Different individuals may respond to medication in different ways. The pain largely resolved but returned, albeit to a lesser extent, after 6 weeks, and a follow-up MRI confirmed persistent bursa inflammation. You can use the study as a second opinion to make health care decisions. According the ZOE Covid symptom study released last month and looking only at the Pfizer jab, about a third of vaccine recipients who had previously had Covid reported having a whole-body side . Recap. Activities such as typing or texting, golfing, and gardening can worsen these conditions. However, there wasn't enough research to determine if . How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. All information is observation-only. 20052022 MedPage Today, LLC, a Ziff Davis company. Epub 2021 Oct 1. 2022;40(18):2546-2550. Common reactions include: True allergic or life-threatening reactions following vaccination are extremely rare. If a radiologist knows COVID can trigger inflammatory arthritis and imaging shows joint inflammation, then they can send a patient to a rheumatologist for evaluation. PMC Northwestern University. Radiol Case Rep. 2021 Dec;16(12):3631-3634. doi: 10.1016/j.radcr.2021.08.019. Both programs are administered by the Health Resources and Services Administration (HRSA). COVID-19 vaccines produce an antibody reaction that protects you from the disease. Symptoms can vary depending on where the aberrant shot landed, resulting in various manifestations such as bursitis, tendonitis, or adhesive capsulitis (also known as "frozen shoulder"). 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Tendonitis in Johnson & Johnson COVID Vaccine, Abortion spontaneous (naturally occurring miscarriage), Acute myocardial infarction (acute heart attack), Acute upper airway obstruction (blockage occurs in the upper airway), Ageusia (loss of taste functions of the tongue), Agitation (state of anxiety or nervous excitement), Alopecia areata (patchy baldness that typically begins with rapid hair loss), Anaphylaxis (serious allergic reaction that is rapid in onset and may cause death), Angioedema (rapid swelling of the dermis), Appendicitis (inflammation of the appendix), Appetite - decreased (decreased appetite occurs when you have a reduced desire to eat), Appetite - increased (increased appetite is when you want to eat much more often or in larger quantities than your body requires), Ards (acute respiratory distress syndrome) (sudden failure of the respiratory (breathing) system), Arthritis (form of joint disorder that involves inflammation of one or more joints), Asthenopia (eyestrain-tiredness of the eyes caused by prolonged close work by a person with an uncorrected vision problem), Atelectasis (partial or complete collapse of the lung), Atrial fibrillation/flutter (atrial fibrillation and flutter are abnormal heart rhythms in which the atria, or upper chambers of the heart, are out of sync with the ventricles), Autoimmune disorder (a condition in which the immune system attacks the body's normal substances and tissue), Autonomic nervous system imbalance (autonomic nervous system is of net equal emphasis), Basedow's disease (autoimmune disease where the thyroid is overactive, producing an excessive amount of thyroid hormones), Belching (release of gas from the digestive tract), Blindness transient (sudden loss of vision), Blister (small pocket of fluid within the upper layers of the skin caused by forceful rubbing (friction), burning, freezing, chemical exposure), Blood thyroid stimulating hormone decreased, Blood thyroid stimulating hormone increased, Bradycardia (abnormally slow heart action), Breast lump (localized swelling that feels different from the surrounding breast tissue), Bronchitis (inflammation of the mucous membrane in the bronchial tubes), Bundle branch block right (absence of transmission of electric impulses from the atrioventricular (av) bundle of his to the right ventricle), Bursitis (inflammation of a bursa, typically one in the knee, elbow, or shoulder), Canker sores (painful, open sore in the mouth), Cardiomyopathy (weakening of the heart muscle), Cardio-respiratory arrest (sudden dysfunction of heart and lungs), Cerebral haemorrhage (bleeding within the brain), Cerebral infarction (less blood supply to brain resulting tissue damage), Cerebral thrombosis (blood clot in brain), Chapped lips (cracking, fissuring, and peeling of the skin f lip), Chronic obstructive pulmonary disease (a progressive disease that makes it hard to breathe), Cognitive disorder (mental health disorders affects learning, memory, perception, and problem solving), Concussion (short loss of normal brain function in response to a head injury), Coronary artery occlusion (complete obstruction of blood flow in a coronary artery), Coronary heart disease (narrowing or blockage of the coronary arteries), Crohn's disease (condition that causes inflammation of the gastrointestinal tract), Deep venous thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis), Dehydration (dryness resulting from the removal of water), Dermatitis (inflammation of the skin resulting from direct irritation by an external agent or an allergic reaction to it), Dermatitis contact (skin reaction (dermatitis) resulting from exposure to allergens), Diabetic ketoacidosis (diabetic ketoacidosis (dka) is high concentrations of ketone bodies), Diverticulitis (digestive disease which involves the formation of pouches (diverticula) within the bowel wall), Drooling (drop saliva uncontrollably from the mouth), Dyskinesia (abnormality or impairment of voluntary movement), Ear pruritus (pruritus or itching is ""the unpleasant skin sensation that frequently provokes scratching"" in ear), Eczema (patches of skin become rough and inflamed, with itching and bleeding blisters), Ejection fraction (the percentage of blood that is pumped out of a filled ventricle as a result of a heartbeat), Ejection fraction decreased (systolic heart failure), Encephalopathy (functioning of the brain is affected by some agent or condition), Euphoric mood (excessively happy but may become angry or irritable), Eyelid ptosis (falling of the upper or lower eyelid), Eyelid twitch (spontaneous and uncontrolled spasms of the muscles), Facial paralysis (loss of function of face muscle), Facial paresis (weakness in facial muscle movement), Fainting (loss of consciousness and postural tone), Feeding disorder (when children refuse to eat certain food groups), Fibromyalgia (a long-term condition which causes pain all over the body), Flank pain (a distressing sensation experienced around the lower back and the upper abdomen), Flatulence (flatus expelled through the anus), Fluid retention (an abnormal accumulation of fluid in the blood), Formication (a sensation that exactly resembles that of small insects crawling on (or under) the skin), Gastroesophageal reflux disease (a condition in which stomach contents leak backward from the stomach into the oesophagus), Gastrointestinal disorder (functional problems of gastrointestinal tract), Gastrointestinal haemorrhage (bleeding gastrointestinal tract), Gaze palsy (disorders affecting the ability to move both eyes in the same direction), General physical health deterioration (weak health status), Glossodynia (a burning or painful sensation in the tongue), Gout (uric acid crystals building up in the body), Guillain-barre syndrome (the body's immune system attacks its peripheral nervous system), Haematochezia (passage of stools containing blood), Haematoma (collection of blood outside the blood vessels), Hallucinations (sensations that appear real but are created by your mind), Heart palpitations (feelings or sensations that your heart is pounding or racing), Hemiparesis (weakness on one side of the body), Hemiplegia (paralysis of one side of the body), Herpes simplex (herpes simplex is a common viral infection), Hyperacusis (disorder in loudness perception), Hyperhidrosis (abnormally increased sweating), Hyperkalemia (damage to or disease of the kidney), Hyperthyroidism (over activity of the thyroid gland), Hypervolaemia (abnormally increased volume of blood), Hypoaesthesia (reduced sense of touch or sensation), Hypoaesthesia oral (reduced sense of touch or sensation in mouth), Hyponatremia (abnormally low level of sodium in the blood; associated with dehydration), Hypotension (abnormally low blood pressure), Hypothyroidism (abnormally low activity of the thyroid gland, resulting in retardation of growth and mental development), Idiopathic pulmonary fibrosis (chronic lung disease), Incoherent (talking in a confused and unclear way), Incontinence (lack of moderation or self-control), Injection site erythema (redness at injection site), Injection site haemorrhage (bleeding from injection site), Injection site nodule (small swelling or aggregation of cells in the body, esp. People with inflammatory or autoimmune arthritis may be at greater risk of contracting COVID-19 and developing more severe symptoms than others. 8600 Rockville Pike Nausea. All rights reserved. Epub 2022 Mar 21. Questions and Answers for Patients Regarding Elective Surgery and COVID-19. Med Sci Monit. In 2012, a National Academy of Medicine report concluded that deltoid bursitis may be causally associated with immunization. All rights reserved. Additionally, the COVID-19 vaccine may cause arthritis-like side effects that can last weeks. The patient provided informed consent to publish this case. The HRSA spokesperson said the CICP covers "eligible serious injuries" -- generally, those that require hospitalization or that lead to significant disability. There are ways to manage pain that you may have after coronavirus (COVID-19). Muscle soreness and achy joints are common symptoms among COVID-19 patients. 2023 eHealthMe.com. doi: 10.12659/MSM.937430. MNT is the registered trade mark of Healthline Media. Instead, a piece of laboratory-manufactured genetic material called messenger RNA (mRNA) is injected. All material on this website is protected by copyright. "I just can't move my arm in certain motions," she said. Bancsi A, Houle SKD, Grindrod KA. Read on to learn about the possible association between a SARS-CoV-2 infection and joint swelling. Since then, SIRVA claims have ballooned, rising from 10 in 2011 to 433 in 2016, according to the paper. Careers. "If physical therapy and injection don't work, then primary care refers to us.". KAT and FKT both contributed to direct care of the patient. So in our paper, we discuss the various types of musculoskeletal abnormalities that radiologists should look for and provide imaging examples.". I'm still discovering new areas of damage -- Richard Quest. Many orthopaedic patients have questions about how the COVID-19 vaccine might impact theirbones and joints. Byron Jones was the 27th overall pick in the 2015 . We use cookies to help provide and enhance our service and tailor content and ads. We declare no competing interests. Content on this website is for information only. Epub 2021 May 4. If you are scheduled for elective orthopaedic surgerysuch as an arthroscopy or a joint replacementand you have received one or two doses of the vaccine, you may wonder if it is safe to proceed with your procedure. Some patients worry that receiving an injection in this area could permanently injure their shoulder. The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Tendonitis. It is created by eHealthMe based on reports of 401,887 people who have side effects when getting Pfizer BioNTech Covid Vaccine from the CDC and the FDA, and is updated regularly. Reports of people experiencing tinnitus, vertigo and other hearing problems after having COVID-19 started emerging earlier in the pandemic. An MRI revealed fluid collecting in his joint, as well as adhesive capsulitis, he said. According to a 2021 study, post-COVID-19 arthritis may occur as a result of inflammation, which is part of the bodys natural immune response. An infection with the SARS-CoV-2 virus may cause new or worse symptoms. If you are having a corticosteroid injection for an orthopaedic condition, such as arthritis or carpal tunnel syndrome, your doctor may advise you to wait for a few days after the injection before receiving the COVID-19 vaccine. Tinnitus can develop after any vaccine and tends to happen more often with other vaccines. Instead of going into the muscle, the vaccine goes into the shoulder bursa, causing a strong immune reaction. The Centers for Disease Control (CDC) recommends that you have the vaccine even if you have had a COVID-19 infection and recovered. However, 1530% of people may develop long-term arthritis and other joint issues. by As a veterinarian, Jackson is well versed in giving injections: "This was just poor administration technique," she told MedPage Today. Clipboard, Search History, and several other advanced features are temporarily unavailable. Assessment 4: This will be performed between 181 to 360 days after the onset of symptoms of COVID-19 infection. Five years later, SIRVA was added to the Vaccine Injury Table, which guides allowable claims in federal vaccine court. Researchers in Italy, for instance, studied 12 people who "reported shoulder stiffness and pain arising after COVID-19, with no apparent cause," according to a paper published in the. Shoulder injury related to vaccine administration, or SIRVA, has been documented long before COVID-19 vaccination, and is most frequently reported after influenza vaccination. Have any problems using the site? The initial symptoms of fever, cough, nausea, diarrhoea, and dysgeusia improved progressively until they resolved completely within 30 days. The CDC recommends that you have the COVID-19 vaccine even if you have had an allergic reaction to food, oral medications, pets, or environmental toxins, such as dust or latex, in the past. It's difficult to take x-rays and do long procedures as an oral surgeon: "I have pretty good pain even with just normal function now," he said. If you have any questions or need more information, please contact your orthopaedic surgeon. Treatment for joint pain is available. We would never know about this side effect (or others) but for publications like yours." COVID-19 infection itself has been associated. If you develop tinnitus after your COVID-19 vaccine, report it to VAERS. Nonsteroidal anti-inflammatory drugs are the first-line treatment when reactive arthritis starts. Arthritis can develop or flare up for many reasons. Unilateral Axillary Adenopathy in the Setting of COVID-10 Vaccine. For confirmation, a second nasopharyngeal swab was taken 7 days after the last negative one. Vaccine. Her primary care doctor referred her to a physical medicine & rehabilitation specialist who, after confirming bursa and joint inflammation on imaging, prescribed steroid and lidocaine injections along with physical therapy. However, the report does not confirm that this happened. However, it is not known if the vaccine will cause a positive antibody test in patients who have been vaccinated but not had the virus. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. ScienceDaily, 18 February 2021. People can develop reactive arthritis after COVID-19. 401,887 people reported to have side effects after getting Pfizer BioNTech Covid Vaccine. If you've received monoclonal antibodies, you must wait 90 days after recovering from COVID-19 to receive the vaccine. 2022 Aug 12;40(34):4964-4971. doi: 10.1016/j.vaccine.2022.06.002. Shes been a medical journalist for more than a decade and her work has been recognized by Barlett & Steele, AHCJ, SABEW, and others. Gulick notes that ear ringing may be triggered after having the virus or getting the vaccine if you have a history of tinnitus and/or a preexisting ear condition. That cancer patients delay all imaging for 4 to 6 weeks after the COVID vaccine. 2021 Nov;50(11):2293-2297. doi: 10.1007/s00256-021-03803-x. Like most vaccines, the COVID-19 vaccine is injected into the deltoid muscle on the side of the arm. Financial support for ScienceDaily comes from advertisements and referral programs, where indicated. Sometimes it hurts while driving. COVID-19 vaccine clinical guidance summary for patients with rheumatic and musculoskeletal diseases. 2021 Elsevier Ltd. All rights reserved. Is the ketogenic diet right for autoimmune conditions? "Pending establishment of COVID-19 Countermeasures Injury Table, claims may be filed as non-Table injuries and eligibility for compensation will be determined on a case-by-case basis by the Program," the spokesperson said. They may be referred out to a specialist such as a physiatrist or an orthopedic surgeon. Nonetheless, it would not have applied to COVID vaccines, which fall under a different compensation program. Accessibility Common Side Effects Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. As a total percentage of claims, SIRVA rose from 1.8% to 40.7% during that time, they reported. Arthrocentesis of his left ankle revealed mild inflammatory fluid without monosodium urate or calcium pyrophosphate crystals. Opens in a new tab or window, Share on LinkedIn. September 9, 2021. Joint pain may also be present in long COVID. The study found that some patients reported an all-body rashmedically known as a morbilliform rashoften . COVID-19 vaccines can cause mild side effects after the first or second dose, including: Pain, redness or swelling where the shot was given Fever Fatigue Headache Muscle pain Chills Joint pain Nausea and vomiting Swollen lymph nodes Feeling unwell Most side effects go away in a few days. In some cases, radiologists may even suggest a COVID diagnosis based on musculoskeletal imaging in patients who previously didn't know they contracted the virus, Deshmukh said. pdf files, Reactivation of IgA vasculitis after COVID-19 vaccination, The Lancet Regional Health Southeast Asia, Statement on offensive historical content. Even going to a toilet has its risks. Patients with SIRVA often land in their primary care physician's office first. Physical medicine & rehabilitation physicians, or physiatrists, also play a large role in treating SIRVA. Three months is a . Cantarelli Rodrigues T, Hidalgo PF, Skaf AY, Serfaty A. Skeletal Radiol. One potential symptom of long COVID is joint pain. It may be a normal reaction at the injection site. A spokesperson for HRSA confirmed to MedPage Today via email that despite full FDA approval, Pfizer's COVID-19 vaccine (Comirnaty) still remains covered under the CICP and does not yet move to the VICP. In females, this can lead to inflammation in the genital and reproductive organs as well. If even after 4-6 months post Covid, you are having persistent pain it needs to be investigated If the patient suffered from autoimmune arthritis then a rheumatologist must be involved While. Medpage Today is among the federally registered trademarks of MedPage Today, LLC and may not be used by third parties without explicit permission. pain and swelling in the joints, especially the large joints of the legs, such as the ankles and knees, symptoms that affect only one side of the body, performing strengthening exercises, which prevent muscle wasting. Systemic reactions in persons aged 6-23 months, Pfizer BioNTech BNT162b2 COVID-19 vaccine and placebo a Any fever= 38.0C b Mild: decreased interest in eating; moderate: decreased oral intake; severe: refusal to feed; Grade 4: emergency room visit or hospitalization The U.S. Centers for Disease Control and Prevention (CDC) lists common COVID-19 vaccine side effects as pain, swelling or redness at the injection site; fatigue; headaches; muscle pain; chills;. It is created by eHealthMe based on reports of 401,887 people who have side effects when getting Pfizer BioNTech Covid Vaccine from the CDC and the FDA, and is updated regularly. Tendonitis is found among people who get Pfizer BioNTech Covid Vaccine, especially for people who are female, 60+ old, and in the first week of getting the vaccine. Transformation. The other injuries to receive compensation were anaphylaxis, shoulder pain, bursitis and one death. Japan College of Rheumatology 2022. Sex and gender exist on spectrums. Generally, it's characterized as a "constellation of shoulder pain and reduced range of motion that occurs within 48 hours of vaccination and does not resolve within 1 week," according to a. COVID arm is a minor annoyance that will disappear within a few days. https://www.ncbi.nlm.nih.gov/books/NBK499831/, https://www.yourcovidrecovery.nhs.uk/i-think-i-have-long-covid/effects-on-your-body/joint-and-muscle-problems/, https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html, https://www.niams.nih.gov/health-topics/reactive-arthritis, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9162104/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831681/, https://www.frontiersin.org/articles/10.3389/fimmu.2022.859926/full. The tinnitus remains after six weeks with no end in sight. And of course, most experts agree that if it's been more than five or six months since you got Covid-19 and you haven't been boosted yet, you should do so as soon as you're eligible. (Photo: Getty) getty. What is the latest research on the form of cancer Jimmy Carter has? It's been five months since Lucy Gahan contracted Covid-19, and her life still hasn't returned to normal. The https:// ensures that you are connecting to the Based on this, they concluded that lingering inflammation is the cause. "Everyone ages 18 and older should get a booster shot when they are six months after their initial Pfizer or Moderna series," CDC Director Dr. Rochelle Walensky said in November. The vaccine should slow the spread of COVID-19 around the world. A Baylor College of Medicine vaccine expert weighs in on . Federal government websites often end in .gov or .mil. Please enable it to take advantage of the complete set of features! The phase IV clinical study analyzes which people get Pfizer BioNTech Covid Vaccine and have Tendonitis. CNN . When the nurse got resistance, she redirected the vaccination into the joint space, Jackson said. Bethesda, MD 20894, Web Policies According to the federal Vaccine Adverse Event Reporting System (VAERS) [1], there were 21 deaths this flu season after 180+ million flu vaccines, a rate of 1 death per 9,000,000 vaccinations. Assessment 2: This will be performed between 31 to 90 days after the onset of symptoms of COVID-19 infection. If joint pain occurs as a result of long COVID, the symptoms could be unpredictable. A team of scientists at the University of California San Francisco has found out how SARS-CoV-2, the virus that causes the coronavirus disease (COVID-19) invades proteins in the cells that serve . Will Future Computers Run on Human Brain Cells? If you have an acute injurysuch as a sprain or broken bonebut you are not having surgery, there is no reason to delay vaccination. Muscle soreness and achy joints are common symptoms among COVID-19 patients. The incidence of post-COVID-19 arthritis was 37%. The study is based on data from the CDC and the FDA. Physical therapy helped improve his range of motion to an extent, but his pain lingers. Coronavirus disease 2019 (COVID-19) vaccines have been widely used and have been shown to be effective in combating the pandemic. 18 January 2021. Skin reactions to the COVID vaccine aren't just limited to where you get your jab. * Approximation only. Common reactions include: Swelling or redness at the site of the injection Systemic reactions, such as fever, chills, nausea, vomiting, muscle aches, or fatigue . The COVID-19 vaccine is safe and does not cause arthritis in the vast majority of people. They noted that the term "SIRVA" was introduced in 2010 by a team of physicians with the Vaccine Injury Compensation Program (VICP) who reported on 13 petitioners presenting with severe vaccine-related shoulder pain that persisted for longer than 6 months. This may help reduce symptoms and increase quality of life. On day 21, 1 day after starting physical therapy, he developed acute bilateral arthritis in his ankles, with mild enthesitis in his right Achilles tendon, without rash, conjunctivitis, or preceding diarrhoea or urethritis. "It's the patients who have persistent symptoms who are referred to orthopedic surgeons," Keeling said. We treated the patient with celecoxib and acetaminophen, and she recovered after about 2 months. 04:20. SBI Recommendations for the Management of Axillary Adenopathy in Patients with Recent COVID-19 Vaccination . Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot. Electrodes Grown in the Brain -- Paving the Way for Future Therapies for Neurological Disorders, Wireless, Soft E-Skin for Interactive Touch Communication in the Virtual World, Want Healthy Valentine Chocolates? "Many patients with COVID-related musculoskeletal disorders recover, but for some individuals, their symptoms become serious, are deeply concerning to the patient or impact their quality of life, which leads them to seek medical attention and imaging," said Deshmukh, an assistant professor of musculoskeletal radiology at Northwestern University Feinberg School of Medicine and a Northwestern Medicine musculoskeletal radiologist. BNT162b2 contains mRNA encoding for the SARS-CoV-2 spike protein encapsulated in lipid nanoparticles, in addition to other components that stabilise the vaccine in the circulation and promote its uptake into cells by endocytosis. A new Northwestern Medicine study has, for the first time, confirmed and illustrated the causes of these symptoms through radiological imaging. Views expressed here do not necessarily reflect those of ScienceDaily, its staff, its contributors, or its partners. Beyond this, the injection is given in the deltoid muscle below the space where bursitis or tendinitis would occur and outside the glenohumeral joint where patients might experience arthritis. Send story tips to k.fiore@medpagetoday.com. Studies show that these conditions occur no more often in patients who have received vaccination than they do in the overall population. Materials provided by Northwestern University. COVID-19 seems to have the potential to cause pain in a variety of ways, including damage to peripheral nerves causing neuropathy-like symptoms, by affecting pain pathways inside the brain, and by weakening or disrupting the activity of the musculoskeletal system. Also, even though the vaccine helps protect you from getting sick, it is not known if you could still be a carrier of the virus. Share on Facebook. This resource was created to help address concerns you may have about the effect of the COVID-19 vaccine on your musculoskeletal health. NSAIDs include well-known pain relievers and fever reducers such as aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve). You can use the study as a second opinion to make health care . "The pain and the fatigue from the COVID-19 vaccine can overlap with axial spondyloarthritis symptoms, but the vaccine symptoms tend to be more widespread and usually not localized to singular joints," says rheumatologist John Miller, MD, Instructor of Medicine in the Division of Rheumatology at Johns Hopkins Medicine. Can poor sleep impact your weight loss goals? Although the mechanism of flare is not known, one could speculate that one of these components might have had non-specific adjuvant effect, or there could have been molecular mimicry between the viral spike peptides and the patient's self-peptides, activating a flare. A statement from Johnson & Johnson said that tinnitus was identified as an adverse event in its phase 3 clinical trials of the Covid-19 vaccine but also maintained that it was impossible to. Here, we report a rare case of an 83-year-old woman who was diagnosed with calcification in her left shoulder one year ago and developed calcific tendinitis after receiving an mRNA vaccine for COVID-19 (Pfizer-BioNTech). ScienceDaily. Research suggests that overactive bladder and COVID-19 have links. If an MRI shows a complete muscle injury, surgical repair may be required. Bookshelf The American Academy of Orthopaedic Surgeons (AAOS) has recently stated that the benefits of the COVID-19 vaccine strongly outweigh the orthopaedic risks. Fatigue (feeling of tiredness): 25 people, 13.89%, Mobility Decreased (ability to move is reduced): 17 people, 9.44%, Arthritis (form of joint disorder that involves inflammation of one or more joints): 16 people, 8.89%, Muscle Aches (muscle pain): 15 people, 8.33%, Hypoaesthesia (reduced sense of touch or sensation): 14 people, 7.78%.
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