Is joint pain part of dysautonomia?

Dear Dr,

Hi.  I'm a 38 year old woman and was diagnosed with dysautonomia in Dec. 2003.  Currently treating pulse and BP with proamitine and Inderal (my BP has varied from 52/41 to 292/140) and I have definitely improved on this regime.

Periodically for the past few years I have these episodes with extreme joint pain and limited mobility.  I am wondering if this is part of the dysautonomia, and if so, what treatment options are?  In the past treatment has been steroid doses.  I do have a positive ANA, neg Lupus, neg RA factor (obviously positive tilt table), essentially normal MRIs.

Thanks so much for any ideas.  My Doctors are unsure as to what is happening as well, so any info I receive here will go to both cardiology and neurology.

Spinlynn

[CCF-Neuro-M.D.-CS]

Joint pain is not associated with dysautonomia. Also, the medications you have mentioned are not associated with joint pain. However, dysautonomia can be associated with an auto-immune process (ANA is one example) and if the anti-bodies for other disorders have not been checked for a while it may be worth re-checking. If you wanted to see a rheumatologist, it may be reasonable. Good luck.