Why am I Always Tired

As the year comes to a close, many people find themselves dealing with unusual levels of fatigue, body aches, or stiffness. While it’s tempting to blame these symptoms on stress or long working hours, recurring aches can sometimes signal deeper issues.

But here’s the surprising truth:

The early signs of Vitamin D deficiency, calcium imbalance, and inflammatory joint conditions often look exactly like everyday fatigue.

That’s why bone and joint issues tend to go unnoticed for months, or even years, until the symptoms worsen.

If you’ve been feeling “unusually tired” or noticing more aches than before, it may be worth paying closer attention to what your body is trying to tell you.

Why “Everyday Aches” Deserve a Second Look

Your bones and joints are essential for mobility, strength, and daily function but many bone-related issues develop quietly.

  • Aching knees, hips, or lower back
  • Fatigue despite adequate rest
  • Morning stiffness
  • Muscle weakness
  • Slow recovery after activity
  • Joint cracking or reduced range of motion

These symptoms may feel like part of a busy life, but they can also indicate underlying bone or joint imbalances.

The Real Reasons Behind These Symptoms

Vitamin D deficiency is common among adults, especially those who spend most of their time indoors, such as office workers or individuals undergoing rehabilitation. Low vitamin D levels can lead to bone pain, muscle weakness, fatigue, impaired calcium absorption, and a higher risk of fractures.

Low calcium intake is another common issue that can affect bone strength and muscle function. Even when consuming calcium-rich foods such as dairy, leafy greens, nuts, tofu, and anchovies, some individuals may still be at risk of brittle bones, muscle cramps, tingling sensations, or developing osteoporosis later in life.

Elevated uric acid levels can also cause significant joint discomfort; when uric acid builds up in the body, it may lead to gout, which often presents as sudden, intense pain, warmth, and swelling in joints like the big toe, knee, or ankle.

Additionally, inflammatory joint conditions such as rheumatoid arthritis are commonly mistaken for fatigue or muscle strain. Symptoms may include prolonged morning stiffness, warm or swollen joints, and persistent tiredness.

Why Bone & Joint Screening Is Essential

A comprehensive panel helps detect hidden deficiencies or inflammation before they worsen. Screening tests may include:

  • Vitamin D level
  • Calcium profile
  • Rheumatoid Factor (RF)
  • Uric acid
  • Erythrocyte Sedimentation Rate (ESR)
  • Bone mineral density
  • Doctor consultation

This gives a clear snapshot of your overall bone & joint health, empowering you to take proactive steps.

When Is the Right Time to Get a Bone Health Screening?

Body Aches

It may be a good time to get screened if you notice:

  • Persistent fatigue or recurring body aches
  • Morning stiffness or slow mobility
  • Knee, back, or hip discomfort
  • Muscle weakness or cramps
  • Family history of bone or autoimmune conditions
  • Sedentary or indoor lifestyle (low sunlight exposure)
  • Diet low in calcium or Vitamin D

Bone density naturally declines with age, and certain groups are at higher risk for osteoporosis or other bone-related issues.

  • Postmenopausal women and men aged 65 and above: BMD testing is recommended after assessing for risk factors for osteoporosis.
  • Younger adults (under 65 or pre-menopause): Testing may be considered if risk factors are present.

Risk factors that may prompt BMD testing include:

  • Family history of osteoporosis or fragility fractures
  • Menopause before age 45
  • Presence of diseases that can lower bone density or increase fracture risk
  • History of falls
  • Previous fragility fracture
  • Prolonged immobility
  • Height loss of more than 2 cm in 3 years
  • Low calcium intake
  • Excessive alcohol consumption
  • Smoking
  • Low body mass index
  • Use of certain medications (e.g., long-term steroids)

Don’t Ignore What Your Body Is Telling You

Aches and fatigue are easy to ignore, but they often signal that your body needs attention.

As you wrap up the year and look ahead to a healthier start, consider giving your bones and joints the support they deserve.

Explore Executive Health Screening Packages at Healthway Screening Centre and book your Bone & Joint Screening today. A healthier year begins with taking care of your foundation: your bones.

Schedule Your Health Screening

Dr Tng Eng Loon, Senior Consultant Endocrinologist

Medically Reviewed by Dr Tng Eng Loon

Senior Consultant Endocrinologist