<s>[INST] Hi, i ocasionly smoke meth, when i do i get really sore joints, specially if i hav an injury in knees or shoulder it feels worst, just would like to know the reason why it makes joints worst, iv tryed finding answer on google but cant find much, has it got to do with smoke in general, i like use it once every month for one night so it happens of that little [/INST] Hello, I have studied your case with diligence.If not relieved then possibility of polyarthritis needs to be consideredRheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27Hope 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>