Question
Dear Dr. O'Brien,
I sufferend from Graves' Disease some years back and had a total thyroidectomy in '05.  Since then, I've noticed a peculiar "degradation" of my joints.  I have been known to have hyperelasticity, but in childhood never had this much popping of the joints.  I take thyroxine for the rest of my life, and now I have symptoms of popping in the middle and lower spine, extreme popping of neck, and loud popping of front chest, both left and right sides. My shoulder and hips started popping as well.  I am extremely worried for I am only 29.  I was given warning against osteoarthiritis in the future.  My cross laps blood exams came very low. Is there a certain treatment or excecise that I can do to lower these symptoms, I feel a general pain in my torso almost all the time, and the front chest popping is at a rate of popping every ten minutes, especially during driving. What is happening to my body?

Answer
Dear Deborah,

I can understand your concern.

Unfortunately, I cannot answer your questions, which is "what is happening to my body", but I can perhaps give you some directions as to where you might go for answers.

First, since much of your symptoms appear to have started with a diagnosis of Grave's Disease, perhaps it is time to re-visit your endocrinologist.  The endocrine system, which produces hormones, is very delicate and integrated, meaning that a problem with one hormonal system can cause issues with other glands, hormones, and organs. For example, thyroid problems can actually be the result of pituitary gland problems. You ould also start with your MD Internist. The primary goal is to obtain a working diagnosis. Don't let your MD just gloss over your complaint. A good diagnostic work-up is in order. Always remember that the doctors work for you. If you do not like the one that you are currently using, ask for a second opinion, or find a new one on your own! A diagnosis is only the doctor's best educated guess.

Second, hypothyroidism can cause osteoporosis, or bone demineralization. Perhaps you are not getting enough thyroxine or you are not reacting well to the medication.

Third, I would probably consider a bone density test to determine whether or not you are experiencing significant bone mineral loss. Until that is determined, I would ask my chiropractor to only use non-force or low force techniques.

As for osteoarthritis, we all develop this condition. It is the result of joint function and movement through the years, although some of us tend to develop the condition more quickly and severely than others.

I know that this is not a complete answer, but it tells you where I would start if I had a problem like yours.  I hope that it helps, and I wish you the absolute best of luck.