chronic pain on multiple joints and muscled

Thank you so much for this forum and I highly appreciate your guidance.

Present condition:

chronic pain since Nov 2010 - deep very severe pain on both shoulder joints, elbow joints , can not stretch hand straight - pain in elbows, can not lift hands up. Muscle pain on both the hands on all the muscles including neck muscles
joints pain on wrist, hip, ankle, foot and knee whenever they are stressed and sometimes just like that.
sometimes burning pain on shoulder, hand, thigh muscles.
high BP

Tests completed:

Rheumatoid Arthritis test - came negative or very little /marginal variation
PTH , calcium - were high in blood , diagnosed with hyper parathyroid, treated with Vit D(D3) now calcium is 9.8 and PTH is 57
MRI reports came as tendinitis on elbows, chondromalacia patella stage 4 on right knee, level 3 to 4 on left knee.
MRI on back showed C2, C3 , L3, L4 age related degeneration and no nerve pinches - this was taken in Dec 2010
Chikungunya, Dengue fever 1gM tests came positive in Jan 2010 and Jan 2011
Lyme disease - negative
TB - blood test negative

Ruled out not Rheumatoid Arthritis,

Past history: Got chikungunya infection in Nov 2009 , struggled with multiple joints till March 2010, then had a fever for a few days in Nov 2010 and all these pains started after fever.


medication:
Treated with celebrex 200mg 2 / day - for 20 days , had to stop after BP started going v high.
Lyrica 50mg 2/day
tramadol 50mg 2/day ( not taking this due to pulse rate going low)
Vit D (D3) 5000 IU
Centrum silver multivitamin tablets

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Chikungunya virus is well-known to cause joint pain. In one study, the pain was continuous in 55.4% of participants 18 months after the initial infection. This pain can last for years.

Have you been seen by an infectious disease specialist? It may be worthwhile to be evaluated by one. You may also benefit from a referral to a chronic pain specialist (to optimize your medications and provide other medical options for the joint pain).

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.

[mysticmeera]

Thank you so much Doctor. Yes, I am in consultation with pain rehabilitation Doctor.
He told me he does not know what to give in place of tramadol.
Doctors in US have not seen patients like me. When I talked with my India Doctor - he told me the pain is due to chikungunya virusand he says it will go the way it came, but can not say when.

I greatly appreciate your help. Thank you so much.