Headache & Joint Stiffness & Progressive Contractures: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Headache, Joint Stiffness, Progressive Contractures,

Negated

None

Unsure

None

Possible Causes

Arthritis

A 64-year-old man, with a history of Crohn's disease controlled on budesonide, presented to the emergency room in August 2017 with a week history of headache, sore throat, [ncbi.nlm.nih.gov]

Dupuytren’s contracture tends to affect the pinkie and ring fingers and generally progresses very slowly. [medicalnewstoday.com]

Arthritis is the inflammation of one or more joints. The main symptoms are joint pain, swelling and stiffness. [symptoma.com]

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Rheumatoid Arthritis

A 57-year-old man presented with the subacute onset of headache, depression, and anorexia 7 months before the onset of RA. [ncbi.nlm.nih.gov]

Erosion of the articular cartilage, together with ligamentous changes, result in deformity and contractures. As the disease progresses, pain and deformity increase. [orthoinfo.aaos.org]

The common signs include joint stiffness, swelling, pain, redness and warmth. These are typical hallmarks of inflammation. [techtimes.com]

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Fibrodysplasia Ossificans Progressiva

Prevalence of recurrent severe headaches (HA) (26 %) was similar to that in the general population, but prevalence in females with FOP (36 %) was almost fourfold greater than [ncbi.nlm.nih.gov]

This case however presents a very aggressive form of disease with patient developing spontaneous swellings and progressive contractures. [ijcasereportsandimages.com]

Tissue swelling, joint stiffness and serious discomfort can occur. Some may have a low-grade fever. Flare-ups can last as long as six to eight weeks. [ucsfbenioffchildrens.org]

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Hemophilia

Symptoms to be aware of include: painful headache, stiff neck, vomiting, sleepiness, changed behavior, sudden weakness or balance issues, difficulty walking, double vision [hemophilia.org]

This disease can lead to further symptoms such as: • progressive decreased motion • flexion contractures • muscle atrophy [1] The second most common presentation of hemophilia [physio-pedia.com]

Ultimately this process will cause chronic joint stiffness and pain. [emedicinehealth.com]

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Systemic Scleroderma

TMD symptoms (muscle pain on chewing, difficulty in mouth opening, headaches) were complained by 92.5% of SSc patients and by 76.2% of controls (χ² 8.012 p 0.005). [ncbi.nlm.nih.gov]

With disease progression, ulcerations over joints and flexion contractures of the fingers, wrists, and elbows may occur. [aafp.org]

stiffness/pain Limited cutaneous systemic sclerosis In 90% of cases, Raynaud's phenomenon precedes the onset of other symptoms. [amboss.com]

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Polyarthritis

OROFACIAL PAIN AND HEADACHE is a timely, comprehensive and instructive addition to the pain literature; in particular the important and truly multidisciplinary area of orofacial [books.google.it]

The characteristic rapid progression of palmar contracture is a key finding that suggests the potential existence of a malignancy. [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov]

OBJECTIVES: Patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA) or unspecified polyarthritis (UA) deal with several symptoms such as joint stiffness, pain, [ncbi.nlm.nih.gov]

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Osteoarthritis

The patient presented with weight loss, headaches, loss of sight, tiredness, cramps, painful joints and trembling. [ncbi.nlm.nih.gov]

Another characteristic symptom of the disease is the progressive inability of joint function, leading -in the long run- to loss of mobility. [oafifoundation.com]

The absolute reduction in finger joint stiffness for the exercise group, compared with the control group, was 7% (3% to 10%). [ncbi.nlm.nih.gov]

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Mycoplasma Pneumonia

The diagnosis is suspected when the patient presents with symptoms suggesting primary atypical pneumonia including cough, fever, chills, headache, and malaise in association [ncbi.nlm.nih.gov]

contractures of the metacarpophalangeal, proximal, and distal joints; radial deviation of the wrists; and corneal clouding since the age of 5 years. [pediatrics.aappublications.org]

stiffness Neck lump Rapid breathing Skin lesions or rash Treatment To feel better, you can take these self-care measures at home: Control your fever with aspirin, NSAIDs [account.allinahealth.org]

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Joint Contracture

Management Renaissance Frontiers in Alcoholism Frontiers in Dry Eye Frontiers in Gastroenterology Frontiers in Glaucoma Frontiers in Haemophilia Frontiers in Parkinson Disease Headache [med.m-review.co.jp]

[…] of molecular treatment to prevent the progression of joint contracture prior to intervention with physical therapy. [ncbi.nlm.nih.gov]

Case studies: Contracture and stiff joint management with Dynasplint. J Orthop Sports Phys Ther. 1987;8:498-504. Steffen TM, Mollinger LA. [aetna.com]

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Arachnoiditis

Epidural blood patching is an effective treatment for postdural puncture headache but has potential risks. [ncbi.nlm.nih.gov]

[…] gait disability Occasional patients with 2nd exacerbation Contractures Other transient features: May persist in severe cases Eye: Blurred vision; Nystagmus Speech difficulties [neuromuscular.wustl.edu]

Characteristics include red or dark patches on the skin; burning, itching, swelling, hardening, and tightening of the skin; yellow spots on the whites of the eyes; joint stiffness [emedicine.com]

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Melorheostosis

If your skull is involved, you could have headaches, vision problems, hearing loss, pain in your face, and numbness or tingling. Sometimes you can see the bone changes. [webmd.com]

Melorheostosis often is disabling because of progressive contracture of the joint and soft tissue involved. [ncbi.nlm.nih.gov]

May have associated vascular malformations or hemangiomas, aneurysms, neurofibromatosis, linear scleroderma, tuberous sclerosis, focal subcutaneous fibrosis Causes pain, joint [pathologyoutlines.com]

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Muscle Spasticity

Parenteral Treatment of Episodic Tension-Type Headache: A Systematic Review. Headache: The Journal of Head and Face Pain. 2014;54: 260–268. doi: 10.1111/head. [consumerreports.org]

Spasticity-related muscle dysfunction is characterized by muscle hyperactivity/hypertonicity, motor weakness, and, in progressed cases, contracture of adjacent soft tissue [bmcneurol.biomedcentral.com]

BACKGROUND: Skeletal muscle spasticity is a major physical complication resulting from traumatic brain injury (TBI), which can lead to muscle contracture, joint stiffness, [ncbi.nlm.nih.gov]

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Congenital Muscular Dystrophy

[…] purchased the electric skillet, I am thinking of buying cookware for glass top stove to ensure that meal preparation during bodybuilding seminars or workshops will never be a headache [musclegenetable.org]

We report the first known Egyptian patient with FCMD, established by clinical features of generalized weakness, pseudohypertrophy of calf muscles, progressive joint contractures [ncbi.nlm.nih.gov]

CMD results in overall muscle weakness with possible joint stiffness or looseness. [mda.org]

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Somatoform Disorders

[…] children and adolescents and clinical description of various syndromes like hypochondric impairment, non epileptic paroxysmal disorders, chronic fatigue syndrome, trauma and headache [ncbi.nlm.nih.gov]

Because of the extensive immobility, there were concerns about progressive muscle wasting and contractures. [academic.oup.com]

[…] muscles Multiple joint pains New Headaches Unrefreshing sleep Post-exertional fatigue Irritable bowel syndrome (Rome Foundation, 2006) Recurrent abdominal pain or discomfort [en.wikibooks.org]

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Spondylitis

Clinically, several groups of symptoms, both overlapping and distinct, are seen: neck and shoulder pain, suboccipital pain and headache, radicular symptoms, and cervical spondylotic [askdrshah.com]

Once this progression to a forward flexed posture has begun, it requires the patient to use more energy to prevent leaning further forward [ 5 ]. [academic.oup.com]

When vertebrae or other bones/joints fuse together, the spine becomes stiff and immobile. [spineuniverse.com]

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Neck Pain

A 32-year-old Chinese woman sought care from our family medicine clinic because she had a headache, neck pain, and an intermittent cough that had produced white sputum for [ncbi.nlm.nih.gov]

Symptoms usually begin as mild and infrequent spasms that progress over time to forceful and frequent contractures of the eyelids, in advanced cases causing functional blindness [eyewiki.aao.org]

Neck Joints and Muscles Commonly we find that neck joints (cervical spine) become stiff or locked much like a rusty hinge. [physioworks.com.au]

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Mucopolysaccharidosis 2

Pressure from these fluids can cause other problems that may cause severe headaches, interfere with vision and change your child's mental state. [mayoclinic.org]

Flexion contractures. Progressive deafness - usually mixed sensorineural/conductive variety. [patient.info]

Bone and joint involvement leads to skeletal deformities and joint stiffness. [symptoma.com]

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Mucopolysaccharidosis

She was 12 years old and had refractory headaches. [ncbi.nlm.nih.gov]

hip containment surgeries; corrective osteotomy for progressive valgus deformity at the knee; posterior spinal fusion Multispecialty care is mandatory for these patients [emedicine.medscape.com]

Hydrocephalus may occasionally present clinically with intracranial hypertension symptoms such as headache, vomiting, and high sight impairment. [ncbi.nlm.nih.gov]

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Dupuytren Contracture

Migraine Sinus Headache vs. Migraine John M. [docplayer.net]

This problem is caused by a progressive contracture (shortening) of the palmar fascia that produces flexion deformities of the fingers. [vereencenter.com]

Other doctors believe that splints cause unnecessary pain, joint stiffness and oedema (swelling), so they prefer not to use them. [hse.ie]

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Mixed Connective Tissue Disease

Neurological involvement of the MCTD usually includes, according to the frequency of the occurrence, trigeminal neuralgia, headaches, sensorineural hearing, cerebral haemorrhage [ncbi.nlm.nih.gov]

Progressive contracture may result in deformity and loss of function of the hand. [dartmouth-hitchcock.org]

The syndrome typically presents with headache, visual abnormality, seizures and characteristic vasogenic edema on magnetic resonance imaging. [ncbi.nlm.nih.gov]

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Salmonella Infection

Symptoms include Fever Diarrhea Abdominal cramps Headache Possible nausea, vomiting, and loss of appetite Symptoms usually last 4-7 days. [web.archive.org]

His mother appreciated contractures of limbs from 6 th month after birth that progressed slowly over the years. He had no cognitive impairment. [advbiores.net]

Limited joint mobility leads to an unsteady gait. Joint stiffness is progressive, reaching its peak during adolescence. [orpha.net]

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Internal Joint Prosthesis Broken

[…] used to trim and sculpt bone saws, curettes, and rongeurs used to reconnect soft tissue to bone excessive exposure to the vapors of bone cement can produce eye irritation, headaches [quizlet.com]

As one progresses distally to the midthigh level, it is increasingly difficult to compensate prosthetically for a hip flexion contracture. [oandplibrary.org]

Joints can be damaged by many types of injuries or diseases, including Arthritis - inflammation of a joint. It causes pain, stiffness, and swelling. [icdlist.com]

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Erythema Chronicum Migrans

General symptoms such as headache, fever, myalgia and/or arthralgia were found in about half of the patients with a disease duration of less than or equal to 3 weeks. [ncbi.nlm.nih.gov]

Disease can be progressive, leading to joint contractures. [clevelandclinicmeded.com]

As the infection spreads, you may have a fever a headache muscle and joint aches a stiff neck fatigue lyme disease can be hard to diagnose because you may not have noticed [icd10data.com]

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Stiff Skin Syndrome

Headaches Many chronic fatigue syndrome sufferers report frequent headaches. [fatigueanswers.com]

[…] until the skin of the entire body becomes fibrotic with subsequent growth retardation and joint contractures. [link.springer.com]

[…] subcutaneous tissue associated with gradual joint stiffness and, at times, hirsutism. [ncbi.nlm.nih.gov]

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Electric Burn

Headache or dizziness. 8. Nausea. As seen, the symptoms can be mistaken, especially those which occur a while after accidents may be mistaken for other causes. [woundcaresociety.org]

Such changes may account for the progressive muscle fibrosis and flexion contractures that occur frequently after this injury. [emedicine.medscape.com]

Other symptoms include: Numbness or tingling Weakness Visible burns on the skin Headache Feeling disoriented The electrical current can also disrupt certain functions in the [winchesterhospital.org]

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Frozen Shoulder

[…] range of motion and pain in the shoulder region, who had received a prescription for physiotherapy treatment, without additional symptoms of dizziness, a case history of headaches [ncbi.nlm.nih.gov]

The term is also inaccurate, as this condition is not associated with adhesions of the capsule, but rather is related to synovitis and progressive contracture of the capsule [painscience.com]

Frozen Shoulder (also known as Adhesive Capsulitis) is a chronic condition affecting the shoulder characterized by chronic joint stiffness and pain. [cornerstonephysio.com]

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CINCA Syndrome

Migraine headache Migraine headaches The NLRP3 gene provides instructions for making a protein called cryopyrin. [rarediseases.info.nih.gov]

It can lead to progressive contracture of the knees and elbows with joint deformity due to patella or epiphysis overgrowth. [healio.com]

[…] pain, large liver, large spleen, psuedotumor cerebri, developmental delay, stunted growth, muscle contractures, enlarged liver, enlarged spleen, stiff joint, pink eye, enlarged [autoinflammatory-search.org]

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Juvenile Idiopathic Arthritis

Abstract A 22-year-old Caucasian woman with a 6 year history of persistently active, systemic onset juvenile rheumatoid arthritis (JRA) developed symptoms of headache, dry [ncbi.nlm.nih.gov]

Your healthcare provider may recommend one or more of the following treatments: Medications to reduce inflammation, relieve pain and slow the progression of the disease Splints [childrens.com]

Children can have one or many symptoms, such as: Joint pain. Joint swelling. Joint stiffness. Trouble sleeping. Problems walking. [web.archive.org]

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Barré-Liéou Syndrome

Also, it promotes acidic blood, which can prompt a headache or foster problems with the hormonal system, which can again lead to headaches. [swfhealthandwellness.com]

It is as important to stop RSD from spreading as it is to stop it from progressing through stages 1-3. [cme.dannemiller.com]

Prolotherapy is an injection therapy that stimulates the body’s natural-occuring healing processes to produce more collagen within joint ligaments,providing increased stability [regenerativehealth.co.za]

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Cryopyrin-Associated Periodic Syndrome

Twelve of the 13 patients (92%) had headache, of whom 10 (77%) had features of migraine. Seven patients (54%) had sensorineural deafness. [ncbi.nlm.nih.gov]

In contrast to other NOMID manifestations, bone lesions continue to progress despite adequate IL-1 blockade. [rheumatologyadvisor.com]

This is also when the stiffness in her joints became more obvious and worse in the knees and feet. We will never know if any or all was a result of the medicine or not. [complexchild.org]

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