<s>[INST] Ever since I was a teenage, (59 now) I can not walk barefoot without causing extreme pain in my joints. It feels like every bone in both feet have no connection. The bones feel like they pop and crack. Within 10-15 feet my knees and especially my hips are in extreme pain. I have to sleep in socks because any kind of cold air causes awful pain. I have to keep my shoulders and elbows warm to prevent pain. I am now having a lot of joint swelling and pain in my hands,not just in the morning. Thanks for any insight [/INST] Hi,Get serum RA factor, serum uric acid, fasting blood sugar, ESR, CRP and send me the report.Till the have cap. rabiprazole empty stomach, tab. aceclofenac100mg+serratiopeptidase15mg thrice a day, cap.pregabalin75mg+ methylcobalamine750mcg at night.I hope it helps.Thanks,Dr.CHANDER MOHAN SINGH. </s>