Avoid This Painkiller During Dengue

Dengue, often nicknamed 'breakbone fever,' can inflict severe musculoskeletal pain extending beyond the acute infection phase. This pain stems from the virus triggering widespread inflammation that affects muscles, joints, and surrounding tissues, rather than directly damaging bones. Common complaints include pain in the knees, ankles, wrists, elbows, shoulders, and lower back, with muscle pain frequently reported in the thighs and calves.

Most individuals recover from dengue-related pain within two to four weeks with adequate hydration, rest, nutrition, and prescribed medications. However, it is crucial to avoid self-medicating with painkillers like ibuprofen or diclofenac during the acute phase, as these non-steroidal anti-inflammatory drugs (NSAIDs) can elevate the risk of bleeding. Medical professionals recommend paracetamol for fever and pain relief.

Lingering discomfort is normal, but certain signs indicate the need for further medical assessment. Consulting an orthopaedic specialist is advised if pain persists beyond four to six weeks, if joints become swollen or red, if there's difficulty bearing weight, restricted movement, or persistent weakness. Dengue can sometimes reveal pre-existing orthopaedic conditions such as osteoarthritis.

Recovery also involves regaining strength. Gentle stretching, gradual walking, and supervised physiotherapy, once cleared by a physician, are recommended. Rushing back to strenuous exercise may prolong recovery. For those with previous knee or hip replacements, dengue may cause temporary discomfort due to inflammation, but the implants are generally unaffected; persistent worsening symptoms should always be evaluated.