<s>[INST] Hello, I need to know what causes and how I can relieve the discomfort of aching lower back, shoulder blades, elbows, knees, shin bones and the undersides of my feet. I have recently been diagnosed with diabetes and have a small breast lump which I am about to have checked out. Can you help me? [/INST] The problems you are facing is may be related to the breast lump. Get it checked as soon as possible. Initially Mammography and Biopsy to rule out if it is benign or maligant. If benign, do a Vitamin D3 and B12 checked. The pains can be due to D3 deficiency. If malignant, the pains are most probably due to Metastasis. Do a PET CT </s>