<s>[INST] I am a 34 yr old female who have been experience a lot of pain in my joints ( ankles, upper part of feet and toes, hips and shoulders) I have noticed that the pain is compromising the strength in my legs and at times my feet and ankles are so stiff that it is difficult to walk. This has been progressing for about the last six months. [/INST] Hello, As per your history, it may be due to rheumatoid arthritis. For confirmation, you may require complete hemogram, RA factor, anti-ANA after rheumatologist consultation. You may also require X-ray or affected joints after consultation. Do regular physical therapy. Avoid strenuous activity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician </s>