GuySrinivasan comments on Open thread, August 26 - September 1, 2013 - Less Wrong Discussion
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My wife has constant pain. She describes most if it as "joint pain" and some in her right arm as "nerve pain". The joint pain has been around for about a decade and the right arm pain for about 3 years, ever since what certainly looked like a repetitive stress injury at work (lots of mousing with a desk that was too high).
Doctors have checked her out and haven't found a cause for either. Our possible next steps are:
Suggestions, recommendations, places to look?
A doctor friend's sister-in-law suffers similar pain. My friend and I discussed her condition, and he told me in private "yeah, she's screwed". From what I recall of the conversation, doctors have just no idea what do to with a patient like this.
That, in a nutshell, is the reason we spend so much on healthcare for remarkably little effect.
MetaMed? (See also.) (And also.)
My wife has similar-sounding pain. She was diagnosed with Fibromyalgia (which, as far as I can tell so far, appears to be in many cases a diagnosis of exclusion - we don't know what causes this, so we'll put it in the Fibromyalgia bucket) and Ehlers-Danlos Syndrome, which makes her connective tissues weaker than normal.
We have tried quite a few things with varying degrees of success.
Is the joint pain constant or on movement? Does it react to heat/cold?
IANAD (I Am Not A Doctor) but I'd check a variety of inflammation markers (the more the better) with special attention paid to possible autoimmune issues. I assume the usual suspects (arthritis, gout) were ruled out?
If I were you I'd try more doctors (third, fourth, fifth, etc.) hoping to hit one of three: (1) someone highly competent; (2) someone lucky to order the right test; (3) someone with determination to figure it out.
Have they checked for rheumatoid arthritis (and not just with a blood test, it doesn't always show)? It took many doctors vists for them to get the correct diagnosis for my wife (despite a history of it in her family).
Rheumatoid arthritis: Blood tests negative, specialist declared after the second visit that RA was very unlikely. Blood tests did show a slightly positive ANA.
See also Scott Sonnon -- he's got a system of joint mobility exercises that seems to be gentle and effective. I find that the series that starts here is the easiest to follow.
A friend of mine suffered from undiagnosable pain in her joints for about a decade as well. About a year ago she discovered it was lime disease. Have any doctors you've talked to already eliminated that possibility?
Blood tests were negative for Lyme.
Nitpick: Lyme disease.
I thought it was spelled that way, but Firefox said it was wrong :/
Firefox is correct: "lyme disease" is wrong. What's wrong is not the spelling but the capitalization.
When I right-click on "lyme" in firefox, it suggests capitalization, just like it does for "firefox."
I didn't know about right-clicking on words that a spell-checker says are wrong.
You can't trust spell-checkers-- their vocabulary lists tend to be incomplete.
I recommend at least going to a search engine if you have a strong intuition about how a word should be spelled.
It's not that intuition is entirely reliable, either. It was a hard fight to convince me that it should be irrelevant rather than irrelevent. Now they both look wrong.
I would try some form of bodywork.
The Taoist standing meditation that NancyLebovitz suggest would be one way. If you don't want to do something that comes from a religion Feldenkrais would be a good choice.
I'm not sure if you have already tested for this. Please have the test for hyperthyroidism done. My wife had a problem with a finger ache and after many tests, we eventualy zero-ed in on hyperthyroidism.