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Sharp Knee/Hip Pain, Fatigue, Got Labs Back

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Old 05-12-2011, 12:37 PM   #1
Join Date: May 2011
Location: San Diego, CA, United States
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Unhappy Sharp Knee/Hip Pain, Fatigue, Got Labs Back

- Dec: Severe jaw pain
- Jan: Diagnosed as TMJD. Eat only no-chew foods.
- Feb: Physical therapy for TMJD (ends Apr, no improvement)
- Mar: Severe Knee Pain
- Apr: Severe Hip Pain. Rheumatologist prescribes Meloxicam 15mg.
- May: Fatigue, headache, always thirsty.

Recent Labs:


† Hgb 13.2 g/dl LOW? 12.0-16.0 †
† Hct 40.0 % NORM 35.0-47.0 ††
† Rdw For SRS. 15.4 % HIGH 11.0-14.5 †
† RBC 5.90 M/mcL HIGH 4.00-5.20 †
† MCV 68 fL LOW 80-100 †
† MCH 22 pg LOW 26-34 †
† MCHC. 33.0 g/dl LOW? 32.0-36.0 †
Ferritin 17 ng/ml LOW? 10-300

- mono and pregnancy screenings both came back negative
- thyroid, liver, and kidney levels normal

- 25yo female, no history of pregancy or severe injury
- Otherwise healthy for 2 years, no medical incidents until Dec
- chronic knee pain since 15yo with no major episodes until recently
- Had PT for knees and ankles in high school (16-17yo)
- Scalp Psoriasis in middle school (12-14yo)
- competitive sports in college, iced knees for swelling regularly (18-22yo)
- Father is a possible Thallesemia trait carrier... or I think my dad may be

If anybody has any idea what may be up, I'm all ears because headache, fatigue, and epic joint pains are killing me. If any of you have ever had TMJD, you know how much that sucks already, and all this other stuff is just putting me overboard. Doctor suggested psych help due to lack of medical causes and possible connection to PTSD in the past (15yo).

Looking at the results, I took a wild stab at self-diagnosis and thought that TMJ-induced nutrient deficiency caused an iron deficiency, on top of being a possible Thallesemia carrier, that triggered severe episodes of psoriatic arthritis in my hip and knees?! I did have scalp psoriasis in middle school and it fits the symptom timeline after all...

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Old 05-13-2011, 03:34 AM   #2
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Re: Sharp Knee/Hip Pain, Fatigue, Got Labs Back

I'd start on an iron supplement and a daily multivitamin like Centrum, get your numbers up. As for psoriatic arthritis etc, well, thats anybodys guess.

Did the doctor test your ESR?
The desire to take medicines is what seperates man from the lower animals - William Ostler

Multiple anecdotes do not equal evidence - Me

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arthritis, iron deficency, joint and muscle pain, thalassemia, tmj disorder

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