Muscle pain is to be expected after a good workout, a long walk or some other exercise-like activity, but it shouldn’t be expected on a daily basis or when you haven’t even exerted your muscles very much. Unfortunately, while it shouldn’t happen, it does to many people and they probably don’t realize that muscle pain is yet another symptom of thyroid dysfunction.
Interestingly, muscle pain can stem from both hypo and hyperthyroidism, known as hypothyroid myopathy and hyperthyroid myopathy, respectively. This means that if you are being treated for your thyroid dysfunction and your treatment is not yet optimal, you may experience muscle pain.
While the same type of pain is experienced in both forms of thyroid dysfunction, the location is different. Those with hypothyroid myopathy will experience the following,
- Muscle pain/weakness
- Muscle cramps/stiffness
- Tendonitis
- Joint pain
Hypothyroid myopathy can also lead to carpal tunnel syndrome and, the lesser known, tarsal tunnel syndrome while hyperthyroid myopathy can result in,
- Inability or difficulty climbing stairs
- Inability or difficulty gripping or holding items
- Inability or difficulty raising arms above head
- Pain in facial and throat muscles
Thankfully, this symptom is typically resolved when the thyroid medication dose is optimized; however, this will be a process and takes time. There are some other options you can try in the meantime such as,
- Massage – a full body or even targeted massage will help stimulate blood circulation in those areas and ease the muscle pain.
- Warm bath/shower – the heat is a natural muscles relaxer and is extremely helpful when it comes to cramps and tension.
- Light exercise or movement – this may be a difficult thing to accomplish if your thyroid treatment is not optimal seeing as fatigue is one of the main symptoms associated with thyroid dysfunction, but similar to a massage, movement allows for better circulation and stretching can help relieve tension and cramps.
- Magnesium – unbeknownst to many, muscle pain and cramps can be exacerbated by a magnesium deficiency. Ask your doctor to check your magnesium levels and if necessary, begin taking a high quality supplement.
- Rest – this seems like a no-brainer, but sometimes our muscles just need to simply relax.
If your thyroid treatment is optimized and the pain just won’t go away, it may be time to discuss some potential underlying causes with your physician. This can range from a vitamin/mineral deficiency to fibromyalgia.
Pain is not something you want to live with and experience everyday so it’s important to speak with your doctor about this symptom and about optimizing your thyroid treatment.
What is the maximum safe dose of magnesium a day?
Hello Susun,
First, it is important to have your Magnesium levels checked to be aware of a deficiency and determine a proper dose. Second, there are a couple of different types of Magnesium. The most popular are Magnesium Glycinate and Magnesium Citrate. Citrate is helpful if you have any constipation issues. While Glycinate does not have any impact on digestion.
Sincerely,
Naomi
Patient Advocate with NAH
That’s why I added T3, Cytomel and lowered my Synthroid dose. I was really suffering muscle pain and my lab work (cpk) was off the charts. Within a week, my pain went down almost completely. Find a doctor who works with you.
I was diagnosed with extreme Hypothyroidism in March. I went to the doctor initially because of my muscle pain and weakness. My Endocrynologist (spelling) said it was the worst numbers he had seen. My thyroid levels are now in the normal range including my CK levels and my muscle pain did subside somewhat but I am still experiencing a lot of pain and swelling any time I do normal every day activities. I can’t imagine living with this pain and swelling every day of my life! How long do these symptoms typically last? Am I expecting the symptoms to subside… Read more »
i even had the same issue of abnormally high tsh and leg muscle tightening. it has been since a year. the tsh levels reduced but muscle pain remains same. if u have resolved ur issue of muscle pain, kindly guide me
Hello, I’ve Autoimmune hypothyroidism and on T4 for last 7years. my major concern is hypothyroid myopathy which causes too much fatigue-ness, aches in my upper and lower limbs esp lower limbs and disturbing my quality of life. a friend of mine recently suggested me to try L.Carnitine to boost mitochondrial FA metabolism and magnesium. Could you guide me in this matter, please? I am afraid it might worse my hypo state. thank you
I have been hypothyroid for several years. I am currently experiencing muscle and joint pain. I can not climb stairs well etc. Where can I find a doctor or lab to run proper tests. I’m tired of not feeling well and hurting all the time.
major muscle cramps inner thighs after workout when i sit and raise legs for extended period or in middle of night .tried manesium, quinine in tonics water, potassium, electrolytes no relief rob
I was prescribed pramipexole. It is a parkinson disease medication which stops involuntry muscle movements. It is my wonder drug and started working from the first night i took them. Gone is my acute restless leg and arm syndrome and my muscles have definatly seen an inprovement…
I was diagnosed with Hashimotos 19 years ago. I have been taking thyroxine for all those years. I am no experiencing leg pain and stiffness and was wondering if this could be due to not being on the right dose. I have never really felt well since my diagnosis and even when I ask the doctor about my results she always says Im in the normal range. Well If that is the case Im not normal. This symptom of pain and stiffness is new and seems to be getting worse. I have also had issues with my liver function over… Read more »
You sound like me. I have been on thyroid meds since I was diagnosed as a teenager, and the doctor is satisfied I am in the normal range. I take Armour Thyroid, or did – I am now on a generic version. I wonder if that could be the problem. I am now 70, but still work and stay active. But the problem is this last two years, especially the last six months, have given me leg pain, extreme stiffness, tendonitis in my right, sometimes left foot, and OTC meds help a bit but not a lot. I find the… Read more »
Naomi, I learned a lot from reading your post. It helped me get a better understanding of muscle pain. I didn’t that it could stem from both hypo and hyperthyroidism. That might be the cause of my cousin’s muscle pain.
I have Hashimotos along with lumbar stenosis and DDD. So I’m sure a majority of my pain comes from these conditions. My question is that I have been advised by my PT to do stabilization exercises to strength core and back and stabilize my SI Joint. However as I step up my workouts it seems that’s when the pain increases. Could this be connected to muscle myopathy?
I had a complete thyroidectomy in October, and radiation in April and I have been having issues with muscle cramp, spasm, and weakness since the beginning of July. I think it’s a medication imbalance, and it’s been slowly improving with that change, but massage feels soooo gooood guys. Just give your muscles a gentle rub, it feels amazing.
I recently had my thyroid removed, it was wrapped around my esophagus. My doctor prescribed 125mg of levothyroxine, 3 weeks later I was awakened By a Charlie horse in my leg, so bad it was my inner thigh to my toes cramped. I also am having shortness of breath. I did see a cardiologist before my operation and was cleared. Before this operation I was able to swim a mile 4 X’s a week ( 44 laps ) now I don’t have the breath to even do 10 laps in a row. I have been practicing deep breathing and it… Read more »
I believe Levothyroxine is what caused my joint & bone pain. Never had this issue until a smarty pants know-it-all young doctor switched me from Armour which worked fine for me. After he switched me to that synthetic version I started having all kinds of health problems. Including scarey chest pain. Glad I finally found another dr that put me back on Armour and praying thos pain gets better soon. Going to see a specialist in Panama City, FL soon that knows how to run a full panel thyroid and treat with additional meds if needed.