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Hypothyroidism no reflexes in knees: Woltman sign

David Lewin, Cowley, Oxford As a medical student I was advised to look in patients' eyes if they had absent reflexes. Add your answer.

Matthew Cox
Wednesday, October 28, 2020
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  • Anyone have anything similair or can lend insight into this? He told me it was a symptom from the malfunctioning Thyroid

  • Hyperthyroxinemia Thyroid hormone resistance Familial dysalbuminemic hyperthyroxinemia Hashitoxicosis Thyrotoxicosis factitia Thyroid storm.

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Reflex free T4? So the questioner's brain is working fine! JG Log in or register to post comments. SlowDragon Administrator.

Thyroid disease can be accompanied by a variety of musculoskeletal manifestations ranging from early growth defects during infancy un adult manifestations including myalgias, arthralgias, myopathy, acropachy and frank arthritis. A cross sectional multicenter study of patients with Graves' disease or Hashimoto's thyroiditis and the prevalence of coexisting autoimmune disorders. There is conflicting evidence that calcium pyrophosphate deposition disease Pseudogoutis associated with hypothyroidism. Does this patient have thyroid syndrome? Stage and screen. Hope this helps! Bone density should be checked every 2 years and often improves with the correction to the euthyroid state.

A review on the epidemiology of thyroid disorders including incidence and prevalence, from data taken from geflexes studies from the US and Europe. The tendon reflex protects the muscle from excessive activity. Sleep is affected in hypothyroidism and polysomnography performed in hypothyroid patients reveal decreased stage 3 and 4 sleep. From Wikipedia, the free encyclopedia.

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A review on the neuromuscular findings in thyroid disorders. Medical condition. Dr John Horsfall, Bradfield, Reading The kneejerk is one of the fastest and most primitive knees the body: it uses only two nerve cells via the spinal cord, and does not use the brain. In cretinism, long bone radiographs will reveal multiple foci of ossification resulting in a stippled appearance of bone referred to as epiphyseal dysgenesis. In hyperthyroid states, non-musculoskeletal features often dominate the clinical presentation.

Anyone have anything similair or can lend insight into this? Underactive thyroid hypothyroidism. Nooks and crannies. This simple reflex forms the basis of the test performed by doctors during the examination of a patient's central and peripheral nervous system. View more posts.

He hit my knee with the tiny hammer. This is what doctors look for. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. Ethical conundrums.

Semantic enigmas. The American Journal of Medicine. Horak, HA, Pourmand, R. Small joints can show periarticular refflexes mental symptoms and central erosions of the articular surfaces, predominantly at the MCP and PIP which can mimic erosive osteoarthritis EOA. Since then, I have twice found myself in life-threatening situations where avoidance action would have been sensible, but I froze on each occasion and only survived by sheer good fortune.

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But no doctor has said there ij anything wrong with me, sent me to a specialist or offered an explanation. The patient with a bad headache and brisk relexes in his right arm and right leg might make one suspicious of a left sided brain tumour, whilst severe fatigue coupled with absent or delayed reflexes in every limb, might point to an underactive thyroid. In cretinism, long bone radiographs will reveal multiple foci of ossification resulting in a stippled appearance of bone referred to as epiphyseal dysgenesis.

Register now. Supporting the community See all. As per usual nothing happened, no reflex, I have never had knee reflex. Any answers? But no doctor has said there is anything wrong with me, sent me to a specialist or offered an explanation. Hondo Posts: Joined: Apr So what is the point of the test?

Send a query. Thanks for visiting Rheumatology Advisor. Hospital Physician. PMID Any answers? Electromyography EMG and muscle biopsy can be used for further characterization.

Thyroid UK

Reply 0 Report. The content refldxes this site is for informational purposes only. Speculative science. Perhaps the army reasoned that entrusting the lives of others to someone incapable of split-second reaction would have been a bad idea - they never promoted me. Absence simply means that your GTOs are working well because their function is to inhibit contraction.

Speculative science. View more posts. Lucky dip. Send a query. It is not in the blood but in out roads they are so bad, it makes everything slam dunk twist and jerk, and that is on the highways not to say anything about the back roads.

Root of all evil. Register now. Reply 0 Report. Underactive thyroid hypothyroidism. Any answers? So what is the point of the test?

Secondary ossification centers are delayed and slipped femoral capital epiphysis is a common complication. Hyperthyroidism is estimated to occur in 0. Osteoporosis is rare due to hypothyroidism no reflexes in knees bone formation and decreased hypothyroidiem resorption. The latter can be stimulated by tapping the tendon with a rubber mallet, whereupon the associated muscle contracts slightly. In iodine replete communities, congenital hypothyroidism is due to developmental defects of the gland. In cretinism, long bone radiographs will reveal multiple foci of ossification resulting in a stippled appearance of bone referred to as epiphyseal dysgenesis. Views Read Edit View history.

Hope this helps! Enjoying our content? Views Read Edit View history. Thyroid disease can be accompanied by a variety of musculoskeletal manifestations ranging from early growth defects during infancy to adult manifestations including myalgias, arthralgias, myopathy, acropachy and frank arthritis.

C Hypothyroidism no reflexes in knees, Manchester, UK I also have no such reflex - in fact, the army medical officer who first recorded this told me that, according to his little hammer, my existence was in doubt! Forgot username or password? At my very unsuccessful trip to the GP this morning see former post. Hondo Posts: Joined: Apr Log in or register to post comments.

At the larger joints, such as hips, hypohhyroidism, aseptic necrosis, and inflammatory arthritides can mimic the presentation. Imaging findings with thyroid acropachy include periosteal bone formation, described as spiculated or lacy in appearance at the metacarpals, proximal, middle phalanges of the hand and the metatarsals and proximal phalanges of the toes. Chondrocalcinosis on knee radiographs and calcium pyrophosphate crystals from synovial fluid samples have been reported to occur more frequently although the association with pseudogout has not been consistently reproduced. Recent queries. News Guardian.

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Swelling - Both legs. Has anyone experienced swelling in the legs. So the questioner's brain is working fine! Stage and screen.

  • The differential diagnosis is often case specific due the variety of musculoskeletal presentations. The delayed ankle jerks are associated with: [3] [4].

  • Hope this helps! Both my legs beat to the knee have swelled up.

  • Paul Climie, Glasgow, Scotland The questioner must have a kneejerk reflex, to allow him to reflexively respond to events such as jumping and running. Root of all evil.

Reflexea is it? It is accompanied by absent or diminished knee and ankle reflexes, is more common in women than men, and is of absolutely no significance. If the brain or its connections are damaged - for example by a stroke - the reflex will be uncontrolled and grotesquely huge in the knee opposite the damaged side. News Guardian.

Close more info about Thyroid Noo. Osteoporosis associated with hyperthyroidism requires treatment to achieve the euthyroid state. Sign in Register. The patient with a bad hypothyroidism no reflexes in knees and brisk relexes in his right arm and right leg might make one suspicious of a left sided brain tumour, whilst severe fatigue coupled with absent or delayed reflexes in every limb, might point to an underactive thyroid. Myoedema is the phenomenon of mounding of the muscle tissue after light percussion lasting seconds. Uric acid levels have been shown to normalize after achievement of the euthyroid state. Enjoying our content?

I would never thought it could effect something like that, weird huh Do not use this information to diagnose or treat a health hypothyroidizm or disease without consulting with a qualified healthcare provider. Reply 1 Report. Muscle stiffness, aches, joint pain, tender knees Joint pain and muscle ache in hips, knees and legs. C Partridge, Manchester, UK I also have no such reflex - in fact, the army medical officer who first recorded this told me that, according to his little hammer, my existence was in doubt!

If the brain or its connections are damaged - for example hypothyroidusm a stroke - the reflex will be uncontrolled and grotesquely huge in the knee opposite the damaged side. It is accompanied by absent or diminished knee and ankle reflexes, is more common in women than men, and is of absolutely no significance. Both MRI and bone scans are not routinely used in evaluation. This result is similar to findings seen in fibromyalgia. Enjoying our content?

Creatine relexes CK can be elevated and is associated with a prolonged ankle jerk reflex and muscle enlargement. Damage to the brain or spinal cord can produce very brisk reflexes in the affected limb, whilst damage to a peripheral nerve produces dimished or absent reflexes. This result is similar to findings seen in fibromyalgia. The same was not observed in hypothyroid patients. PMC Views Read Edit View history.

A cross sectional multicenter study of patients with Graves' disease or Hashimoto's thyroiditis and the prevalence of coexisting autoimmune disorders. To evaluate the various differential diagnoses, Inflammatory markers should be ordered including erythrocyte sedimentation rate ESR and C-reactive protein CRP. So what is the point of the test? Dr Anthony Carr, McMaster University, Ontario Canada I have been unable to walk for any length of time as my right foot will not stay straight, I have seen the Neurologist at the hospital and she told me that I have no knee reflexes in either knee and both the tops of my feet are numb, not a word that translates to spanish Margaret margaret may, fuerteventura spain The tendon being stroke contains Golgi Tendon Organs GTOs.

  • Orbital decompression can be used in severe cases. ISBN

  • C Partridge, Manchester, UK I also have no such reflex - in fact, the army medical officer who first recorded this told me that, according to his little hammer, my existence was in doubt!

  • Both MRI and bone scans are not routinely used in evaluation. The symptoms include heat intolerance, onycholysis, hair thinning, dermopathy, ophthalmopathy, tachycardia, dyspnea, urinary frequency, psychosis, depression, and in the elderly, apathy.

  • From Wikipedia, the free encyclopedia. Birds and the bees.

This simple reflex forms the basis of the test performed by doctors during the examination of a patient's central and peripheral nervous system. David Lewin, Cowley, Oxford As a medical student I was advised to look in patients' eyes if they had absent reflexes. Underactive thyroid hypothyroidism. Molly Tring, Maldon, Essex Within each tendon one finds a stretch receptor.

This simple reflex forms the basis of the test performed by doctors during the examination of a patient's central and peripheral nervous system. Absence of the knee jerk reflex frequently indicates diseases such as pernicious anemia, thyroid disease, or disease of the spinal cord uypothyroidism brain itself. When your foot touches the ground under load and your "kneejerk" tendon begins to stretch, the thigh muscles immediately begin to tense to dampen the movement and prevent your bottom touching the floor. It has countless uses, as the speed and forcefulness of the response varies in disease states. Both my legs beat to the knee have swelled up. It is not in the blood but in out roads they are so bad, it makes everything slam dunk twist and jerk, and that is on the highways not to say anything about the back roads. Home About Posts Members.

  • Hypothyroidism, as defined solely by laboratory findings due to the variable clinical presentation, includes elevated serum TSH greater than 3.

  • Damage to the brain or spinal cord can produce very brisk reflexes in the affected limb, whilst damage to a peripheral nerve produces dimished or absent reflexes. Contact us.

  • If the brain or its connections are damaged - for example by a stroke - the reflex will be uncontrolled and grotesquely huge in the knee opposite the damaged side.

  • Skiffin16 Posts: Joined: Sep Do you have knee stiffness?

Birds and the bees. Hi John. Absence of the knee jerk reflex frequently indicates diseases such hypothyroidism no reflexes in knees pernicious anemia, thyroid disease, or disease of the spinal cord or brain itself. If the brain or its connections rdflexes damaged - for example by a stroke - the reflex will be uncontrolled and grotesquely huge in the knee opposite the damaged side. The patient with a bad headache and brisk relexes in his right arm and right leg might make one suspicious of a left sided brain tumour, whilst severe fatigue coupled with absent or delayed reflexes in every limb, might point to an underactive thyroid. Reply Like 0 Save post Report.

Graves disease is the most common etiology, followed by toxic multinodular goiter. Destructive lesions of the tibial plateau similar to compression fractures have been described, possibly due to epiphyseal dysgenesis or aseptic necrosis. There is a higher incidence seen in Trisomy Referral to an endocrinologist is recommended. Show More. The latter can be stimulated by tapping the tendon with a rubber mallet, whereupon the associated muscle contracts slightly. In depth review of the rheumatic manifestations of thyroid disease.

Any answers? Autoimmune thyroid disease can be caused by multiple autoantibodies. Secondary causes for calcium pyrophosphate deposition disease CPPD should be investigated if present, including parathyroid hormone hyperparathyroidismcalcium, magnesium, and hemochromatosis screening liver function testing including AST, ALT, transferrin saturation and ferritin.

Both my legs beat to the knee have swelled up. As per usual nothing happened, no reflex, I have never had knee reflex. Log in or register to post comments. Skip to main content. Hope this helps! Register now.

Can anyone tell me why they do this and what it means. So what is the point of the test? At side of knees. Swelling - Both legs. As per usual nothing happened, no reflex, I have never had knee reflex. News Guardian.

In hypothyroidism, this is commonly achieved with hormone replacement therapy. Treatment involves achieving the euthyroid state. Uric acid levels have been shown to normalize after achievement of the euthyroid state. This result is similar to findings seen in fibromyalgia.

Referral to an endocrinologist is recommended. If the questioner gypothyroidism her fingers and strains knees pull her hands apart, tapping her knee will elicit a brisk reflex because the brain thinks she is carrying a heavy load and needs extra support if she stumbles. Does this patient have thyroid syndrome? The differential diagnosis is often case specific due the variety of musculoskeletal presentations. A review of rheumatologic diseases associated with the endocrinopathies.

However, reflees brain does preset the strength of the reflex. The differential for the neuromuscular manifestations include polymyositis, rhabdomyolysis, carpal tunnel syndrome, polymyalgia rheumatica, muscular dystrophy, other causes of myopathy, myasthenia gravis, and motor neuron diseases. Does this patient have thyroid syndrome? The American Journal of Medicine. Secondary and tertiary causes are due to pituitary and hypothalamic defects, respectively.

Since then, I have twice found myself in life-threatening situations where avoidance action would have been sensible, but I froze on each occasion and only survived by sheer good fortune. But no doctor has said there is anything wrong with me, sent me to a specialist or offered an explanation. Tapping the tendon of the hanging leg just below the knee cap should cause the leg to kick forward slightly.

  • Patients generally recover well with treatment at both extremes.

  • This sceptred isle. Dr John Horsfall, Bradfield, Reading The kneejerk is one of the fastest and most primitive in the body: it uses only two nerve cells via the spinal cord, and does not use the brain.

  • Muscle biopsy is useful in long standing hypothyroidism to differentiate inflammatory myositis, showing Type 1 and 2 fiber atrophy, hypertrophy and myofiber necrosis. Wormian bones are a normal variant seen in the general population, more frequently in the Asian population.

  • Calcium and vitamin D supplementation when appropriate is recommended.

Tobacco cessation is recommended. Does this patient have thyroid syndrome? In hyperthyroidism osteopenia and osteoporosis are the most common complications. The incidence and prevalence of thyroid related musculoskeletal disease has not been established. Perhaps the army reasoned that entrusting the lives of others to someone incapable of split-second reaction would have been a bad idea - they never promoted me.

Paul Climie, Glasgow, Scotland The hypotnyroidism must have a kneejerk reflex, to allow him to reflexively respond to events such as jumping and running. Lucky dip. Thanks Hondo Log in or register to post comments. Send a query. This simple reflex forms the basis of the test performed by doctors during the examination of a patient's central and peripheral nervous system.

Destructive lesions of the tibial plateau similar to compression fractures have been described, possibly due to epiphyseal dysgenesis or aseptic necrosis. Hypothyroid arthropathy most commonly affects the knees, metacarpophalangeal MCP joints, proximal interphalangeal PIP joints, metatarsal phalangeal MTP joints and wrists. It is accompanied by absent or diminished knee and ankle reflexes, is more common in women than men, and is of absolutely no significance. British Medical Bulletin. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC.

Thyroid disease. Hypothyroidism Hyperthyroidism Differential diagnosis What tests to perform? Sleep is affected in hypothyroidism and polysomnography performed in hypothyroid patients reveal decreased stage 3 symptoms hypothyroidism 4 sleep. At the larger joints, such as hips, osteoarthritis, aseptic necrosis, and inflammatory arthritides can mimic the presentation. There is debate whether exogenous levothyroxine or low circulating thyroid stimulating hormone is an independent risk factor for development of osteoporosis. Further evaluation based on history, exam and imaging results could include rheumatoid factor and antinuclear antibodies ANA.

A review on the neuromuscular findings in thyroid disorders. Close more info about Thyroid Syndromes. There are two forms of destruction — goitrous and atrophic. When thyroid supplementation is given in suppressive doses i.

No thyroid on T This sceptred isle. Recent queries.

When your foot touches the ground under load and your "kneejerk" tendon begins to stretch, the thigh muscles immediately begin to tense to dampen the movement and prevent your bottom touching the floor. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Recent queries. Do you have knee stiffness? But this raises the question: why perform the test at all if the absence of the reflex would cause the patient to "fall", rather than walk, into the GP's office?

ALSO READ: Hypothyroidism Cause Depression

Home About Posts Members. It has countless uses, as the speed and forcefulness of the response varies in disease states. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Lucky dip. Only on rare occasions are knee jerks absolutely absent in healthy individuals. Damage to the brain or spinal cord can produce very brisk reflexes in the affected limb, whilst damage to a peripheral nerve produces dimished or absent reflexes.

Dr John Horsfall, Bradfield, Reading The kneejerk is one of the fastest and most primitive in the body: it uses only two nerve cells via the spinal cord, and does not use the brain. It is not a substitute for professional medical advice. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. Nooks and crannies.

This simple reflex forms the basis of the test performed knees doctors during the examination of a patient's central and peripheral nervous system. This response is called the knee jerk reflex and is usually present under all circumstances. The latter can be stimulated by tapping the tendon with a rubber mallet, whereupon the associated muscle contracts slightly. Nadine Dorries says women should stand up to doctors. Please consult your healthcare provider with any questions or concerns you may have regarding your condition.

Add your hypothyroiidism. Myoedema is the phenomenon of mounding of the muscle tissue after light percussion lasting seconds. ISBN Hypothyroidism no reflexes in knees rights reserved. But no doctor has said there is anything wrong with me, sent me to a specialist or offered an explanation. Magnetic resonance imaging MRI can be further used to evaluate structural damage. Additionally, atypical infections such as tuberculosis, sarcoidosis, and malignancy should remain on the differential.

This sporting life. Click here to search public areas. It is not a substitute for professional hypotyhroidism advice. But this raises the question: why perform the test at all if the absence of the reflex would cause the patient to "fall", rather than walk, into the GP's office? The tendon reflex protects the muscle from excessive activity. However, the brain does preset the strength of the reflex.

Reply Like 0 Save post Report. Nooks and crannies. Thanks Hondo Log in or register to post comments.

Semantic enigmas. Click here to search public areas. But this raises the question: why perform the test at all if the absence of the reflex would cause the patient to "fall", rather than walk, into the GP's office? Red tape, white lies.

Cramping can be severe, and myalgias worse after exertion. The body beautiful. The differential for the neuromuscular manifestations include polymyositis, rhabdomyolysis, carpal tunnel syndrome, polymyalgia rheumatica, muscular dystrophy, other causes of myopathy, myasthenia gravis, and motor neuron diseases. Autoimmune thyroid disease can be caused by multiple autoantibodies.

  • The same was not observed in hypothyroid patients. This simple reflex forms the basis of the test performed by doctors during the examination of a patient's central and peripheral nervous system.

  • He hit my knee with the tiny hammer. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider.

  • Sleep is affected in hypothyroidism and polysomnography performed in hypothyroid patients reveal decreased stage 3 and 4 sleep. Musculoskeletal symptoms include myopathy, adhesive capsulitis, myxedema, acropachy, and osteoporosis.

  • The most common cause of thyroid disease is due to goiter.

David Lewin, Cowley, Oxford As a medical student I was advised to look in hypothyroidism no reflexes in knees eyes if they had absent reflexes. Damage to the brain or spinal cord can produce very brisk reflexes in the affected limb, whilst damage to a peripheral nerve produces dimished or absent reflexes. Hope this helps! Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Any answers? Click here to search public areas.

He told me it was a symptom from the malfunctioning Thyroid This response is called the knee jerk reflex and is usually present under all circumstances. SlowDragon Administrator. You may also like Home About Posts Members. Nooks and crannies. The content on this site is for informational purposes only.

Any answers? Initial imaging includes radiographs of the affected joint. Both anti-thyroglobulin and anti-thyroitropin antibodies are seen in varying degrees in relatives with autoimmune thyroiditis, reinforcing a genetic predisposition for antibody development.

JG Log in or register to post comments. Not a member? Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Ethical conundrums.

Propylthiouracil has been shown to be the culprit for ANCA-positive drug-induced vasculitis. This is due to partial placental transfer of maternal thyroid hormone. It is due to intracellular potassium shifts. There is debate whether exogenous levothyroxine or low circulating thyroid stimulating hormone is an independent risk factor for development of osteoporosis.

Add links. Treatment involves achieving the euthyroid state. From Wikipedia, the free encyclopedia. PMC It is considered pathologic when there are greater than 10 accessory bones or if they become large.

Recent queries. Reflex free T4? Thanks Hondo Log in or register to post comments. Muscle stiffness, aches, joint pain, tender knees Joint pain and muscle ache in hips, knees and legs.

Related Posts. This simple reflex forms the basis of the test performed by doctors during the examination of a patient's central and peripheral nervous system. Damage to the brain or spinal cord can produce very brisk reflexes in the affected limb, whilst damage to a peripheral nerve produces dimished or absent reflexes. This sporting life. It is accompanied by absent or diminished knee and ankle reflexes, is more common in women than men, and is of absolutely no significance. Skiffin16 Posts: Joined: Sep

Thyroid disease. Whether a GP can stimulate the reflex to perform with a rubber hammer is a different question. Weakness is the most common phenomena. Login Register. Hidden categories: Articles with short description Short description matches Wikidata.

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