Joint Pain And Cold Symptoms

Dr. Shawani ShadangiMBBS, DNB (Internal Medicine)Internal Medicine Specialist

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Someone actually cannot predict when it is going to worsen but yet there is two aspects of understanding it 1. Your disease activity is well controlled 2 . Your disease activity is not controlled ( what may precipitate it or land uh in 2. is any infections / non compliance with the medication/ ignorance and loss of follow up ) I hope uh are keeping well and best wishes 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Shoulder pain - left and also chest pain and also back pain. If you have left hand shoulder back pain and also chest pain it might be due to shoulder pain which itself is called peri arthritis shoulder perhaps if you have movement restriction in the shoulder joint especially in the left side it could be also due to diabetes mellitus or due to pa shoulder. This can be ruled out with my above suggestions. But if you don't have any above mentioned issues or symptoms, then we need to rule out the gastric trouble which you might be the reason for you to have shoulder back pain as well as chest pain. If it is due to gastritis the you can avoid tamarind in the food and also you can avoid smoking if you are a smoker. You can drink hot water to feel better along with regular aerobic activities and breathing exercises involving deep breathing exercises involving both the shoulder and abdomen - diaphragmatic breathing exercises which will help you to come out of this issue. Hope you find better and let us know. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Ankylosing spondylitis ankylosing spondylitis is a cause of back pain in adolescents and young adults. Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints chronic inflammation in these areas causes pain and stiffness in and around the spine, including the neck, middle back, lower back, and buttocks. Over time, chronic inflammation of the spine (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis causes loss of mobility of the spine. Pt treatment deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs. Home remedies physical therapy for ankylosing spondylitis includes instructions and exercises to maintain proper posture. This includes deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Since ankylosis of the spine tends to cause forward curvature (kyphosis), patients are instructed to maintain erect posture as much as possible and to perform back-extension exercises. Patients are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Ankylosing spondylitis can involve the areas where the ribs attach to the upper spine as well as the vertebral joints, thus limiting breathing capacity. Patients are instructed to maximally expand their chest frequently throughout each day to minimize this limitation. Physical therapists customize exercise programs for each individual. Swimming often can be a very beneficial form of exercise, as it avoids jarring impact of the spine. Ankylosing spondylitis need not limit an individual's involvement in athletics. People can participate in carefully chosen aerobic sports when their disease is inactive. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs. Cigarette smoking is strongly discouraged in people with ankylosing spondylitis, as it can accelerate lung scarring and seriously aggravate breathing difficulties. Occasionally, those with severe lung disease related to ankylosing spondylitis may require oxygen supplementation and medications to improve breathing. People with ankylosing spondylitis may need to modify their activities of daily living and adjust features of the workplace. For example, workers can adjust chairs and desks for proper postures. Drivers can use wide rearview mirrors and prism glasses to compensate for the limited motion in the spine. You should check with your doctor before using compression socks for your swelling. These special socks should be properly fitted for you and your needs. Also, be sure to wear them during the day and remove them before you go to bed. Leg elevation if you stand a lot during the day, try propping your feet up or soaking them in water when you get home to help prevent swelling. Muscle relaxant: reduces muscle tension and helps relieve muscle pain and discomfort. Transcutaneous electrical nerve stimulation (also known as tens) is something which helps ease muscle pain and spasms. You can strengthen the muscles by doing tonificationie. Improving the tone of the muscles by adding either weight cuffs / sand bags which will help you to improve the strength of the muscle. 

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Dr. Sirish PhysiotherapistBPTh/BPTPhysiotherapist

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You may still be experiencing some residual issues related to your meniscus tear, even though you have recovered from the initial injury. The specific symptoms you described, such as pain when bending the knee while sitting and needing to tighten your calf to feel the pain, suggest that there may be ongoing irritation or inflammation in the knee joint. One possibility is that you could be experiencing a condition called "meniscal irritation" or "meniscal impingement. This occurs when the torn edge of the meniscus rubs against other structures in the knee joint, causing pain and discomfort, particularly during activities that involve bending the knee. Another possibility is that you may have developed some scar tissue or adhesions in the knee joint as a result of the initial injury and subsequent healing process. This scar tissue can sometimes cause stiffness and discomfort, especially with certain movements like bending the knee while sitting. It's important to have your knee evaluated by a healthcare professional, preferably one specializing in sports medicine or orthopedics. They can perform a thorough examination, possibly including imaging studies like an mri, to determine the exact cause of your symptoms and recommend an appropriate treatment plan. This may include physical therapy to improve flexibility and strength, specific exercises to address any imbalances or weaknesses, and possibly further interventions such as injections or, in some cases, surgery to address any ongoing issues with the meniscus or other structures in the knee joint. 

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Dr. Baseer HashmiMBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), Fellowship in Joint Replacement, fellowship in sports injury and arthroscopy surgery and hip and knee replacementOrthopedic Doctor

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Hi Mr. lybrate-user. I hope you are fine. I went through the report that you have mentioned above and going through the history you have provided. I would say synovial thicvkening in sports athletes are very common especially in wrist which caused due to "over strenious work "this type of injury are very common in body builders, tennis players or any spoirts which involves maximum use of wrist. Synovial thickening is our body's response to friction caused due to inability to cope up with stress those tendons or ligaments going through. So coming to treatment part:- sports modification like using wrist support while workout, correct the position of your grip, reduce the amount of reps and repitation for 2-3 weeks to reduce load on your tendons ,give couple of days rest to it. Medications local diclo spray ,icepack is sufficient and for medications follow only on written prescription. I hope this will help. All the best. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Poor sitting posture is a common cause of sciatica. To assist the support of your lower back many simple and effective products have been developed over time. These include: lumbar d-roll bassett frame kinesiology lumbar tape please ask your physiotherapist for their advice in what will help you most. This simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. 1.Lie on your back with your legs extended and your feet flexed upward. 2.Bend your right leg and clasp your hands around the knee. 3.Gently pull your right leg ac 4.Ross your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. 5.Push your knee so your leg returns to its starting position. 6.Repeat for a total of 3 reps, and then switch legs. 5.sitting spinal stretch sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. 1.Sit on the ground with your legs extended straight out with your feet flexed upward. 2.Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. 3.Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. 4.Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch this stretch can help ease pain and tightness in the hamstring caused by sciatica. 1.Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. 2.Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. 3.Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. 4.Hold for at least 30 seconds, and then repeat on the other sideif you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back. U have to take vitamin d rich foods. Likemilk,cheese, yogurt,brocoli, spinach.u need calcium consumption for increase the bone density. Lackof bone and bones crush inside the body this might be due to low calcium or vitamin d which has more impact on the bone density and also it makes one to feel that there is lack of bone strength or in a way the bones are brittle and almost breaking and they feel it is crushed in a way there are many bones breaking at the same time. You have to take vitamin d rich foods. Likemilk,cheese, yogurt, brocoli, spinach.u need calcium consumption for increase the bone density. vitamin d intake via supplements or exposure to low levels of sunlight. Vitamin d is used to absorb calcium in the bone and regulate calcium in the blood. If you have leg pain then you have to rule out the causes for having leg pain. First of all check your weight and your haemoglobin levels, as anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. Lumbar radiculopathy: pain in lower back or glutei region with sharp shooting pain radiating from hip to leg/foot region, occurs in cases of lumbar radiculopathy or sciatica. This is due to compression of lumbar nerve root or sciatic nerve by disc prolapse, facet joint, trauma, hypertrophied ligamentumflavum, piriformis syndrome, etc. L5 vertrbrae and patient has pain the legs and sensation is disturbed? That is called as lumbar vertebrae. And there are 5 lumbar vertebrae and the 5th lumbar vertebrae is always is located in the lower end where the body weight is taken and it is generally fused with sacral vertebrae. That is where the sciatic nerve passes by and the nerve gets compressed that's the reason you have pain and sensation is disturbed. Loss of concavity of l4-l5 vertebrae. It is other wise called as the lumbo sacral curve which is very important for the spine to take the entire weight evenly if not it leads to disturbance of the disc and also the vertebrae which makes the spine to loose its concavity that's why it is called as loss of posterior concavity. For which we need to improve the spine posture and we need to adapt good posture during our day to day life activities. I have pain in my left side leg. This should be due to the sciatic nerve compression in the right side probably close to your l5 vertebrae. It can also be due to the strain on the left leg, try wearing mcr chappals which would help you to get relieved from pain. We suggest you to wear a lumbo sacral corset and also modified foot wear if you want we can send you by courier. 

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Dr. Sirish PhysiotherapistBPTh/BPTPhysiotherapist

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The symptoms you've listed can be complex and may indicate various underlying health conditions. Given the wide range of symptoms affecting different parts of your body, it would be best to consult with a primary care physician initially. They can conduct a thorough assessment, review your medical history, and perform any necessary physical examinations. Based on your symptoms, the primary care physician may refer you to one or more specialists, depending on their assessment. Here are some specialists who may be involved in your care: neurologist: given your long-term headache, memory issues, and double vision, a neurologist specializes in evaluating and treating conditions affecting the nervous system, including the brain and nerves. Rheumatologist: if you're experiencing long-term body pain, weakness, and difficulty sleeping, a rheumatologist specializes in diagnosing and treating conditions affecting the joints, muscles, and bones, such as fibromyalgia or autoimmune disorders. Ophthalmologist: since you're experiencing long-term effects on your eyes, including double vision and changes in prescription, an ophthalmologist specializes in diagnosing and treating eye conditions and may perform a comprehensive eye examination. Orthopedic surgeon: if your shoulder and shoulder blade pain is persistent and affecting your mobility, an orthopedic surgeon specializes in diagnosing and treating musculoskeletal conditions, including injuries and disorders of the shoulder. Ent specialist (otolaryngologist): if you're experiencing long-term facial pain, pain around the ear, and difficulty sleeping due to these symptoms, an ent specialist can evaluate conditions affecting the ear, nose, and throat, such as temporomandibular joint (tmj) disorder or sinusitis. In terms of blood tests, your healthcare provider may recommend various tests based on your symptoms and suspected underlying conditions. These may include: complete blood count (cbc) comprehensive metabolic panel (cmp) thyroid function tests inflammatory markers (e.g. Erythrocyte sedimentation rate, c-reactive protein) vitamin d levels autoimmune markers (e.g. Antinuclear antibodies) lyme disease testing (if relevant based on your history and symptoms) 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Stiffness might have developed due to weakness of the ligaments &inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee. You need to consume good protein and iron diet in your body which will help you to break the fatigue and general body pain. However non veg foods definitely makes you to get increased with the toxin levels in the body and it makes your knee to have less fluid content in the system. In general we suggest patients who has knee pain to eat more water content vegetables which will definitely help you to feel better. This is a general knee pain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, it looks like you are is important to check that. Anaemia always leads to the symptoms of being tired and also having body pain though there may not be any pathological reasons for knee pain. With knee exercises you will definitely feel better and muscles must be strengthened. •patellar tendinitis: •risk factor •a combination of factors may contribute to the development of patellar tendinitis, including: •physical activity. •running and jumping are most commonly associated with patellar tendinitis. Sudden increases in how hard or how often you engage in the activity also add stress to the tendon, as can changing your running shoes. •tight leg muscles. Tight thigh muscles (quadriceps) and hamstrings, which run up the back of your thighs, can increase strain on your patellar tendon. ••muscular imbalance. •if some muscles in your legs are much stronger than others, the stronger muscles could pull harder on your patellar tendon. This uneven pull could cause tendinitis. •chronic illness. •some illnesses disrupt blood flow to the knee, which weakens the tendon. Examples include kidney failure, autoimmune diseases such as lupus or rheumatoid arthritis and metabolic diseases such as diabetes. •complications •if you try to work through your pain, ignoring your body's warning signs, you could cause increasingly larger tears in the patellar tendon. Knee pain and reduced function can persist if you don't tend to the problem, and you may progress to the more serious patellar tendinopathy. •prevention •to reduce your risk of developing patellar tendinitis, take these steps: •don't play through pain. As soon as you notice exercise-related knee pain, ice the area and rest. Until your knee is pain-free, avoid activities that put stress on your patellar tendon. •strengthen your muscles. Strong thigh muscles are better able to handle the stresses that can cause patellar tendinitis. Eccentric exercises, which involve lowering your leg very slowly after extending your knee, are particularly helpful. •improve your technique. To be sure you're using your body correctly, consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. •therapy •a variety of physical therapy techniques can help reduce the symptoms associated with patellar tendinitis, including: •patellar tendon strap. A strap that applies pressure to your patellar tendon can help to distribute force away from the tendon and direct it through the strap instead. This may help relieve pain. •iontophoresis. This therapy involves spreading a corticosteroid medicine on your skin and then using a device that delivers a low electrical charge to push the medication through your skin. •platelet-rich plasma injection. This type of injection has been tried in some people with chronic patellar tendon problems. Studies are ongoing. It is hoped the injections might promote new tissue formation and help heal tendon damage. •probably your stamina would've gone down due to over use of the joints and the metabolic activity is more due to running. You need to consume good protein diet so that your body will act as a reservoir. It will help you to fight against rather than affecting one particular area of your body for eg. Knee joint. For knee ligament pain or inflammation you need to keep ice which will help you to prevent the inflammation progressing further. •patellofemoral pain syndrome •usually fully relieved with simple measures or physical therapy. It may recur, however, if you do not make adjustments to your training routine or activity level. It is essential to maintain appropriate conditioning of the muscles around the knee, particularly the quadriceps and the hamstrings. •there are additional steps that you can take to prevent recurrence of patellofemoral •they include: •wearing shoes appropriate to your activities •warming up thoroughly before physical activity •incorporating stretching and flexibility exercises for the quadriceps and hamstrings into your warm-up routine, and stretching after physical activity •increasing training gradually •reducing any activity that has hurt your knees in the past •maintaining a healthy body weight to avoid overstressing your knees ••d cartilageacl •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. •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. ••knee pain during driving or watching movie. •it might due to lack of movements in the knee while the joints are immobilized during driving and while watching movies. It is important that you need to have movements in and around the knee so that the blood flow will not be disturbed. •knee ligament laxity•if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. •wear knee cap so that you will feel firm while walking or climbing stairs.•this is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! one time you can do hot water fermentation that would help to reduce the muscle strain.•legs becoming numb and also pain is there when the patient walks for 10-15 minutes?•it looks like you are anaemic. If you feel that the legs are becoming numb then keep your legs warm which is important, probably you can wear mcr chappals inside the house/ socks inside the house. Put a door mat when ever you sit so that you will feel comfortable. Also pour warm water in the legs which would help you to get better circulation. •knee pain. If you are overweight, losing weight will also help to reduce pressure on your knee. •knee pain, when leg folding time get pain. The importance of buying braces and splints from us – orthopaedic support braces we suggest you to wear knee brace which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Resisted terminal knee extension: make a loop with a piece of elastic tubing by tying a knot in both ends. Close the knot in a door at knee height. Step into the loop with your injured leg so the tubing is around the back of your knee. Lift the other foot off the ground and hold onto a chair for balance, if needed. Bend the knee with tubing about 45 degrees. Slowly straighten your leg, keeping your thigh muscle tight as you do this. Repeat 15 times. Do 2 sets of 15. If you need an easier way to do this, stand on both legs for better support while you do the exercise. Standing calf stretch: stand facing a wall with your hands on the wall at about eye level. Keep as arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone 1. Heel and calf stretch 2. Quadriceps stretch to do this stretch: 1. Stand next to a wall or use a chair for support. Your feet should be shoulder-width apart. 2. Bend one knee so your foot goes up toward your glutes. 3. Grab your ankle and gently pull it toward your glutes as far as you can comfortably. 4. Hold for 30 seconds. 5. Return to the starting position and change legs. 6. Repeat 2 times on each side. You need to consume good protein and iron diet in your body which will help you to break the fatigue and body pain. You have to reduce the weight by walking minimum 1 km per day. Slowly reduce the weight and slowly avoid adding salt in the diet which will help you to prevent water retention in the body. Excess salt in general leads to water in the body which might be the reason for you to have leg pain. Hotwater fermentation that would help you to get relieved from joint pains. But food precautions, it is better to avoid tamarind in the food rather to add lime or mango. You can generally do basic aerobic exercises which will definitely help to improve the body weakness. Consume good protein and vitamin diet which will help you to improve your weakness of the whole body. You can give good vitamin d and calcium which will help to have quick healing. If you are a non veg person consume seer fish or if you are a veg person eat mushrooms which has vitamin d3. You need to consume water content vegetables which will make you feel hydrated. A good brace will protect your knee and take the pressure off your meniscus, allowing it to rest. Your doctor may recommend the rice regimen—rest, ice, compression, and elevation—to treat a eroded cartilage which is the main reason for the synovial fluid to get drained. Resting your knee can help relieve your symptoms. Steps to heal a worn out cartilage naturally: rest: it's crucial to rest your knee after it starts to ache. You should not participate in activities where you could cause additional strain. Ice: apply ice to your knee for 15 minutes at four-hour intervals. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. 

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Dr. Sirish PhysiotherapistBPTh/BPTPhysiotherapist

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Diabetes and knee replacement: diabetes can increase the risk of complications during surgery, including knee replacement surgery. However, many people with well-controlled diabetes can undergo knee replacement surgery safely. It's essential for your mother to discuss her diabetes management with her healthcare provider and the orthopedic surgeon who will perform the knee replacement. They will assess her overall health and determine if she is a suitable candidate for surgery. Close monitoring of blood sugar levels before and after surgery will be important to minimize the risk of complications. Numbness in feet: numbness and tingling in the feet can be symptoms of diabetic neuropathy, a common complication of diabetes that affects the nerves. It's important for your mother to have a thorough evaluation by a healthcare provider to assess her symptoms and determine the underlying cause. Additional tests, such as nerve conduction studies or electromyography (emg), may be recommended to evaluate nerve function. Shoulder, arms, and legs pain: pain in the shoulders, arms, and legs can have various causes, including arthritis, nerve compression, muscle strain, or other musculoskeletal conditions. Your mother may benefit from a comprehensive evaluation by a healthcare provider, possibly including imaging studies such as x-rays or mri, to determine the cause of her pain and develop an appropriate treatment plan. Comprehensive check-up: to address your mother's multiple symptoms and concerns, it's important for her to undergo a comprehensive medical evaluation. This may include: blood tests: to assess blood sugar levels, kidney function, lipid levels, and other metabolic parameters. Nerve function tests: to evaluate for diabetic neuropathy or other nerve-related issues. Imaging studies: such as x-rays, mri, or ultrasound to assess the condition of the knee joints, shoulders, and other affected areas. Consultations with specialists: such as an orthopedic surgeon, endocrinologist (for diabetes management), or neurologist (for nerve-related issues). Holistic approach: given your mother's multiple symptoms and medical conditions, a holistic approach to her care may be beneficial. This could include optimizing diabetes management, incorporating physical therapy or exercise programs to improve mobility and strength, and exploring options for pain management and symptom relief. 

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