Large Joint Pain Solutions

Defining Large Joint Pain

Large joint pain refers to discomfort, aching, or pain in the larger joints of the body, such as the shoulders, hips, knees, and elbows. 

This type of pain can be caused by a variety of factors, including injuries, inflammatory conditions, degenerative diseases, and infections. It ranges from mild to severe and can be sharp, throbbing, or aching, and the joints may appear swollen or puffy.

Individuals suffering from large joint pain may experience a reduced range of motion and difficulty moving the affected joint and inflammation can cause the skin around the joint to become red and warm to the touch. The joint may be sensitive to touch or pressure.

What Causes Large Joint Pain?

Large joint pain may stem from a variety of factors, and common causes of large joint pain include:

• Osteoarthritis. A degenerative joint disease characterised by the breakdown of cartilage. It often affects the knees, hips, and shoulders and involves pain, stiffness, and swelling, often worsening with activity and improving with rest.
• Rheumatoid Arthritis. An autoimmune disease causing chronic inflammation of the joints. It can affect any large joint, but most typically impacts the shoulders, elbows, hips, and knees and causes pain, swelling, stiffness, and joint deformity, particularly in the morning or after periods of inactivity.

• Gout. A type of inflammatory arthritis caused by the accumulation of uric acid crystals in the joint. It is characterised by sudden severe pain, redness, warmth and swelling. It commonly affects the big toe but can also involve large joints like the knees and elbows.
• Injury or Trauma. Physical injury to the joint, such as fractures, sprains, or strains to any large joint, can result in pain, swelling, bruising, and reduced range of motion.

• Bursitis. Inflammation of the bursae, small fluid-filled sacs that cushion the joints around the shoulders, hips, elbows, and knees. Bursitis causes pain, swelling, and tenderness around the affected joint.
• Tendinitis. Inflammation of the tendons around the joint, causing pain and tenderness around the affected tendon, often worsening with movement. It typically affects the shoulders, elbows, hips, and knees.
• Infections. Joint infection (septic arthritis) caused by bacteria, viruses, or fungi that causes severe pain, swelling, redness, warmth, and fever. This can occur in any large joint, but most commonly happens in the knees and hips.
• Psoriatic Arthritis. An inflammatory arthritis associated with psoriasis that causes joint pain, swelling, stiffness, and skin symptoms like red, scaly patches. It can affect any large joint, but the knees, hips, and shoulders are affected most often.
• Ankylosing Spondylitis. A type of inflammatory arthritis that primarily affects the spine but can also affect other large joints. It causes pain and stiffness in the lower back and hips, particularly in the morning and tends to affect the spine, hips, shoulders.
• Lupus. An autoimmune disease that can cause inflammation and pain in various joints, resulting in pain, swelling, stiffness, and fatigue. Lupus can affect any joint, but it most commonly affects the knees, hips, and shoulders.
• Repetitive Strain Injuries. Injuries caused by repetitive motions or overuse of the joint, resulting in pain, swelling, and reduced range of motion. These types of injuries commonly affect the shoulders, elbows, and knees.
• Fibromyalgia. A chronic condition characterised by widespread musculoskeletal pain. It causes diffuse pain, fatigue, and tender points, and can involve any joint, including large joints of the shoulders, hips, and knees.

It is important to note that while many cases of large joint pain may improve with rest and self-care, persistent or severe joint pain should be evaluated by a healthcare professional to determine the underlying cause and appropriate treatment.

What is a Large Joint Pain Specialist or Joint Pain Doctor?

There are multiple reasons why someone might choose to see a joint pain specialist or joint pain doctor for chronic large joint pain

• Expertise. Joint pain specialists, such as orthopaedic surgeons, rheumatologists, rehabilitation physicians, or pain management specialists, have specific training and expertise in diagnosing and treating joint-related issues. They are familiar with various conditions that cause joint pain and can offer specialised treatment options.
• Accurate Diagnoses. Chronic joint pain can result from a variety of underlying conditions such as repetitive strain injuries, various types of arthritis, or conditions like lupus or fibromyalgia. A joint pain specialist can conduct a thorough evaluation, which may include imaging studies like X-rays, MRIs, or CT scans, to accurately diagnose the source of the pain.
• Personalised Treatment Plans. Once the cause of the joint pain is identified, a specialist can develop a personalised treatment plan tailored to your individual needs. This plan may include a combination of therapies such as physical therapy, medications, injections, minimally invasive procedures, or surgery if necessary.
• Pain Management Therapies and Techniques. Chronic joint pain can significantly impact your entire life, affecting your ability to work, perform daily activities, and enjoy leisure time. Joint pain specialists can offer various pain management techniques to help alleviate discomfort and improve function, including medication management, nerve blocks, radiofrequency ablation, spinal cord stimulation, or other interventional procedures.
• Prevention and Education. Joint pain specialists can provide education and guidance on lifestyle modifications, ergonomic principles, exercises, and preventive measures to reduce the risk of future back problems or exacerbations of existing conditions.
• Coordinated Care. In cases where large joint pain is complex or involves multiple medical specialties, a pain specialist can coordinate care with other healthcare providers, such as physiotherapists, chiropractors, psychologists, or pain psychologists, to ensure comprehensive management of the condition.

Overall, seeking care from a joint pain specialist can offer patients with chronic large joint pain access to specialised expertise, an accurate diagnosis, personalised treatment, and comprehensive management strategies to improve their overall health.

Different Types of Large Joint Pain

Joint pain can occur in various regions of the body, including:

• Shoulders. The glenohumeral joint (shoulder joint) and the acromioclavicular joint (AC joint) may be affected by conditions like osteoarthritis, rheumatoid arthritis, rotator cuff injuries, bursitis, and tendonitis.
• Hips. The hip joint (acetabulofemoral joint) may be involved in conditions like osteoarthritis, rheumatoid arthritis, bursitis, or tendonitis, or injuries like hip labral tears may cause chronic pain.
• Knees. The knee joint (tibiofemoral joint) and the patellofemoral joint may be affected by osteoarthritis, rheumatoid arthritis, bursitis, or tendonitis. Ligament injuries (ACL and MCL) and meniscus tears may also cause persistent pain.
• Elbows. The humeroulnar joint and the humeroradial joint may be the origin of pain caused by osteoarthritis, rheumatoid arthritis, tendinitis (tennis elbow, golfer’s elbow), and bursitis
• Spine. The facet joints (between vertebrae) and the sacroiliac joints (where the spine meets the pelvis) may be involved for individuals with conditions like osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, or degenerative disc disease.

Multidisciplinary Healthcare Teams for Large Joint Pain Management 

Several types of healthcare professionals are involved in the diagnosis, treatment, and management of joint pain. These include:

• General Practitioners: General practitioners play a crucial role in coordinating care for individuals with chronic pain. They may initially evaluate the patient, provide treatment, and make referrals to pain specialists or other specialists as needed.

• Joint Pain Management Specialists: Pain management specialists focus on the evaluation and treatment of chronic pain conditions, including large joint pain. They may use a multidisciplinary approach that includes medications, injections, physical therapy, and psychological interventions to address pain and restore general comfort.
• Physical Therapists. Physiotherapists are experts in rehabilitative exercises and techniques to improve mobility, strength, and flexibility. They develop individualised treatment plans to address joint pain and may incorporate modalities such as ultrasound, electrical stimulation, dry needling and taping.
• Occupational Therapists. Occupational therapists focus on helping their clients perform daily activities despite physical limitations or disabilities. They may provide ergonomic assessments, assistive devices, and adaptive strategies to manage joint pain and prevent further injury.
• Psychologists and Counsellors. Psychologists and counsellors can help you cope with the emotional and psychological aspects of living with chronic joint pain. They may use techniques such as cognitive-behavioural therapy, relaxation training, and stress management to improve coping skills and overall well-being.

Collaboration among these healthcare professionals is often necessary to provide comprehensive care for patients with large joint pain, addressing both the physical and psychosocial aspects of the condition.

How Does a Pain Specialist Treat Chronic Large Joint Pain?

A pain specialist employs a variety of approaches to treat chronic joint pain, depending on the underlying cause, severity, and individual patient factors. 

Here are some common methods used by pain specialists to manage chronic large joint pain:

1. Medication Management. Joint pain specialists may prescribe medications to alleviate pain, reduce inflammation, and improve function. Commonly prescribed medications include nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, opioids (for short-term use only in severe cases), antidepressants, and anticonvulsants.
2. Physical Therapy. Physical therapy plays a crucial role in the management of chronic large joint pain. A physical therapist will design an individualised exercise program to improve strength, flexibility, and posture, as well as provide manual therapy techniques to reduce pain and improve mobility.
3. Interventional Procedures. Joint pain doctors may perform various interventional procedures to alleviate pain and improve function. These may include steroid injections, nerve blocks, radiofrequency ablation and spinal cord stimulation.
4. Minimally Invasive Procedures. In some cases, minimally invasive surgical procedures may be recommended to address specific causes of chronic joint pain, such as different types of injuries or fractures. These procedures typically involve smaller incisions, less tissue disruption, and shorter recovery times compared to traditional open surgery.
5. Lifestyle Changes. Managing chronic large joint pain may include recommendations for maintaining a healthy weight, adopting ergonomic principles in daily activities, improving posture, quitting smoking (if applicable), and incorporating stress management techniques.
6. Psychological Treatment. Seeing a psychologist or counsellor to provide psychological support and interventions such as cognitive-behavioural therapy can help cope with pain, stress, and anxiety.

By employing a multidisciplinary approach that addresses the physical, psychological, and social aspects of chronic joint pain, Dr. Mittal and her collaborative team of specialists can help patients effectively manage their symptoms, improve function, and enhance overall quality of life.

What Does a Treatment Plan for Large Joint Pain Involve?

A treatment plan for large joint pain typically involves a comprehensive approach that addresses the underlying cause of the pain, alleviates symptoms, improves function, and prevents future episodes. 

Here are the key components of a treatment plan for joint pain:

• Medical Evaluation. The first step in developing a treatment plan is a thorough medical evaluation, which may include a review of medical history, physical examination, and diagnostic tests such as X-rays, MRI, or CT scans to determine the cause of the pain.
• Pain Management. Pain management is a crucial aspect of the treatment plan and may involve various strategies, including medication management. Commonly prescribed medications for large joint pain include nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, opioids (for short-term use in severe cases), antidepressants, and anticonvulsants.
• Physical Therapy. Physical therapy plays a key role in treating joint pain by improving strength, flexibility, posture, and mobility. A physiotherapist designs an individualised exercise program tailored to your needs, which may include stretching exercises, strengthening exercises, aerobic conditioning, and manual therapy techniques such as massage or spinal manipulation.
• Interventional Procedures. Depending on the cause and severity of the joint pain, interventional procedures may be recommended to alleviate symptoms and improve function. These procedures may include steroid injections, nerve blocks, radiofrequency ablation and spinal cord stimulation.
• Lifestyle Modifications. Positive changes to your routine can be essential for managing large joint pain and preventing future episodes. This may include maintaining a healthy weight, adopting ergonomic principles in daily activities, improving posture, quitting smoking (if applicable), and incorporating stress management techniques such as relaxation exercises or mindfulness meditation.
• Education and Self-Management Strategies. Patient education is a critical component of the treatment plan, empowering patients to actively participate in their care and make informed decisions about their health. Joint pain doctors provide information on the condition, treatment options, and strategies for self-management, including proper body mechanics, activity modification, and resources for further support and education.
• Psychological Support. Support may be provided by collaborating with psychologists or counsellors to address issues such as pain-related anxiety, depression, or stress through interventions such as cognitive-behavioural therapy or relaxation techniques.
• Follow-Up and Monitoring. Regular follow-up appointments with your team are essential to monitor the progress of the treatment plan, adjust medications or therapies as needed, and address any new or worsening symptoms. Patients are encouraged to communicate openly and report any changes in their condition or response to treatment.

By incorporating these components into a comprehensive treatment plan, Dr. Mittal can effectively manage large joint pain, improve function, and enhance the overall quality of life for patients.

The Challenges of Living with Chronic Large Joint Pain

Living with chronic large joint pain presents numerous problems or issues that can significantly impact a person’s physical, emotional, and social well-being. 

Some of these challenges include:

• Persistent Discomfort. Chronic joint pain often leads to persistent discomfort, ranging from mild to severe, which can interfere with daily activities such as walking, sitting, standing, and sleeping. This constant pain can affect all parts of your life and make it difficult to concentrate or enjoy leisure activities.
• Limited Mobility. Joint pain may restrict mobility and range of motion, making it challenging to perform tasks that require bending, lifting, or twisting. Reduced mobility can lead to dependency on others for assistance with activities of daily living and decrease independence, leading to social isolation, inability to work, or otherwise actively participate in one’s own life.
• Impact on Work and Productivity. Chronic joint pain can impair work performance and productivity, leading to missed workdays, decreased job satisfaction, and financial strain. Some individuals may need to modify their job duties, take extended leaves of absence, or even retire early due to their large joint pain.
• Emotional Distress. Dealing with chronic pain can take a toll on one’s mental health, leading to feelings of frustration, anxiety, depression, and irritability. Coping with the emotional distress of chronic joint pain may require support from mental health professionals and strategies for stress management.
• Sleep Disturbances. Large joint pain can disrupt sleep patterns, causing difficulty falling asleep, staying asleep, or achieving restful sleep. Poor sleep quality can exacerbate pain perception, worsen mood disturbances, and contribute to fatigue and daytime drowsiness.
• Social Isolation. Chronic large joint pain may limit social activities and participation in hobbies or recreational pursuits, leading to feelings of isolation and loneliness. Social support from family, friends, and support groups can help mitigate feelings of isolation and provide emotional encouragement.
• Impact on Relationships. Chronic large joint pain can strain relationships with family members, friends, and romantic partners due to changes in mood, behaviour, and participation in activities. Effective communication, empathy, and support from loved ones are essential for maintaining healthy relationships.
• Financial Difficulties. Managing chronic large joint pain often involves medical expenses, including doctor visits, diagnostic tests, medications, physical therapy, and sometimes surgery or other interventions. Additionally, indirect costs such as lost wages, transportation expenses, and home modifications to accommodate a chronic pain condition may be incurred.
• Fear of Re-injury. Fear of exacerbating existing joint pain or sustaining new injuries to one’s large joints may cause you to avoid physical activities or movements, resulting in deconditioning, loss of muscle strength, weight gain and further functional impairment.
• Depression and Frustration. The chronic nature of joint pain can lead to feelings of frustration, hopelessness, and despair, especially if treatments are ineffective or symptoms worsen over time. It’s essential for chronic pain sufferers to maintain hope and continue working with healthcare providers to explore new treatment options and improve their quality of life.

Overcoming the challenges associated with chronic large joint pain requires a comprehensive approach that addresses both the physical and emotional aspects of the condition, along with support from healthcare providers, loved ones, and community resources.

How Do I Find a Large Joint Pain Specialist Near Me?

To find a joint pain specialist near you, you can start by discussing your pain issues with your general practitioner. They can evaluate your symptoms, provide initial treatment, and refer you to a pain management doctor.

You can also seek recommendations from friends, family members, or colleagues who have experience with joint pain treatment. They may be able to recommend a reputable specialist based on their own positive experiences.

Reach out to nearby hospitals or medical centres and inquire about their spine, orthopaedic, neurosurgical or chronic pain departments. They may have dedicated rehabilitation centres or clinics staffed by joint pain specialists. These facilities often have multidisciplinary teams of experts and access to cutting-edge treatments and research.

During your search for a joint pain doctor near you, be sure to take into account less obvious factors such as the specialist’s location, office hours, and availability when choosing a large joint pain specialist. Look for a pain doctor who assesses your symptoms, medical history, treatment preferences and has the correct qualifications and local experience in looking after your chronic joint pain.

Ultimately, trust your instincts and choose a pain specialist who listens to your concerns, communicates effectively, and offers confidence in their ability to provide high-quality care.

If you are in the Melbourne area, contact the Persistent Pain Solutions clinic to connect with Dr Mittal who can help diagnose and treat your condition effectively.

Persistent Pain Solutions for Large Joint Pain in Melbourne 

Dr. Meena Mittal and her collaborative team of healthcare professionals are deeply committed to providing compassionate care to every person who arrives at the Persistent Pain Solutions clinic seeking solutions for their chronic large joint pain.

We understand the physical and emotional toll that chronic or long term large joint pain can take on patients and their loved ones. That’s why we focus on offering empathy, understanding, and support in every interaction. 

From the moment you enter our doors, you’ll be met with a warm and welcoming environment where your pain and concerns are understood and your priorities are valued. 

Dr. Mittal takes the time to listen, engage, and evaluate your condition. Together, a personalised treatment plan tailored to your unique challenges is developed and instituted.

Compassion is fundamental to health and healing, and Dr Mittal is dedicated to guiding you on your journey to relief from chronic large joint pain and improvement in your overall quality of life.