Questions to ask when your joint heats up

Most forms of joint pain involve some kind of inflammation - either local or systemic. When injured, a chain of events in your immune system known as the inflammatory cascade is triggered. In a careful balance of give and take, this process starts with pro-inflammatory hormones calling out for white blood cells to clean up damaged tissue and clear out infection. This is what causes the redness, swelling and pain we often see with injury.

Next, anti-inflammatory compounds take over to heal the area once the threat is diminished. When this process, known as local or acute inflammation, waxes and wanes in response to injury it's a sign of a healthy immune system. Yet when the symptoms of inflammation don't disappear, it tells us that your immune system is unable to turn itself off when it should.
Just as the flame of a burning fire can help or hurt, our body's internal fire has the dual power to heal and to cause us pain. Think of inflammation like a burner on your gas stove; local injuries and infections cause our bodies to turn the flame up high in the area of the injury, while with systemic or chronic inflammation, our bodies keep the burner on simmer, even when we're not suffering an injury. This slow burn has been associated with a range of health conditions and degenerative diseases, including asthma, allergies, skin problems, insulin resistance, irritable bowel syndrome, heart disease, Alzheimer's and yes, arthritis.

In terms of our joints, pain stemming from an injury or even short-term overuse can set off localized inflammation in the cartilage, tendons, or bursae. As the injury heals, players in your inflammatory cascade will perform their tasks and disappear. If the inflammation persists it can lead to a more chronic condition. Luckily, we now have a few tests that tell us a great deal, and we begin the diagnosis process with a series of questions.


Is this pain relatively new?

Think back over the past few months or years. If you've had a sports injury or trauma, such as an accident or a fall, your pain could be related to that. It's not at all unusual for joint pain to develop and escalate after the date of the injury itself. Torn ligaments and tendons lack blood flow, so they can't heal themselves and must be repaired surgically. Sprains can take a long time to repair themselves. With any kind of injury, it's important to give your body the right nutritional support and enough time to heal.


Is the pain seasonal or related to changes in the weather?

Complaints of joint pain increase during colder weather because your blood doesn't circulate to your extremities as well in the colder months. And it doesn't help that pain receptors are more sensitive in cold weather. A drop in barometric pressure, such as before a rain or snow storm, can also cause any inflamed tissues to expand and become more painful.


Can you associate the pain with any specific activity?

For instance, do your knees hurt only after a work-out? Does your hip give way only after a long drive? Overuse and misalignment are common causes of joint pain, whether from just a day of stress and strain or over a period of years. This kind of mechanical injury can inflame the bursae (causing bursitis), or the tendons (causing tendonitis), or eventually wear down the cartilage and cause osteoarthritis.


Is it the muscle or the joint?

You may actually be experiencing pain in the muscles close to a joint and think that the joint is the problem. Muscle pain is generally associated with over-exercise or movement that has caused excess strain on the muscle, ligament or tendon. This kind of pain should resolve itself with two to three days of rest. You might also notice a point of tenderness or "trigger point" on the muscle in this case. Muscle pain may also respond positively to stretching or massage therapy.


Is your pain worse in the morning?

If your pain lasts for longer than a half hour in the morning and gets better during the day, there is a possibility that it could mean rheumatoid arthritis. Look closely at your sleeping habits and mattress. Changes here may be a simple solution. Eating (or drinking) refined carbohydrates at night may cause fluid retention and morning pain. Changing just this one habit can turn joint pain around - almost overnight.


What's going on right now in your life?

Joint pain can be reflective of some aspect of your "inner" life. While it may seem like a big leap to connect emotional stress with joint pain, we have all come to accept the idea that the body stores tension in the muscles, so it shouldn't be difficult to accept the notion that your emotional life can impact your joints.


What is your family history?

Some forms of arthritis, such as rheumatoid arthritis, are connected to genetic make-up, and if anyone in your family has had it, this places you at higher risk - but not the certainty - of developing it.

There are many factors that go into correctly diagnosing the source of joint pain, and the process for reducing or eliminating that pain. Give us a call today at 239-592-4955 if you are experiencing joint pain. We have orthopedic surgeons on staff who specialize in different areas so we have you covered - from head to toe!

Patient recovers at home in company of beloved pets

Cameo and Kipper
"The best decision I have made this year was to have Dr. Zehr give me a total knee replacement and to have him do it at Seaside Surgery Center. He is technically expert at this procedure, which is "not your grandma's knee replacement." He assured me that I'd have the same outcome that I'd had last summer on my other knee but said that the outpatient experience at Seaside would be much nicer than what I'd had at the hospital last summer. He was so right! The staff pampered me---reducing my anxiety and stress.

"Before I knew it, I was asleep and when I awoke, I had zero pain. The anesthesiologist had blocked my leg so I felt nothing for over 36 hours. At that point, the pain medication kept me very comfortable. It was just wonderful to come home at 2 pm---home to my own bed, my own bathroom, my own food on my own schedule, my own TV and my own sweet spaniels to comfort me!

"I am convinced that my recovery was enhanced and shortened by my happy state of mind as an outpatient. I cannot say enough about the quality of care and the care the nursing staff showed me on my surgery day. Hospital nurses don't have time to offer that level of care and concern to all their patients, but the Seaside nurses were on top of all my needs and wants. I am a happy bionic woman! Thanks Dr. Zehr and Seaside Surgery Center staff!"

- Jill Ducatman 

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