Muscle Pain Dr Near Me


Muscle Pain Dr Near Me

What kind of doctor should I see for muscle pain?

Orthopedic Doctor in San Antonio, Texas – If you have muscle pain as the result of an injury or, or even if you have no idea how it started, schedule an appointment with an orthopedic physician at the Center for Orthopaedic Surgery and Sports Medicine.

Can I go to the doctor for muscle pain?

Get medical care right away or go to the emergency room if you have muscle pain with: –

  • Trouble breathing or dizziness.
  • Extreme muscle weakness with problems doing routine daily activities.
  • A high fever and stiff neck.
  • A severe injury that keeps you from moving, especially if you have bleeding or other injuries.

What kind of doctor treats muscle and nerve pain?

6 Signs It’s Time to See a Neurologist Jan.24, 2020 If you or a loved one has unexplained symptoms that could be related to the brain or nervous system, your doctor may recommend a neurological exam with a specialist. Neurologists are specialists who treat diseases of the brain and spinal cord, peripheral nerves and muscles.

Memory loss Imbalance Numbness and pain

If you’re experiencing these symptoms, you probably have a lot of questions.

What is the best doctor for muscular disorder?

Muscular dystrophy (MD) is a group of complex diseases that cause progressive muscle weakness and loss of muscle mass. Although many people think of muscular dystrophy as a condition that primarily affects mobility, it can impact many different organs and systems in the body, including the heart, lungs, digestive system, and even the bones.

  1. The so-called point person, or muscular dystrophy specialist, on your healthcare team is often a neurologist.
  2. These doctors will help guide you to determine if and when you need to see certain specialists or therapists, as this can vary greatly from person to person, simply because there are many types of muscular dystrophy, and each individual’s disease course is different.

Some muscular dystrophy clinics or programs have a care coordinator or care manager who works closely with the person with muscular dystrophy and their family to ensure that all of the healthcare providers are on the same page regarding the person’s needs and treatment.

This is especially important for individuals with complex disorders, who require a team of 10 or more specialists. Here’s an overview of many of the doctors who treat different aspects of muscular dystrophy and who may need to be a part of a person’s care team. Bone health specialist “Bone health is very important, because many people with muscular dystrophies are at risk for falling,” says Lauren Elman, MD, the director of the Muscular Dystrophy Association Clinic at the University of Pennsylvania in Philadelphia.

Bone health can be especially important in people with Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy; these individuals are at a higher risk of osteoporosis for a combination of reasons, including increased muscle weakness, lower vitamin D levels, and therapeutic steroid use, according to a review published in Current Opinion in Neurology in October 2018,

Cardiologist Often, individuals with muscular dystrophy will need to see a cardiologist who specializes in heart diseases associated with a genetic muscle disease, according to Steven Shook, MD, a neurologist at Cleveland Clinic, in Ohio, who treats people with muscular dystrophy. Many types of muscular dystrophy can come with heart problems, including heart failure from cardiomyopathy (heart muscle disease) and arrhythmias,

Heart disease can be detected in people with DMD as early as age 10; it’s recommended that people with Duchenne and Becker muscular dystrophies begin to have cardiac evaluations as soon as they are diagnosed with muscular dystrophy, according to the American Academy of Pediatrics,

  • Dietitian A registered dietitian nutritionist is often included in the multidisciplinary care team to help manage nutrition and calorie intake.
  • People with muscular dystrophy need to try to maintain a healthy weight,” says Dr. Elman.
  • Weight gain is sort of the enemy in muscular dystrophy, because you don’t want to be carrying around too much weight on weak muscles,” she says.

Since it’s hard for most people with muscular dystrophy to exercise, paying attention to diet is especially important, says Elman. A nutrition professional can plan a diet with the appropriate number of calories that also contains the right amount of proteins, carbohydrates, and fats.

Eeping healthy vitamin D and calcium levels is also important to maintain bone health in people with muscular dystrophy,” says Elman. RELATED: What to Eat and What to Avoid for Healthy Bones Gastroenterologist Some types of muscular dystrophy, including Duchenne and Becker muscular dystrophy, may affect gastrointestinal (GI) motility, which refers to the movement of food throughout the digestive system.

“In some cases, an individual may need a GI doctor with a lot of knowledge about the symptoms that can come with that,” says Elman. A GI doctor can work to address the pain, bloating, and severe constipation that some people with muscular dystrophy experience, which can be life-threatening in some cases, according to research published in the journal PLoS One in October 2016,

  • Geneticist A clinical geneticist is either an internist or pediatrician with a specialty in genetics.
  • The geneticist is usually the physician who diagnoses the specific type of muscular dystrophy (using genetic testing) and who can direct the patient to the proper resources according to the type of muscular dystrophy the individual has.

The geneticist can also help with diagnosing other members of the family pre-symptomatically and with family planning, Some families with inherited muscular dystrophy undergo prenatal testing to determine whether their child will have the disease. The genetics team may additionally include a genetics counselor or social worker, who can work with the patient and the patient’s family to help with understanding the disease (including the probability of other family members having the same condition) and with finding resources and accommodations, such as disability benefits, health insurance, school programs, physical therapy, and enrollment in clinical trials for treatment.

  1. Neurologist “In some ways the neurologist becomes the primary care doctor for people with muscular dystrophy, and often follows them through their lifetime, says Dr. Shook.
  2. As neurologists, we coordinate care with a number of different specialists and subspecialists to make sure that we’re providing the best possible outcomes for that patient and really tailoring that care to meet their needs,” he says.
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In some cases, neurologists may help with the treatment of depression and anxiety, which can be more common in people with muscular dystrophy, adds Shook. “People with muscular dystrophy may also have pain issues at some point during the course of the disease, and so they would want one doctor who is willing to take responsibility for helping them manage their pain,” says Elman.

  • That role could be taken by a neurologist, a primary care doctor, or a pain management doctor, according to Elman.
  • Orthopedist or orthopedic surgeon These doctors specialize in the bones and joints and the muscles attached to the bones.
  • In muscular dystrophy, muscles around the joints can become contracted, which means fixed or frozen in a certain position.

“This can cause pain and reduce the ability for someone to move,” says Shook. Although bracing and exercise can sometimes be helpful, there are cases where surgery is necessary, he says. “Many of our patients have structural spine problems that can occur as part of their disease, including scoliosis, which is sideways curvature of the spine.

  1. In some cases, those patients do require back surgery,” says Shook.
  2. Physical therapist Depending on the type of muscular dystrophy an individual has, a physical therapist may be part of the care team, says Elman.
  3. Physical therapists can help guide and monitor exercise to help people with muscular dystrophy remain somewhat active (if possible), yet make sure they aren’t pushing themselves so hard that it can damage muscles or worsen the course of their disease, she says.

Moderate exercise is good, but if you push to the point where you’re very sore for a few days after an activity, you probably did too much, says Shook. Primary care doctor A person with muscular dystrophy will need a primary care doctor; depending on the stage of life, this could be a pediatrician, family doctor, or internist.

  • These doctors will take care of needs like immunizations, common infections, and conditions like high blood pressure, according to the Muscular Dystrophy Association,
  • Psychiatrist or psychologist Depression and anxiety are more common in people with muscular dystrophy, says Shook.
  • Sometimes this can be managed by the neurologist or primary care doctor, but there are times when having a mental health professional can be very valuable,” he says.

Pulmonologist and respiratory therapist These experts are an important part of the heathcare team, because sometimes respiratory complications are a major cause of illness and even death for people with some types of muscular dystrophy, says Shook. Pulmonologists regularly evaluate breathing in people with muscular dystrophy with a pulmonary function test.

  • Based on the results, the doctor or the respiratory therapist can decide if and when an individual needs assistance from a ventilator or help with coughing and clearing mucus, according to the Muscular Dystrophy Association.
  • Sleep apnea should also be monitored and treated, since that is a common issue in people with muscular dystrophy.

Social worker For some people, the most important specialist on the muscular dystrophy care team is the social worker, according to Shook. “These professionals can help connect patients with all the resources we have in the community to make sure they have the nursing care and nursing support at home that they need.

  • In some cases, they even coordinate in-home visits from a primary care doctor or a neurologist to make sure patients have access to the best care possible,” he says.
  • Speech-language pathologist “Many people with muscular dystrophy see a speech and language pathologist at some point along the way to evaluate their swallowing or to help them with speech techniques to overcome any trouble they’re having with communication,” says Elman.

Sometimes people with muscular dystrophy can develop dysphagia, which is difficulty or discomfort in swallowing, which can lead to dehydration, malnutrition, and weight loss, according to the advocacy organization Parent Project Muscular Dystrophy,

Why is my muscle pain so bad?

Causes – The most common causes of muscle aches and pains are:

Injury or trauma, including sprains and strainsOveruse including using a muscle too much, too soon before warming up, or too oftenTension or stress

Muscle pain may also be due to:

Certain drugs, including ACE inhibitors for lowering blood pressure, cocaine, and statins for lowering cholesterol Dermatomyositis Electrolyte imbalance, such as too little potassium or calciumFibromyalgiaInfections, including the flu, Lyme disease, malaria, muscle abscess, polio, Rocky Mountain spotted fever, trichinosis (roundworm)Lupus Polymyalgia rheumatica Polymyositis Rhabdomyolysis

Can a doctor repair nerve damage in a muscle?

Surgery – If your injury does not seem to be healing properly, your surgeon can use EMG testing in the operating room to assess whether scarred nerves are recovering. Doing an EMG test directly on the nerve is more accurate and reliable than doing the test over the skin.

  1. Sometimes a nerve sits inside a tight space (similar to a tunnel) or is squeezed by scarring.
  2. In these cases, your surgeon may enlarge the tight space or free the nerve from the scar.
  3. Sometimes a section of a nerve is cut completely or damaged beyond repair.
  4. Your surgeon can remove the damaged section and reconnect healthy nerve ends (nerve repair) or implant a piece of nerve from another part of your body (nerve graft).

These procedures can help your nerves regrow. If you have a particularly severe nerve injury, your doctor may suggest surgery to restore function to critical muscles by transferring tendons from one muscle to another.

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What test shows muscle damage?

Other tests – A number of other tests can be used to find out more about the spread and extent of any muscle damage. This will help your doctor to identify or confirm which type of MD you have. Treatment can then be directed where it’s most needed. Some tests include:

Nerve conduction studies and electromyography (EMG) – tests used to examine the electrical activity in nerves and muscles at rest and when the muscles are contracting. This can help to determine whether the underlying problem is in the spinal cord, in the muscles themselves, or in the nerves carrying impulses between the spinal cord and the muscles. MRI scan – a test that uses a strong magnetic field and radio waves to produce detailed pictures of the inside of your body. This can help to identify the affected muscles and will also show the extent of any muscle damage. CT scan – where a series of X-rays are taken to create a detailed image of the inside of your body, which will reveal any muscle damage.Chest X-ray – this can be useful for looking for breathing or heart symptoms, as it will show up any abnormal enlargement of the heart, plus any fluid in or around the lungs. Electrocardiogram (ECG) – where electrodes (flat metal discs) are attached to the arms, legs and chest to measure the electrical activity of the heart. This is used to check for an irregular heartbeat and reveal any damage. Echocardiogram – a scan of the heart using sound waves. It gives a clear picture of the heart muscles and valves, so the heart structure and function can be checked.

How do you know if you have a muscle disorder?

Signs and symptoms – Symptoms of muscle disease may include muscular weakness, rigidity, loss of muscular control, numbness, tingling, twitching, spasms, muscle pain and certain types of limb pain. Although muscle wasting is not painful, the resulting weakness can cause cramping, stiffness, joint deformities, chronic aches and pain, and sometimes the tightening and freezing of joints, which is known as contracture.

What is the most common muscle disorder?

What are the types of muscular dystrophy? – Muscular dystrophy is a group of inherited diseases that causes weakness and wasting away of muscle tissue. They can also cause the breakdown of nerve tissue. There are multiple types of muscular dystrophy. Each type leads to loss of strength, increasing disability, and possible deformity.

Type Age at onset Symptoms, rate of progression, and life expectancy
Becker Teen to early adulthood Symptoms are almost the same as Duchenne, but less severe. It progresses more slowly than Duchenne. Survival goes into middle age. As with Duchenne, disease is almost always limited to males.
Congenital Birth Symptoms include general muscle weakness and possible joint deformities. The disease progresses slowly. It causes a shortened life span.
Duchenne Ages 2 to 6 Symptoms include general muscle weakness and wasting. It affects the pelvis, upper arms, and upper legs. Over time, it includes all voluntary muscles. Survival beyond the 20s is rare. It happens mostly in boys. Very rarely it can affect women, who have much milder symptoms and a better prognosis.
Distal Ages 40 to 60 Symptoms include weakness and wasting of muscles of the hands, forearms, and lower legs. Progression is slow. It rarely leads to total disability.
Emery-Dreifuss Childhood to early teens Symptoms include weakness and wasting of shoulder, upper arm, and shin muscles. Joint deformities are common. progression is slow. Sudden death may occur from cardiac problems.
Facioscapulohumeral Childhood to early adults Symptoms include facial muscle weakness and weakness with some wasting of shoulders and upper arms. Progression is slow with periods of rapid deterioration. Life span may be many decades after onset.
Limb-Girdle Late childhood to middle age Symptoms include weakness and wasting, affecting shoulder girdle and pelvic girdle first. Progression is slow. Death is usually due to cardiopulmonary complications.
Myotonic Ages 20 to 40 Symptoms include weakness of all muscle groups and delayed relaxation of muscles after contraction. It affects the face, feet, hands, and neck first. Progression is slow, sometimes spanning 50 to 60 years. An infantile form causes more severe problems.
Oculopharyngeal Ages 40 to 70 Symptoms affect muscles of eyelids and throat causing weakening of throat muscles. Over time, this causes inability to swallow and severe weight loss from lack of food. Progression is slow.

How to tell the difference between muscle pain and nerve pain?

Conclusion – While it can be hard to tell nerve and muscle pain apart, the sensation that is felt along with a medical history and recent activity can help with diagnosis. Nerve pain is stabbing, tingling, and sharp while muscle pain is dull and steady or crampy and spasmodic.

Treatment of both types of pain depends on the underlying cause. To search for the best Orthopedics Healthcare Providers in Croatia, Germany, India, Malaysia, Singapore, Spain, Thailand, Turkey, Ukraine, the UAE, UK and the USA, please use the Mya Care search engine. About the Author: Dr. Rae Osborn has a Ph.D.

in Biology from the University of Texas at Arlington. She was a tenured Associate Professor of Biology at Northwestern State University where she taught many courses for Pre-nursing and Pre-medical students. She has written extensively on medical conditions and healthy lifestyle topics, including nutrition.

Bergman, S. (2007). Management of musculoskeletal pain. Best Practice & Research Clinical Rheumatology, 21(1), 153-166. Bengtsson, A. (2002). The muscle in fibromyalgia. Rheumatology, 41(7), 721-724. Healthline (2022). Muscle aches. National Organization of Rare Diseases. (2021). Cervical dystonia. Sampathkumar, P., Drage, L.A., & Martin, D.P. (2009, March). Herpes zoster (shingles) and postherpetic neuralgia. In Mayo Clinic Proceedings (Vol.84, No.3, pp.274-280). Elsevier. Simons, D.G., & Mense, S. (1998). Understanding and measurement of muscle tone as related to clinical muscle pain. Pain, 75 (1), 1-17. Tavee, J., & Zhou, L. (2009). Small fiber neuropathy: a burning problem. Cleve Clin J Med, 76 (5), 297-305. Watson, James C. (2022). Treatment of pain, Merck Manual. Web MD. (2005-2022). Pain types and classifications. Yagihashi, S., Mizukami, H., & Sugimoto, K. (2011). Mechanism of diabetic neuropathy: where are we now and where to go? Journal of diabetes investigation, 2(1), 18-32.

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Disclaimer: Please note that Mya Care does not provide medical advice, diagnosis, or treatment. The information provided is not intended to replace the care or advice of a qualified health care professional. The views expressed are personal views of the author and do not necessarily reflect the opinion of Mya Care.

Why is my muscle pain not going away?

When to see a doctor – Make an appointment with your doctor if you experience muscle pain that doesn’t go away. Nearly everyone experiences muscle pain from time to time. But if your muscle pain persists despite rest, massage and similar self-care measures, make an appointment with your doctor.

Can blood test detect muscle damage?

Blood Test – Doctors use a blood test to look for elevated levels of a substance called creatine kinase, which is released into the bloodstream when muscle fibers deteriorate. Elevated levels may mean you have an inflammatory myopathy. Creatine kinase levels are usually very high in people with polymyositis and dermatomyositis but only slightly elevated or even normal in people with inclusion body myositis.

What blood test shows muscle inflammation?

Blood Tests – The Myositis Association There are a number of blood tests the doctor may choose. The following is a list of some of these. Unless otherwise noted, all of these tests require taking a sample of blood by using a needle. Some blood tests require that you do not eat or drink, except for water, for about eight hours before the test.

Because exercise can affect some test results, you might need to limit exercise for several days before the test to avoid falsely high results. Certain medications may also affect the results of these tests, so be sure to check with your doctor if you are taking any type of medications at all, including aspirin or other over-the-counter medications.

Aldolase is an enzyme found especially in the liver and skeletal muscles. When the liver or muscles are damaged, the cells release their contents (including aldolase) into the bloodstream. Since muscle weakness can be caused by problems with either the nerves or the muscles, this test identifies weakness caused by muscular problems.

Aldolase will not change when weakness is caused by neurological problems. Normal ranges may vary slightly based on a particular laboratory’s calibrations. There are also slight differences in normal ranges based on age and gender. Generally, however, normal adult findings are between 1.0 to 7.5 units per liter.

Antinuclear Antibodies (also known as ANA) is a screening blood test to determine if you have an autoimmune disease. Antibodies are an important part of the immune system. They fight infections, viruses, and other foreign substances that can cause disease.

When this protective system turns toward fighting the body’s own tissues, an autoimmune disease is present, and the ANA test will be positive. A positive ANA will not, however, identify the specific disease. Moreover, a negative test does not rule out myositis. Creatine Kinase (also known as CK, or Creatine Phosphokinase ) is an important diagnostic blood test for myopathies.

CK is a type of protein called an enzyme that is especially active in skeletal muscle, heart tissue, and the brain. When muscle tissue is damaged, the cells release their contents into the bloodstream, causing elevated CK levels in the blood. CK levels in the blood can vary with a number of factors, including gender, race, age, activity, health status, testing method, and more.

  1. Higher levels of serum CK can indicate muscle damage from chronic disease or acute muscle injury.
  2. In myositis, it is not uncommon for CK levels to far exceed the upper limit of normal.
  3. If the CK test indicates muscle damage, more tests will be needed to find exactly where the muscle damage occurred.
  4. CK levels are often used to evaluate the progress of disease after treatment.

This is not a reliable measure of disease activity, however, and normal enzyme levels do not completely rule out the possibility of muscle inflammation. Myositis patients sometimes wonder why they feel better or worse than their CK levels indicate. Levels may lag behind the improvement or worsening of the disease, and they may be affected by activity or other factors.

  1. Additionally, in advanced disease, serum muscle enzyme levels can be persistently low in the setting of major muscle weakness.
  2. Sedimentation Rate (also called erythrocyte sedimentation rate or sed rate) measures swelling and inflammation of the muscles.
  3. Doctors use the sed rate to watch the progress of the muscle inflammation.

This test is not specific to a particular disease but simply identifies the presence and severity of the inflammation. It can be used to monitor the effect of treatment. Sed rate results are reported in the distance in millimeters (mm) that red blood cells fall in a test tube in one hour (hr).

The normal range varies based on laboratory equipment, age, gender, pregnancy, infection, and other factors. The sed rate will be higher with more severe inflammation. are an important diagnostic and predictive tool. They are identified through a special blood test that tests for a whole panel of autoantibodies that are related to myositis diseases.

: Blood Tests – The Myositis Association

Why do my muscles hurt all the time?

Causes – The most common causes of muscle aches and pains are:

Injury or trauma, including sprains and strainsOveruse including using a muscle too much, too soon before warming up, or too oftenTension or stress

Muscle pain may also be due to:

Certain drugs, including ACE inhibitors for lowering blood pressure, cocaine, and statins for lowering cholesterol Dermatomyositis Electrolyte imbalance, such as too little potassium or calciumFibromyalgiaInfections, including the flu, Lyme disease, malaria, muscle abscess, polio, Rocky Mountain spotted fever, trichinosis (roundworm)Lupus Polymyalgia rheumatica Polymyositis Rhabdomyolysis