Guest guest Posted April 27, 2011 Report Share Posted April 27, 2011 HI NICKY I suffered from this muscle and joint pain which came on after a fall on a bus last June, but it came on gradually starting from the hips and up to my shoulders.In the end I had difficulty getting out of a chair, as struggling with this caused more pain in other areas. The muscles get inflamed bought on by the shock of the fall. My CRP and ESR went up, then to make matters worse in having to stay in hospital overnight, the patient in the next bed had a nasty chest infection, which I must have picked up. Within a few days of that I ended up having to go back in hospital as an emergency with pneumonia, and this caused the muscle pain to get worse (more stress) and my CRP went up to over 200. I then had to have two lots of antibiotics and then put on Prednisolone for the muscle pain. At this point I went to see DR PEATFIELD and he said that although my GP was using Prednisolone for this muscle pain which was said to be POLYMYALGIA, he was also treating my Adrenal Glands. I only have a small amount of pain in my shoulders now and can get about. I have blood tests tomorrow to check the CRP AND ESR to see if the inflammation has got less. I think before they treat patients with Thyroxine they should check the Adrenal Glands and treat them first. I have also been seen by a Rheumatologist, who confirmed by symptoms that it was Polymyalgia, and what I have already said. Kathleen > > hi my name is nicky and i`m a new member, i was diagnosed as hypothyroid in november and put on thyroxine 50 grms, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2011 Report Share Posted April 27, 2011 Nicky, Welcome to the forum... First thing, do you have any of the test results from the doctor? Always get results from him... you want numbers, with reference ranges, not opinionions (like 'normal'). If you are taking levothyroxine (T4), which is a storage hormone, it has to convert into Liothyronine (T3) before your cells can use it. You need good levels of iron, folate and B12, healthy levels of zinc and copper, Magnesium, selenuim and D3 for conversion and uptake to take place. If you aren't converting the t4 into t3, it can build up and cause joint pain. Dr Lowe has a website and it is his belief that fibromyalgia is linked to a shortage of T3. Have a look here: http://www.drlowe.com Have a look in the files on the forum and go back to your doctor and get your test results. Under the terms of the 2001 Freedom of information act, he has to give you the results and the numbers, you do not have to give a reason for having them. When you get the test results, post them on here and we'll see if there is an obvious problem.... It seems daunting at first, but we've all been there, read as much as you can, and ask as many questions on here as you need to.... collectively we have lots and lots of experience....... xx > > hi my name is nicky and i`m a new member, i was diagnosed as hypothyroid in november and put on thyroxine 50 grms, my symptoms just get worse but doctor says blood test back in normal range, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2011 Report Share Posted April 27, 2011 Hi Nicky, Have a look at this and you will see what is happening re the possible fibromyalga diagnosis you have been given. You are now in good company and you will get help here on this forum. Best wishes Mandy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2011 Report Share Posted April 27, 2011 Hi Nicky, and hi to everyone. I'm also new here, only joined yesterday and haven't stopped reading the site since then! I was actually looking for information on muscle pain and what the causes might be and somehow I ended up finding this site. I'm glad I did - it's like a light has been switched on and things are suddenly starting to make sense. To be honest, I feel a bit silly now for not connecting my symptoms to my thyroid condition, but my GP never made the connection and as my results were always normal I didn't either. I was diagnosed hypothyroid 12 years ago at age 36; started off on 50mcg thyroxine which was gradually increased to 200mcg and has stayed the same ever since. My results are always " normal " even though I still have many hypo symptoms - fatigue, lack of stamina, hair falling out, weight gain, sleep problems, chronic anxiety (one of the worst symptoms for me) and for the last 3 years muscle pain. (The list goes on....) For me, this is one of the most distressing symptoms as the effect it has had on my mobility makes me feel old before my time, which makes me adamant that I'm going to get to the bottom of it! Although my GP did tell me at one point that I might have to accept that I might never find out what is causing the pain! I think that was actually the last time I saw her, which is over a year ago. Since then I have seen a physio, a chiropractor, an osteopath, an acupuncturist, massage therapists even tried chinese herbs! Some gave relief in the short term but the pain always returned. Painkillers don't help either. I've spent a fortune trying to find a cure. This is why I'm so glad I found this site, and I'm fairly certain now that the pain is connected with the thyroid condition. What's worrying me now is confronting my GP with my findings and suggesting to her that all my medical issues are connected with my thyroid (which is of course normal!!) I think I am going to put it in writing to her instead of seeing her face to face. Either way there's likely to be tough times ahead but finding this group has given me hope and I'm looking forward to sharing experiences with everyone and hopefully making some new friends. Gill x Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2011 Report Share Posted April 28, 2011 Hi Nicky, Welcome to the wacky world of hypothyroidism. first, you doc says that you are now in the 'normal' range. What are your TSH and FT4 levels, many docs are far too keen to accept anything in range as OK. You can feel very different at one end of the range than the other. Many docs also tend to undermedicate- or at least prescribe as little as they can get away with. There is an opinion that says that fibromyalgia is just innapropriately medicated hypothyroidism- joint pains are often associated with inability to convert T4 to t3, so the unconverted T4 hangs around causing problems- you would lave a lower FT3 than FT4 is that was the case- try to get doc to test FT3 ,but this is often a problem as many docs don't believe this is necassary. What helped me was to reduce the amount of T4 and replace with sufficient T3. within 3 weeks all pain had gone ,never to return- however I'm still to get this NHS funded. Have a look at http://www.drlowe.com and do a search there for fibromyalgia. thyroid treatment From: nickymalleson@...Date: Wed, 27 Apr 2011 17:41:15 +0100Subject: severe muscle and joint pain hi my name is nicky and i`m a new member, i was diagnosed as hypothyroid in november and put on thyroxine 50 grms, my symptoms just get worse but doctor says blood test back in normal range, apart from the weight piling on and the exhaustion , brain fog short temper etc my major problem is that my mobility is really getting worse .I have had xrays nothing very notable I`m 58 waiting for MRI results possible fibromygelia but missing trigger points rhumatology specialist hospital says that it is diagnosis by elimanation. so my question is do other people have terrible muscle and joint pain and have they found anything that helps???second question I live in the GL5/6 area of Gloucestershire and would like to know of a good GP and specialist endocrinologist please, thanks in advance Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2011 Report Share Posted April 28, 2011 Hi gill, Yes, do put in in writing and keep a copy, then you can carefully put exactly what you need to say, rather than the discussion being derailed before you have said everyhing that you need to. Ask for a referral to an endo of your choice, as most docs are very reluctant to prescribe T3 ( which can be a magic pill) unless backed up with an endo. Post your letter here first ( no names) if you would like us to make suggestions on wording. > thyroid treatment > From: drakegillian@...> Date: Wed, 27 Apr 2011 22:59:25 +0000> Subject: Re: severe muscle and joint pain> > > Hi Nicky, and hi to everyone. I'm also new here, only joined yesterday and haven't stopped reading the site since then! I was actually looking for information on muscle pain and what the causes might be and somehow I ended up finding this site. I'm glad I did - it's like a light has been switched on and things are suddenly starting to make sense. To be honest, I feel a bit silly now for not connecting my symptoms to my thyroid condition, but my GP never made the connection and as my results were always normal I didn't either. > > > What's worrying me now is confronting my GP with my findings and suggesting to her that all my medical issues are connected with my thyroid (which is of course normal!!) I think I am going to put it in writing to her instead of seeing her face to face. Either way there's likely to be tough times ahead but finding this group has given me hope and I'm looking forward to sharing experiences with everyone and hopefully making some new friends.> > Gill x> > > > > > > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2011 Report Share Posted April 28, 2011 Hi and thanks for your response. I phoned the surgery earlier today to ask for the results of my last three blood thyroid tests. These are the results I was given: Sept 2008 - TSH: 5.53 T4: 18 Aug 2009 - TSH: 0.37 T4: 19.00 Oct 2010 - TSH: 0.68 T4 - not tested!! I asked why my T4 wasn't tested but the receptionist didn't know and I'd have to speak with the practice nurse or my GP. I've never been tested as far as I know for T3. During this time my dosage has remained at 200mcg of levothyroxine. This is the first time I've asked for a detailed result of my tests, as I always trusted that the " normal " result meant everything was working normal. I know that sounds a bit dumb but better late than never! To be honest, due to my chronic (and fairly severe) anxiety a face to face visit with my GP is out of the question, so it's definitely going to have to be a letter... and even the thought of her receiving and reading it makes me anxious! Anxiety and severe muscle pain (amongst other symptoms) are making my life a misery, so I owe it to myself and my family to get myself well again. I do realise that in 2008 the TSH looks high and I do recall visiting my GP as my anxiety was very bad. I suspected adrenal fatigue from googling my symptoms - heart palpitations, only sleeping for 2 hours at a time, feeling very anxious and over-emotional etc. It made sense to me as I'd been under a ridiculous amount of stress at the time, mainly at work. When I mentioned this to my doctor and told her that I felt like I had too much adrenaline in my body, she looked at me like I'd just grown another head! Then wrote me a script for beta blockers and suggested anti-depressants. If anyone has any comments on the above results, it would be greatly appreciated. Gill x > > > Hi gill, > Yes, do put in in writing and keep a copy, then you can carefully put exactly what you need to say, rather than the discussion being derailed before you have said everyhing that you need to. Ask for a referral to an endo of your choice, as most docs are very reluctant to prescribe T3 ( which can be a magic pill) unless backed up with an endo. Post your letter here first ( no names) if you would like us to make suggestions on wording. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2011 Report Share Posted April 28, 2011 Do write to your GP Gill. Tell her that you are writing because you are now determined to do whatever is possible to find out the cause of your continuing symptoms. Tell her that you have been doing research and found that levothyroxine (T4) is a prohormone, meaning it is mainly inactive and that it has to convert through the liver, kidneys, skin, brain and other thyroid hormone receptors throughout the body to the ACTIVE thyroid hormone triiodothyronine (T3). Tell her that you have learnt that there are many conditions that stop this conversion and you can produce a list of these if she wishes, and that you would like a trial of the thyroid hormone Lyothyronine (either in addition to your levothyroxine, or T3 alone). Tell her that if she is not prepared to do this, you would like a referral to an endocrinologist of your choice (I will send you a list of 'good' doctors recommended by our members). You are allowed to go outside of your area. Ask first though that your levels of certain vitamins and minerals are tested to see whether any of these are low in the reference range, because again, if any are low, the thyroid hormone cannot be utilised at the cellular level until whatever is low has been supplemented. These are ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and zinc. Once you get the results, post them here together with the reference range for each of the tests done. Check out also the 'Associated Conditions' in our web site www.tpa-uk.org.uk under Hypothyroidism and read about these. it is quite likely that your muscles are not getting the T3 to make them function, and once you start taking this, the pain will gradually disappear, as my severe pain did when I stopped thyroxine and started on natural desiccated porcine thyroid extract - this contains T4. T3, T2, T1 and calcitonin. Don't worry about consulting your GP - your doctor is there to HELP you and your health is number one priority, whatever you have to do. You are not there to make your doctor happy, you are there to get the help and support you need. Luv - Sheila I was diagnosed hypothyroid 12 years ago at age 36; started off on 50mcg thyroxine which was gradually increased to 200mcg and has stayed the same ever since. My results are always " normal " even though I still have many hypo symptoms - fatigue, lack of stamina, hair falling out, weight gain, sleep problems, chronic anxiety (one of the worst symptoms for me) and for the last 3 years muscle pain. (The list goes on....) For me, this is one of the most distressing symptoms as the effect it has had on my mobility makes me feel old before my time, which makes me adamant that I'm going to get to the bottom of it! Although my GP did tell me at one point that I might have to accept that I might never find out what is causing the pain! I think that was actually the last time I saw her, which is over a year ago. Since then I have seen a physio, a chiropractor, an osteopath, an acupuncturist, massage therapists even tried chinese herbs! Some gave relief in the short term but the pain always returned. Painkillers don't help either. I've spent a fortune trying to find a cure. This is why I'm so glad I found this site, and I'm fairly certain now that the pain is connected with the thyroid condition. What's worrying me now is confronting my GP with my findings and suggesting to her that all my medical issues are connected with my thyroid (which is of course normal!!) I think I am going to put it in writing to her instead of seeing her face to face. Either way there's likely to be tough times ahead but finding this group has given me hope and I'm looking forward to sharing experiences with everyone and hopefully making some new friends. Gill x 1 of 1 File(s) Why thyroid hormone stops working (2).doc Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2011 Report Share Posted April 28, 2011 have you looked at vitamin d? http://chronicfatigue.about.com/b/2011/01/25/vitamin-d-for-fibromyalgia-chronic-\ fatigue-syndrome.htm perhaps you have another deficiency, and or aren't on enough thyroxine or can't convert it properly, some people need more t3 or a natural thyroid containing t3, t4 and all the other ingredients Look at the hertoghe questionnaire in this link and see what else you may be deficient in: thyroid treatment/files/MEDICAL%20QUES\ TIONNAIRES/ chris > > hi my name is nicky and i`m a new member, i was diagnosed as hypothyroid in november and put on thyroxine 50 grms, my symptoms just get worse but doctor says blood test back in normal range, apart from the weight piling on and the exhaustion , brain fog short temper etc my major problem is that my mobility is really getting worse Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 29, 2011 Report Share Posted April 29, 2011 Hi gillian, Are you still taking betablockers? they have the well known effect of reducing T4 to T3 conversion- which is why they are used to help control hyperthyroidism where there is over production of thyroid hormones. T4 resultls look fine, but of course this is the inactive prohormone that will do no good at all unless you can convert it to T3. You say you've had feelings of too much adrenalin- have a look at the adrenal file in the forum files- it may be that you have a problem there too- thyroid and adrenal do go hand in hand at times. > thyroid treatment > From: drakegillian@...> Date: Thu, 28 Apr 2011 11:19:45 +0000> Subject: Re: severe muscle and joint pain> >:> > Sept 2008 - TSH: 5.53 T4: 18> Aug 2009 - TSH: 0.37 T4: 19.00> Oct 2010 - TSH: 0.68 T4 - not tested!!> > I asked why my T4 wasn't tested but the receptionist didn't know > > I do realise that in 2008 the TSH looks high and I do recall visiting my GP as my anxiety was very bad. I suspected adrenal fatigue from googling my symptoms - heart palpitations, only sleeping for 2 hours at a time, feeling very anxious and over-emotional etc. It made sense to me as I'd been under a ridiculous amount of stress at the time, mainly at work. When I mentioned this to my doctor and told her that I felt like I had too much adrenaline in my body, she looked at me like I'd just grown another head! Then wrote me a script for beta blockers and suggested anti-depressants. > > > Gill x> > > > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2011 Report Share Posted April 30, 2011 Hi and thanks for your response. Yes, I take 80mg of timed release propranolol every day. These were prescribed purely to ease the symptoms of anxiety - I don't (as far as I know) have any heart or blood pressure problems. My GP never said that there oculd be contra-indications with thyroid meds and in fact there is no mention of it on the leaflet which accompanies the propranolol either! So, thank you for pointing this out.... it's just another piece of the jigsaw that I'm finally beginning to put together! I'm hoping to be able to wean myself off them in the future. Gill x > Hi gillian, > Are you still taking betablockers? they have the well known effect of reducing T4 to T3 conversion- which is why they are used to help control hyperthyroidism where there is over production of thyroid hormones. T4 resultls look fine, but of course this is the inactive prohormone that will do no good at all unless you can convert it to T3. > Quote Link to comment Share on other sites More sharing options...
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