My mother,45 yr old suffering from pain,numbness and swelling in both hand and feet for 2 yrs.she can perform all day to day activities,no problem with functioning,only complain of morning stiffness which resolve as she starts working.only pain is a problematic factor. firstly she has been given calcium and vitamin D supplements,but no improvement occurred. then on lipid profile elevated total cholesterol and LDL cholesterol,other reports were normal hence atorvastatin was prescribed with calcium and multivitamin supplement. now cholesterol is under control,but complain of pain,numbness and swelling is still there. then we visited another doctor,he suspected it to be rheumatoid arthritis,but all test are normal including uric acid.still he prescribed hydroxychloroquine,but after 1 month course no improvement.your opinion plz

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With this physiotherapy will help to improve

IF DIAGNOSED WITH RHUAMATIOD ARTHRITIS NEEDS CONSULTATION OF RHUAMATOLOGIST I HOPE FOLLOWING INVESTIGATIONS MUST HAVE BEEN DONE LIKE BLOOD FOR ESR C REACTIVE PROTEINS RHEUMATOID FACTOR A N A ANT NUCLEAR ANTIBODIES

1)rule out cervical spondylysis-mri, Ncs, 2)mxydema ,AemiaTFT,CBC LFT, 3)LUMBAR SPONDYLYSIS or @disc problem 4) periheral neuropathy? RA If hypothyroidism ,myxedema perpheral neuropathy Rx Tab pregabelin-m tab thyroxine, inj neronion forte Analgesics andL-carnitine vit AD Tab vitE. if spondylysis cervival/ lubar may need phisiothrpy, collar,cervical pillow ,Lumbar braiseing support physio. opinion NEURO,ORTHO, ENDOCRINO

आयुर्वेद के अनुसार रोगी वात व्याधि से ग्रस्त है।। चिकित्सा संबंधी योग,, महायोगराज गुगल अन्डी के तेल में मिलाकर सेवन कराएं सुबह शाम, वात चिंता मणि रस स्वर्ण युक्त 1 रत्ती भर शहद के साथ सुबह शाम सेवन कराएं, महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने से पहले दें निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं

Xray cervical spines, xray lumbosacral spines to rule out radiculopathy

Rule out cervical radiculopathy or carpal tunnel syndrome as a cause of numbness in upper limb Xray cervical spine Nerve conduction study both upper limb Xray lumbosacral spine Venous doppler both legs Other cause is diabetic peripheral neuropathy It is a long shot. But rule out one by one clinically and by investigations If nothing found,give symptomatic treatment For the time being try Gabapentin Tricyclic antidepressants and see the response

Has Hypothyroidism been ruled out?

Thyroid normal
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2 suggestions Do Thyroid profile, hypothyroidism can cause Carpal tunnel syndrome If Thyroid profile is normal, do MRI of wrists and hand to rule out Capel tunnel syndrome If she is obese, weight reduction is a must Rule out Diabetes by GTT

Thyroid normal No diabetes
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I will recommend visiting a proper Neurologist. Visiting random doctors aint going to help. Unfortunately the history provided is insufficient for a clinical diagnosis. But possibility of neuropathy, radiculopathy, myelopathy or a cerebral lesion needs to be considered. You have not mentioned the exact limbs affected, the onset and progression etc. So exact possibility cannot be guessed. Would recommend a detailed history and examination detail's.

Sir she can perform all day to day activities,no problem with functioning,only complain of morning stiffness which resolve as she starts working.only pain is a problematic factor. She complains of numbness as she relax her hands mainly in night.
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