Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: Arthritis | night | joint | pain | cause | remedy | arthritis

What's Causing My Nighttime Joint Pain?

By    |   Thursday, 02 Jan 2014 04:32 PM

Question: I am 38 years old and have been suffering with severe joint pains for the past year. I try to exercise as much as I can and am okay during the day. But at night I experience severe pain in my joints (ankles, elbows, knees). What can I do to ease this pain?

Dr. Hibberd's answer:
 
Nocturnal pain in large joints is not usually from degenerative arthritis. You may have an inflammatory, auto-immune, or overuse arthritis, or pain related to excessive exercise. You should make a visit to your primary care physician for an evaluation for arthralgia, and an examination to look for inflammatory disease or underlying medical disorders that may need further evaluation and investigation.
 
Lay off the exercise for now until you can be further evaluated by your physician. Try heat applications, warm soaks, and whirlpool therapies to supplement your medication regimen.

Topical applications with products such as Zostrix or diclofenac (Voltare) or other topical NSAIDs will help some people.
 

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Nocturnal pain in large joints is not usually from degenerative arthritis.
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