Arthralgia, arthritis, chronic arthritis, Depression, Dr. Bunyard, general internal medicine, Health, Journal of General Internal Medicine, Medicine, Mental Health, Myalgia, pain source, Palpitation, Sleep disorder
Source: Arthritis Today http://www.arthritis.org/depression-pain.php
Pain in the arms, legs and back. Fatigue and sleeplessness. Problems associated with arthritis and related conditions, right? Yes, but they’re also the physical signs associated with depression, so figuring out the root cause means you can get proper treatment.
Arthritis-like physical symptoms among others [see below] may improve if the depression is treated with medication, according to research published in the Journal of General Internal Medicine.
Why patients with depression may experience joint and muscle pain is not yet fully understood, says Matthew Bunyard, MD, senior staff physician in The Cleveland Clinic’s department of rheumatic and immunologic diseases.
“One theory is that the pain pathways going through the spinal cord and brain somehow get deranged, and patients with depression experience musculoskeletal pain even though they don’t have arthritis,” says Dr. Bunyard.
Whatever the theory, doctors may not realize that a patient’s physical symptoms are linked with depression, according to another study published in the Journal of General Internal Medicine. Consequently, patients may not receive appropriate treatment, such as antidepressants or psychotherapy.
To ensure good care, doctors need to complete a thorough health history and physical examination to distinguish whether depression or another ailment is the cause of the physical symptoms, says Dr. Bunyard. Rheumatologists need to consider that some patients may be suffering from both depression and arthritis. The chronic arthritis may be contributing to the patient’s depression, or the depression could be aggravating the pain from arthritis – a chicken-and-egg predicament.
Whether the chicken or the egg comes first, communication between the doctor and patient is key to ensuring the best possible care, says Dr. Bunyard, who suggests that patients keep a written account of what their pain feels like, writing down a description of whether the pain is numb, sharp or dull; where it’s located; what makes it better or worse; and how long it lasts. Bringing the journal to the doctor’s office will help the doctor prescribe any necessary treatment. In the case of musculoskeletal pain, a visit should occur if symptoms are persistent or interfere with daily activities.
– Heather Lindsey
Physical Symptoms of Depression
- Bowel problems
- Chest pain
- Heart palpitations
- Joint pain
- Muscle pain
- Shortness of breath
- Sleep problems
- Stomach pain
- Is Depression Contributing to Pain (earlsview.com)
- Arthritis Depression | Arthritis Anxiety | Arthritis Today Magazine (earlsview.com)
- Managing Chronic Pain, Depression & Antidepressants: Issues & Relationships (earlsview.com)
- Depression and Osteoarthritis – A Guide to Depression and Osteoarthritis (earlsview.com)
- Sleep Remedies for Rheumatoid Arthritis (everydayhealth.com)
- Is Arthritis Pain Keeping You Awake at Night? (everydayhealth.com)
- Rheumatoid Arthritis and Depression (earlsview.com)
- Avoiding Arthritis – Related Depression and Anxiety (earlsview.com)
- Arthritis & Depression (earlsview.com)
- Arthritis and Depression (earlsview.com)