<s>[INST] I had lamectomy and discectomy 7 months ago. I had a csf repair 10 days after the first surgery. Now I am having pain in every joint in my body, from my toes up. In the mornings it is the worst. I can hardly walk from the back, leg and foot pain. Is this a reaction to the csf? What do you suggest I do? [/INST] Hello,The join pain can be related to rheumatoid arthritis. I suggest to check the rheumatoid factor level for further evaluation. Meanwhile, I suggest using anti inflammatory medications such as Acetaminophen to relieve the inflammation. I also suggest gentle stretching exercises for relief.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>