Glendale Joint Status
What do people ask about joint pain causes?
What do people ask about sore joints? Most questions concern the cause, home relief, and warning signs. The short answers below can help you prepare. They can't tell you what an exam will find.
What causes joint pain in several places at once?
An illness can make several joints ache and may bring fever. A new medicine can also start aches in many places. Write down when it began and which joints hurt. Call your regular doctor if you also feel ill.
How long can joint soreness last?
A mild strain may settle when you rest the sore motion. Arthritis soreness can come and go for years. Notice whether walking, gripping, or sleeping gets easier. Don't keep waiting when the joint gets worse.
What can ease thumb joint pain?
Use less force when gripping or pinching. A splint may rest the thumb for a while. Medicine rubbed on the skin helps some adults. Get an exam for weakness, numbness, or swelling.
Can my job make a joint hurt?
Yes, repeated lifting, kneeling, or standing can add strain. Your job isn't always the only cause. Write down the task that starts the soreness. Ask how to change that motion without stopping all activity.
What non-surgical care does QC Kinetix offer?
QC Kinetix offers regenerative treatments (shots made from your blood or from marrow taken from a bone). It also offers PRP, made after staff take blood and prepare the platelet-rich part. A medical provider (the clinician who checks your joint and performs this care) examines you first. You might need a different doctor instead.
When does a sore joint need quick care?
Heat, redness, and swelling together need same-day care. Choose urgent care if a fever comes with those signs. Use an emergency room after a major fall or sudden weakness. Don't wait for a routine joint visit.
Sources
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In a structured review of 14 studies covering 6,242 patients with an acutely painful swollen joint (653 with confirmed septic arthritis), no single symptom rules the diagnosis in or out: joint pain was present in 85%, a history of joint swelling in 78%, and fever in only 57%. The most powerful bedside data came from aspirating the joint - the summary likelihood ratio rose with the synovial fluid white cell count, from 0.32 below 25,000/microL to 2.9 at 25,000 or more, 7.7 above 50,000 and 28.0 above 100,000.
Margaretten ME, Kohlwes J, Moore D, Bent S — Does this adult patient have septic arthritis?. JAMA, 2007. DOI: 10.1001/jama.297.13.1478.
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A EULAR task force of 18 rheumatologists, 3 health professionals, 2 patients and a methodologist defined which joint symptoms, in the absence of any visible swelling, should make a clinician suspect that inflammatory arthritis is coming. Seven parameters survived: symptom duration under one year, symptoms in the knuckle (metacarpophalangeal) joints, morning stiffness lasting 60 minutes or more, symptoms worst in the early morning, a first-degree relative with rheumatoid arthritis, difficulty making a fist, and a positive squeeze test of the knuckles. The combination identified at-risk patients with an area under the ROC curve of 0.92 (95% CI 0.87-0.96).
van Steenbergen HW, Aletaha D, Beaart-van de Voorde LJJ, et al. — EULAR definition of arthralgia suspicious for progression to rheumatoid arthritis.. Annals of the Rheumatic Diseases, 2017. DOI: 10.1136/annrheumdis-2016-209846.
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A systematic review of 25 observational studies (15 rated high quality) found moderate evidence that overweight is associated with developing osteoarthritis of the HAND - a joint that carries none of the body's weight - with an approximate risk ratio of 1.9. That association is the standard argument that body weight acts on joints systemically, not only mechanically.
Yusuf E, Nelissen RG, Ioan-Facsinay A, et al. — Association between weight or body mass index and hand osteoarthritis: a systematic review.. Annals of the Rheumatic Diseases, 2010. DOI: 10.1136/ard.2008.106930.
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A systematic review of 13 eligible epidemiologic studies (7 knee, 3 hip, 3 hand) found that in studies which adjusted for BMI or weight, metabolic syndrome was NOT significantly associated with the risk of knee osteoarthritis, and no significant associations were reported for hip osteoarthritis; hand data were too sparse to conclude. Most studies were cross-sectional with single-timepoint exposure measurement, so the authors could reach no definitive conclusion.
Li S, Felson DT — What Is the Evidence to Support the Association Between Metabolic Syndrome and Osteoarthritis? A Systematic Review.. Arthritis Care & Research, 2019. DOI: 10.1002/acr.23698.
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A meta-analysis of 31 studies pooling 295,100 people examined whether diabetes causes osteoarthritis. Prevalence of diabetes was higher in people with OA (OR 1.56, 95% CI 1.28-1.89), but the risk of OA in people with diabetes was not increased (OR 1.14, 95% CI 0.98-1.33) regardless of sex or joint site. The association appeared in cross-sectional studies but not in case-control or prospective cohort studies, and 93.3% of the null studies had adjusted for BMI versus 68.8% of the positive ones. The authors concluded BMI was probably the confounder.
Khor A, Ma CA, Hong C, Hui LL, Leung YY — Diabetes mellitus is not a risk factor for osteoarthritis.. RMD Open, 2020. DOI: 10.1136/rmdopen-2019-001030.
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A systematic review and meta-analysis of 28 studies covering 266,227 cases of lower limb osteoarthritis quantified occupational load. Lifting heavy loads (more than 10 kg per week) raised the odds of knee OA (OR 1.52, 95% CI 1.29-1.79), as did squatting or kneeling (OR 1.69, 1.15-2.49), standing more than 2 hours daily (OR 1.22, 1.02-1.46) and walking (OR 1.40, 1.14-1.73). Lifting also raised hip OA odds (OR 1.35, 1.16-1.57). Farming, floor laying and brick laying were the occupations most implicated, and effects were magnified by previous injury and BMI over 25.
Canetti EFD, Schram B, Orr RM, Knapik J, Pope R — Risk factors for development of lower limb osteoarthritis in physically demanding occupations: A systematic review and meta-analysis.. Applied Ergonomics, 2020. DOI: 10.1016/j.apergo.2020.103097.
Do you want the joint looked at?
At QC Kinetix, regenerative treatments are clinic shots made from your blood or from marrow taken from a bone. A medical provider (the clinician who checks your joint and performs this care) discusses non-surgical choices. Don't use a routine visit for a hot, swollen joint or after a major fall.
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