<s>[INST] I am 49 years old. I have been getting pains shooting in different areas of my body (arms, legs, back) for year 1/2. all blood work fine, rhematologist checked for Rhematoid Artritus and Lupus was negative. a few months ago, i started getting pains in my shoulder blades and rib cage under the breast area, especially on the right. Had ultrasound of abdomen done and no gallstones, everything looked fine. could this be from my hormones and or pms? Pains in shoulders get worse when ovulating...pain all over body becomes less while ovulating! [/INST] Hello, I have studied your case. I will advise you to do PET SCAN so that activity and reaction around bone can be identified. PET scan will differentiate between simple  or  with metastatic lesion if any.Many of my patients ofget improvement in morbidity by yoga pranayama  so you can also do that.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>