What Is Polyarthralgia?
Overview
People with polyarthralgia may have transient, intermittent, or persistent pain in multiple
joints. Polyarthralgia has many different underlying causes and possible treatments. Keep
reading to learn more about this condition.
Symptoms
Symptoms can vary from mild to moderate, and may include:
pain and tenderness in joints
tingling or other unusual sensations
burning feeling at the joint
joint stiffness or difficulty moving your joints
Polyarthralgia is similar to polyarthritis, which also causes pain in multiple joints. The main
difference is that polyarthritis causes inflammation to the joints, whereas there is no
inflammation with polyarthralgia.
Learn more: Arthritis vs. Arthralgia »
Polyarthralgia also shares some similarities with polymyalgia. Both conditions cause similar
levels of pain. It’s also possible to have both conditions at the same time. Polyarthralgia affects
the joints, while polymyalgia affects the muscles around the joints. Symptoms of polymyalgia
include the following:
aches in muscles of the shoulder
pain in muscles of the hips, thighs, buttocks, or upper arms
reduced range of motion in affected areas
stiffness in areas with pain and aching
Causes
Polyarthralgia can be caused by a variety of conditions, including:
osteoarthritis
joint dislocation
tendinitis
hypothyroidism
bone cancer
sprains or strains near the joint
pinched nerves
stress fractures
pseudogout
Certain infections, such as infections by arthritogenic alphaviruses, can also
causepolyarthralgia. Arthritogenic alphaviruses are carried by mosquitoes. These infections are
usually isolated to small areas in warmer climates.
Other causes for polyarthralgia are high-impact exercises that stress the joint, such as running
and jumping, and overuse of joints. Overuse of joints is common in people who have physically
demanding jobs.
Risk factors
You may be at increased risk for developing polyarthralgia if you:
are overweight or obese, since excess weight can put extra strain on your joints
have a history of joint injury or surgery
are an older adult
work in physically demanding jobs that put your joints at risk of overuse
are female
have a family history of any conditions that impact the joints
Diagnosis
See your doctor if you are experiencing joint pain. Some of the diagnostic tests your doctor may
use to help diagnose your condition include:
Blood tests, such as c-reactive protein assessment, antinuclear antibody panel, uric
acid evaluation, and erythrocyte sedimentation rate.
Arthrocentesis. During this test, your doctor will use a syringe to remove synovial
fluidfrom your joint. The fluid is then evaluated for culture, crystals, and cell count,
which can be used to diagnose or rule out various conditions.
Diagnostic imaging, such as CT scan, X-ray, and MRI.
Treatment
There are a variety of lifestyle changes and home remedies you can use to manage the
symptoms of polyarthralgia. If home remedies don’t help, your doctor may recommend
medication or other treatment methods.
Exercise
Low-impact exercise may help ease symptoms related to joint [Link] of low-impact
exercise include:
swimming
walking
bicycling
yoga
Weightlifting exercises may also help, but it’s important to make sure you’re doing the
exercises correctly to avoid injury. Talk to your doctor about getting a referral to a physical
therapist. They can show you appropriate exercises and how to do them correctly. If you’re a
member of a gym, you can also try out a weightlifting class, or ask about working with a
personal trainer for a couple of sessions. Just make sure you let the instructor or trainer know
about your joint pain. You can also watch online videos to see examples of various weightlifting
exercises.
Avoid exercises that stress the joints, such as running, and strenuous routines, such as
CrossFit.
Maintain a healthy weight
If you’re overweight, losing weight may help relieve pain and slow down the progression of your
condition. Excess weight can put extra strain on your joints, which can increase pain.
Regular exercise and maintaining a healthy, balanced diet can help you lose weight. If you’re
having trouble losing weight, talk to your doctor. They can help develop a weight loss program,
and they may recommend you to a dietician.
Acupuncture
Researchers have found that acupuncture may be an effective way to manage mild to moderate
pain associated with polyarthralgia. Acupuncture should not replace other treatments
recommended by your doctor. Instead, acupuncture should be used in addition to other
treatments.
Massage therapy
Massage therapy may help reduce pain associated with arthritis and also restore some
movement. Research is limited, and studies have only looked at benefits to people with some
types of arthritis. Physical therapists may include massage as part of a treatment plan. You
can also see a masseuse at a spa, but you should verify that they are properly licensed.
Massage should be used in addition to other treatments recommended by your doctor.
Heat or cool down the joints
Painful joints may respond to applying heat or applying ice. To use heat, apply a heating pad to
the joint or try soaking in a warm bath. To cool down the painful joints, apply ice or packages
of frozen vegetables for at least 20 minutes, three times per day.
Medication
If home remedies don’t work, you may need to use medication.
Over-the-counter pain relievers such as acetaminophen (Tylenol) and naproxen sodium (Aleve)
can help you manage your pain. Follow the package instructions for dosage information.
Low-dose corticosteroids help to relieve pain, manage other symptoms, and slow the rate of
joint degradation. Doctors usually prescribe them for 6-12 weeks at a time, but this may vary
depending on the severity of your symptoms and joint damage. Low-dose corticosteroids can be
administered orally, through injection, or topically as an ointment.
Your doctor may prescribe opioids if pain in the joints is severe and not resolving through other
methods. It’s important to remember that these medications have high addictive potential.
Physical therapy
Your doctor may also prescribe physical therapy. Physical therapists use a variety of
techniques to help manage and reduce pain. You’ll likely need to visit a physical therapist
several times, and it may take a few visits before you start to feel any relief. They may also give
you stretches or exercises to do at home.
Treat the symptoms
Polyarthralgia is often associated with other symptom expressions in addition to joint pain.
Treating these other symptoms may help reduce pain. Examples of treatments for these
symptoms may include:
muscle relaxants if you have muscle spasms
topical capsaicin or antidepressants to reduce associated neuropathic pain
topical lidocaine (LMX 4, LMX 5, AneCream, RectaSmoothe, RectiCare) to ease moderate
to severe muscle pain