### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi I am angelia castro ihave had surgery on May 15th 2014 and every joint seems to hurt the drs are telling me to walk to strengthen my back muscles but I just don t have any energy or desire to do this I want to but then don t do it because my knees hurt so bad

### output:

Here I would like to know which surgery you have undergone?. Since the information is not available to let me tell you about your other issues. You have told you have pain in all joints as well in spine and there is a weakness too.These symptom shows you have calcium and vitamin D deficiency, or it can be related to rheumatoid arthritis also. I suggest to talk to your or tho and physio and then start taking medication after doing proper check on bone mineral density test along with blood test for calcium, vitamin D and rheumatoid factor. Here one more thing I suggest is all ladies should take calcium once they cross the age of 35-40 and since it's going to be life long it's better to have it from natural supplement brand to avoid any side effects. Now once you start with this along with protein powder for muscle strength I am sure you will be able to do physio also properly for further exercises and rehabilitation. Suppose if your rheumatoid report comes positive then take suggestion on medication with doctor but also consult a dietician for anti-inflammatory diet because this too helps a lot in pain relief. Also use hot and cold pack when ever it pains a lot but prepare your self mentally and keep doing exercises for rehabilitation. I am sure this will help you if you follow the suggestion properly. Take care.