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Joint Pains

Posted on: Monday, 6 June 2005, 15:00 CDT

This advice is suitable for adults. Joint pain in children is not common, but when it happens you should get advice from NHS Direct

Does the joint have an unusual appearance and is it difficult or impossible to move?

Call NHS Direct

You may have dislocated or broken the joint. Call NHS Direct.

Did the pain start suddenly after an accident or exercise?

Most joint injuries are sprains and only need the following.

Rest: Stop using the joint until the pain eases.

Ice: Use ice or frozen peas (do not refreeze) in a cloth cover for no more than five minutes. Never allow direct contact with the skin.

Elevation: If possible, lift and support the limb to reduce swelling.

Do you have any of the following symptoms?

( Severe pain.

( The joint is very hot.

( Your joint is impossible to move.

( Fever, or you are feeling flushed, hot and sweaty (your temperature is over 38C or 100.4F).

Call NHS Direct

Is this the first time you have felt this pain in your joints

Call NHS Direct

Are other joints hot, swollen and painful as well?

Call NHS Direct

Does the pain start after the same repeated movements like typing, using a screwdriver or playing tennis?

You may have a repetitive strain injury which will respond to rest or alternative forms of exercise. Anti-inflammatory medicines do help. Ask your pharmacist for advice.

Does the pain gradually get worse as the day goes on?

You may have osteoarthritis which is caused by wear and tear. Ask your pharmacist for advice.

Self-care advice

NIt is important to rest the affected area.

N Complete rest may make the condition worse.

N Regular painkillers, such as paracetamol or ibuprofen may help. Ibuprofen should not be taken if there is a history of stomach ulcers, indigestion, asthma or renal impairment. Always follow the manufacturer's instructions. If you are pregnant, do not take ibuprofen and only take paracetamol as instructed.

N A cold compress will help reduce swelling.

N An ice pack or bag of frozen peas wrapped in a tea towel can be applied to the area for no longer than five minutes. Repeat every hour.

N If the pain continues or new symptoms develop, call NHS Direct.

N If you are still worried, call NHS Direct.

Before ringing NHS Direct or 999, it would be helpful if you think about the following and are ready to answer the questions if asked.

N How long you or the person you are calling about have been unwell.

N Your or their temperature (if possible).

N Any medicines you or they are taking at the moment.

N Any illnesses, such as rheumatoid arthritis, you or they have had before.

Source: Evening Chronicle - Newcastle-upon-Tyne

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