<s>[INST] I was released from the emergency room on Friday - unable to walk with shooting pains down the front of my calves - body will freeze in position and right arm will turn into a claw- I breathe and then I am able to walk. The longer the distance from car to back of dept. store all mobility stops. Blood pressure is irregular and increases with pain. Right outer leg is numb - excessive fatigue. Joint pain in ankles in am throbbing pain in arms this is intermittent. Memory is as if I no longer have a filter for my thoughts. Right leg spasmed for about 30 seconds for no reason. Have been having balance issues in the past and dizziness - walk to right of wall. Also within the last 2 weeks all is getting worse. When fatigued I walk as if I am 90 years old. I am a 48 female non-smoker. I have been to numerous doctors - all test come back normal and they comment this is interesting but have no idea what is wrong with me. I have constant pain in my hip region - very tight. At the emergency I had a CAT scan and full blood work all is normal. I had a shooting pain in the back under the left shoulder blade which caused blood pressure to elevate to 212/110 as the pain subsided so did the blood pressure. I check blood pressure daily usually around 132/78 or lower. If I am in pain the blood pressure goes up. Any suggestions?? Denise [/INST] Hi, You need an echocardiogram, ECG, hypertension endocrine workup, thyroid profile and arterial Doppler to rule out the thromboembolic disease. and we need to start you on medicines to control the blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Swarup Pal, Cardiac Surgeon </s>