آلام في المفاصل مجهولة السبب، joint pain of unknown cause,

Hello

My problem started 5 months ago with joint pain, which was slight in addition to discomfort in the case of cold,
Now, after 3 months, the symptoms have increased.

The first problem: It is pain in the cold weather and relief in the warm weather tending to heat - pain especially in the hands, legs, back and neck.
The second problem: a feeling of muscle tension in the hand, back, leg and behind the neck, in addition to a feeling of fatigue, numbness and laziness throughout the body, as I cannot stand on my legs because I feel tired, as if I have walked miles, and I cannot raise the hand up because I feel very tired, as if I made an effort despite On the contrary, when sleeping on the back I cannot raise the head up because I feel the weight behind the head and neck, as if I have kept it raised for a long time.

In addition to the symptoms accompanying the above, which are headaches, numbness and heat in the head and behind the neck only - when I feel a heat in the head, I measure the temperature and it is 37.5-.

And I cannot make an effort to avoid joint pain, in addition, I sometimes feel as if something cold is walking in the joints, especially the feet, and for the record, there is pain when pressing on the bones such as the chest and the arm below the elbow, and after all this I went to the neurologist recently, and I made a magnet for the whole body and planing Nerves and muscles, in addition to blood analysis of cbc, vitamin D, calcium, potassium, gland hormones, heart enzymes, and some blood tests done by a neurologist, and all the results were good, and there were no problems.

The problem so far continues, what do you advise me to do? Note that all the symptoms mentioned are intermittent, not persistent, and there are no swelling in the joints, and now I have started using Caltrate 600 + d arcalion 200 pills as prescribed by the doctor, knowing that there is no severe decrease in vitamin D and calcium, but it is only for strengthening, thank you to you.
answer
In the name of God, the most gracious, the most merciful
Dear Sister Fathiya, may God protect her.
Peace be upon you and God's mercy and blessings be upon you:

Thank you for contacting the Islamic Network.

Sister Fathia, you should consult a rheumatologist, for the symptoms you complain of are joint pain, cold extremities, and inability to lift the head up, as well as making any great effort with the upper extremities, indicating that the cause may be a rheumatic disease, and one of the types of These diseases: are muscle inflammation.

And the doctor can, through the medical examination, know if there is muscle weakness, and usually changes appear in the planning of nerves and muscles, and I mentioned that these were normal, and on the other hand: there may be inflammation in the joints, or one of the types of vasculitis, or some rheumatic diseases that can To cause a feeling of weakness upon exertion, and some diseases that can cause such symptoms as you complain about have been excluded, and these diseases include hypothyroidism.

In some cases, the doctor resorts to conducting special analyzes for rheumatic diseases that show one of the rare types of rheumatism, which can cause joint pain, without swelling or swelling in the joints, and sometimes the doctor also resorts to an ultrasound of the joints that shows if there is inflammation in the joints. Without swelling in the joints.

Vitamin D does not appear to be the cause; Because it is clear that there is muscle weakness among the symptoms that you are complaining about, and this is rare except in the case of severe vitamin D deficiency and calcium deficiency, and this is not present for you, and it is preferable to refer to a rheumatologist for evaluation and analysis of rheumatism, and what the doctor deems appropriate.
We ask God you healing and recovery.