Hello Doctor, I am having neck pain, jaw pain, left arm pain upto fingers and shoulder back pain, and severe muscle pain some time its ok and sometime heavy pain and neck pain, whenever I rotate my neck I am feeling pain same as shoulder, my left side chest is also paining and mouth watering and feeling like I am having breathlessness problem while sitting and but while climbing stairs I am not feeling much what is the reason? 3 month back I took TMT, ECHO,ECG all are negative. Still what test I need to do, Whether its a cardiac issue or muscle pain, is this due to deficiency problem, I am really scared, whom I have to consult, Please suggest some medications.

Dr. Julie Mercy J DavidPhysiotherapist21yrs exp

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Multiple Joint Pains / Early morning painIt is called as Rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your ESR levels to check whether you have inflammation.  

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