pain, the more soy I had been eating. This pain I've had just shouldn't be here. I'm 38 and in great health - not overweight, no health problems whatsoever, no family history of any major health problems. Yet the pain keeps me up at night, and prevents me from functioning on a daily basis.And yes, soy is in things you don't even realize. Scary.I had wrist and ankle pain on and off most of my life. Currently 49, I gave up on trying to find a cause many years ago as Drs. were not getting anywhere. Rheumatism was negative. It was suggetsed that it was accumulation of uric acid and I should reduce meet intake, which seemed to help. Then one day I was diagnosed with allergy ( due to unusual symtoms, this was not a sudden onset but rather a late diagnose), tested popsitive to almost everything, was treated with weekly allergy shots that made me even more sick and I dropped the treatment. When I stopped the allergy injections I suddently got my old wrist and ankle pain back, which had completely dissapeared during the year of treatment. So somehow it seems to be allergy related but not clear how. I will try to avoid soy and report back.
    Anonymous 42789 Replies
    • February 14, 2010
    • 10:49 PM
    • 0
    Flag this Response
  • New here - Any comments appreciated.Wrote this out for my doctor(s) as I always seem to leave one detail out that might help. Some details might be unrelated to the "joint" pain (I say "joint" because the pain seems to be more in the surrounding tissues and tendons).History:Right wrist soreness began in 2002 low level only after extended computer / mouse useNoticed second larger non tender subcutaneous nodule in right arm in 2003 (first one in 1997, thought benign)Pain in wrists becomes bilateral in 2004 becomes bad enough that work becomes difficultTested Seronegative for RA in 2004.Carpal Tunnel Surgery in 2004 "mini open" in both wrists; pain subsides somewhatNoticed another subcutaneous nodule in upper legAnkle soreness as of 2005 in Achilles tendonAnkle soreness spreads to upper arch of foot (top of foot) 2006General sense of fatigue, off and on in 2006, prone to nausea, irritable digestive systemAnkles and wrists everpresent soreness as of 2007Finger joints painful after waking up, intermittently through the day as of summer 2007Recent Symptoms Observed:Inflamed with burning sensation right after waking up for about an hour, especially if exercise involved day beforeAnti-inflammatory medications seem to help reduce pain and soreness but don't eliminate it - seem actually worse the following morning when on medication?Swollen and painful ankles and wrists after extended use or exerciseSome level of pain even if excercise did not involve wrists specificallyWaves of nausea come and go during day tripsDriving is painful/uncomfortable in the hands and feet, especially in traffic where foot hovers over accelerator and in wrists recorrecting the wheel.Have a new blood test on the way for RA, results in a few days. Is it still possible for it to be RA and still be seronegative?Reasearch Gout. Get a blood test to check your uric acid levels. Hope this is helpful. Your symptoms are very similar to mine, almost identical, but Lyme Disease is not nearly a possibility for me. But I experience the unrelenting ankle pain which is always worse after rest or extensive immobility, started with pain in finger joints on right hand, followed by the development of nodules on three of my finger joints with one reducing in size and going away. The first and second are still present giving me no pain majority of the time with the one on my index finger limiting the range of curling to make a fist. I don't believe in putting a name on something that seems to be common but have many inconsistancies. Doctors tried to tell me I had RA but I could and would not accept that. I also was negative according to blood tests for RA factor. No doctor is going to study your data to give you an accurate assesment for propor treatment so it is the patient who has to gather data and compare, research the symptoms with your current and personal data and compare with medical and historical data. The internet and people like you and me make this possible. This could explain why when you stopped the doxycycline the pain came back. We can't just hear what doctors are saying, what they are saying most times is an educated guess and it has to make sense with what you are experiening and your knowledge of your health and when you started experiencing the problems. It is also good to get a second opinion. I have yet to run into a Dr. House who is not going to go with the obvious diagnosis, prescribe you medicines and all their side effects and send you on your way. Have you???
    Anonymous 42789 Replies
    • February 4, 2011
    • 09:13 AM
    • 0
    Flag this Response
  • hi i have the same symptoms.every morning bilat wrists and ankles heels sore and achy, bilat fingers and thumbs are achybefore and during stormy weather.. i feal my body is swollen epecially hands and feet. even when its not... my body gets hot like a fever. tired all the time... after exercising and activity my hands burn and swelling... i was tested negative for RA and Lupas... i have talked to people with RA and say its takes a couple of years to get a correct diagnosis... i have had carpel tunnel surgery.... i have had neg tests for carpel tunnel tests to. i understand what you are going thru.. its frusterating when you sound like a hyperkondriac laughing... thats what i feal like
    Anonymous 42789 Replies Flag this Response
  • Hi, I have just read the article on ankle and wrist pain.I do not use soy product as in milk etc, but I am not too sure what else contains soy.I have had chronic wrist and hand pain for 2 years now. (recently my ankles became painful as well) I have had physiotherapy, acupunture, hand therapy, xrays, mri's, bone scans, ct scans, vascular studies! You name it I have had it.I had a carpel tunnel release on my left hand in FEB 2009 and have recently had my right rib ressected from the upper thoracic area, docs thought I might have nerve impingment.I have come out of the op with even worse pain. typing this is extremely painful, but I need some help.I cannot drive, peel veges, lift anything etc etc etc. Life is unbearable. I sleep at night with Endone or mersyndol to knock me out.I have now been referred to neck surgeon.Is there anyone out there who may have a dignosis of what is happening to me cos I dearly want to get back to the active lifestyle I used to haveThanks for listening - Kimbo
    Anonymous 42789 Replies Flag this Response
  • Have avoided surgeries, docs in general aside from my primary who has taken xrays, and done blood work to rule out some obvious ra etc. i have CHRONIC foot, ankle, hand, wrist, forearm pain, in the joints i think. i'm an athletic, 45 yr old active mom but honestly, the pain is becoming hard to bare. I love to garden, lift weights and bike, can no longer run, because of the chronic, ankle and foot discomfort. in fact, i've started to avoid walking as much as possible. by the end of the day, if i've overdone it, which is often the case, i am so achy i can hardly get to sleep. up and down stairs too makes for a horrible end to my day. as another person stated, it pains me to type this entry. soy sounds interesting. i need to find a doc that will explore allergies, and not surgeries b/c as i ventured to guess, according to many of you the surgeries havent improved the pain and in some cases has made it worse. i live in MA if anyone has any recommendations on specialists, homeopathic therapies or any other recommendations i would greatly appreciate it. thank you.
    Anonymous 42789 Replies Flag this Response
  • I'm a 34 y.o. male with occasional ankle and wrist pain. I found this thread by Googling my symptoms. I never suspected that it was a soy allergy, but it makes sense. I had really bad pain a couple of days ago, and that night I ate a Boca burger that is made of soy. I am going to try to not eat anything with soy for awhile and see how it goes. Cheers! :)
    Anonymous 42789 Replies Flag this Response
  • I am 41 and have been suffering from all the same as the rest of you for the past 2 years. When I was 39 I decided to race in a triathlon to mark my 40th milestone. I was in pretty good fitness shape, so didn't think it would be too too hard, but the training gave my joints a beating. Knees first then ankles, right then left. I have flat feet so orthopedists and physical therapists say its from that and I shouldn't run or bike uphill, just flat and no resistance if I spin. Tried that, still no improvement. I also live in sneakers, buy 2 pairs every 6 months, and had custom orthotics made and wear them all the time. Just in case I have been tested for lyme, RA, lupus. All neg. No one knows what I have..most say arthritis, or osteo-arthritis. Really, why now all of sudden. Everyone said swimming should be a better form of exercise for those with joint issues. BUt then recently I started to get wrist pain. First the right then the left. Like my legs. Is it from the swimming or is this mystery creeping up my body? Why is it spreading to my arms. I did get a new computer so maybe that? So I got tested for carpal tunnel. Nope. I now have pain everyday regardless of what I do or eat, when I wake up and when I go to sleep. 24/7. Doesn't matter if I run, bike or swim, or not. The pain is there. I've tried not eating meat and anything made from flour. I read a book about joint problems can mean a deficiency in panthothenic acid. I take 500 mg. 2x day. I take fish oil omega 3 caplets. I don't eat dairy, I do eat dairy. I eat just vegetables, I don't drink wine. Doesn't matter. I will now try no soy. Why not right? I have an appt in a few weeks with a homepath because I have no answers and need some. Friends think it is lyme and its just not coming up on the tests. We shall see. Anyone with advice please post back.
    Anonymous 42789 Replies Flag this Response
  • HI,in response to barb and stan's thread....I have to tell u that I also have been in constant pain, in my feet ankles,legs hands wrists elbows...and my body swells and hurts all over...It is worse on sleeping and have to take pain killers daily...my ankles and hands swell abnormally....a few years ago, I thought nothing was working, all tests came back ok...doc said to just learn to live with it...I was seriously thinking I would be in a mobility scooter in the next couple of years....I thought I'd try lose some weight and for the first time went on a diet...I was 40 back then.....I chose the atkins...high protein low carbs....all I can say is, never mind the weightloss....I near enough cured my joint pains.....within weeks the swelling and water retention was gone and so was the pain...I discovered it was wheat and sugars....since then I have tested it so many times,when I eat wheat, next morning WILL wake with stiff swollen hands and feet and in a few more days the pain will be back...even told the doc he was shocked at my recovery but a bit hesitant to admit it wasn't the drugs that did it for me...I do still go back to eating the wrong foods...and then I pay for It!!!I also visit earthclinic.com for very good natural remedies...this site is a lifesaver....along side conventional treatment of course.
    miamia 1 Replies
    • January 3, 2012
    • 00:59 AM
    • 0
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