Arthralgia
{{short description|Joint pain}}
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| field = Rheumatology
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Arthralgia ({{ety|el|arthro-|joint||-algos|pain}}) literally means 'joint pain'.{{cite web|url=http://www.medterms.com/script/main/art.asp?articlekey=2343|title=Arthralgia Definition|work=MedicineNet.com|archive-url=https://web.archive.org/web/20071011105648/http://www.medterms.com/script/main/art.asp?articlekey=2343|archive-date=11 October 2007 |url-status=live|access-date=2007-09-20}}{{cite web|url=https://www.ncbi.nlm.nih.gov/books/bv.fcgi?indexed=google&rid=cm.chapter.4738|title=Arthralgia|author=Joe G. Hardin|work=Clinical Methods - The History, Physical, and Laboratory Examinations|access-date=2007-09-20}} Specifically, arthralgia is a symptom of injury, infection, illness (in particular arthritis), or an allergic reaction to medication.{{cite web |url=https://www.ncbi.nlm.nih.gov/books/bv.fcgi?highlight=arthralgia&rid=cm.chapter.5910#5949 |title= Allergic Drug Reactions - Systemic Allergic Drug Reactions|author=James R Philp|access-date=2007-09-20 |work=Clinical Methods - The History, Physical, and Laboratory Examinations}}
According to MeSH, the term arthralgia should only be used when the condition is non-inflammatory, and the term arthritis should be used when the condition is inflammatory.{{cite web |url=https://www.nlm.nih.gov/cgi/mesh/2008/MB_cgi?field=uid&term=D018771 |title=MeSH |access-date=2007-12-23 }}
Causes
The causes of arthralgia are varied and range, from a joints perspective, from degenerative and destructive processes such as osteoarthritis and sports injuries to inflammation of tissues surrounding the joints, such as bursitis.{{cite web |url=https://www.ncbi.nlm.nih.gov/books/bv.fcgi?indexed=google&rid=cm.chapter.4738|title= Table 161.1. Some Common Regional Rheumatic Syndromes|author=Joe G. Hardin|access-date=2007-09-20|work=Clinical Methods - The History, Physical, and Laboratory Examinations }} These might be triggered by other things, such as infections or vaccinations.{{cite web |url=https://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/VaccineSafety/ucm179549.htm|title= Information from CDC and FDA on the Safety of Gardasil Vaccine|author= Loris McVittie|access-date=2008-07-21|work=supplement to your biologics license application (BLA) for Human Papillomavirus Quadrivalent (Types 6, 11, 16 and 18) Vaccine, Recombinant (GARDASIL), to include arthralgia, myalgia, asthenia, fatigue, and malaise in the Adverse Reactions section of the package insert}}
Diagnosis
Diagnosis involves interviewing the patient and performing physical exams. When attempting to establish the cause of the arthralgia, the emphasis is on the interview. The patient is asked questions intended to narrow the number of potential causes. Given the varied nature of these possible causes, some questions may seem irrelevant. For example, the patient may be asked about dry mouth, light sensitivity, rashes or a history of seizures.{{cite web |url=https://www.ncbi.nlm.nih.gov/books/bv.fcgi?highlight=arthralgia&rid=cm.chapter.5910#5949|title= Table 159mptomatic Extraarticular Features of the Connective Tissue Diseases and the Spondyloarthropathies|access-date=2007-09-20 |work=Clinical Methods - The History, Physical, and Laboratory Examinations}} Answering yes or no to any of these questions limits the number of possible causes and guides the physician toward the appropriate exams and lab tests.
Treatment
Treatment depends on a specific underlying cause. The underlying cause will be treated first and foremost. The treatments may include joint replacement surgery for severely damaged joints, immunosuppressants for immune system dysfunction, antibiotics when an infection is the cause, and discontinuing medication when an allergic reaction is the cause. When treating the primary cause, pain management may still play a role in treatment.{{cite web|title=Pain Management|url=https://www.arthritisaction.org.uk/living/pain_management|website=Arthritis Action UK|publisher=Arthritis Action|access-date=16 October 2015|archive-url=https://web.archive.org/web/20160213052724/https://www.arthritisaction.org.uk/living/pain_management|archive-date=13 February 2016|url-status=dead}}
See also
References
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{{Medical resources
| DiseasesDB = 15237
| ICD10 = {{ICD10|M|25|5|m|20}}
| ICD9 = {{ICD9|719.4}}
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| MedlinePlus = 003261
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| MeshID = D018771
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{{Diseases of the musculoskeletal system and connective tissue}}
{{Pain}}
{{Authority control}}