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

### input:
I ve had severe knee pain since age 15,which has led to several right knee surgeries I was born without what holds knee cap from dislocating.the latest has been breaking my shin bone moving it &having screws placed in my knee,my body rejected screws within 6 mths.im 37 yrs. old & have had over 17 surgeries since age 17yrs.old,I also have major female problems from being raped at age 7 yrs.old I m infertile due to this I desperately want a child so I choose to deal with the pain based on faith god has worked miracles I want to b one of them!ive had to be on pain meds since age 17 yrs.old I m now been on roxy 30 &op 40s 4 over 12 yrs it has taken over my life& my families lives.i don t know how to detox myself and handle the pain I m in 24 hrs a day from my neck to my feet sparing u all details on medical history,I ve also been taking 2 mg Xanax due to me losing my insurance I ve become addicted not willingly but willingly want& need help

### output:

You must visit an ER for this if you have no insurance cover. They may suggest remedies, apply cast or splint, prescribe pain medicines as immobilization is important at this stage. Also consult for your past humiliation, mental trauma due to rape, im sure they will refer you for some counseling help at the hospital and for rehabilitation. An orthopedic referral may solve knee and shin issues, also diagnosis of cause for easy multiple fractures. They could be metabolic, osteopenic, calcium deficiency in bones or other reasons which may be taken care of after proper blood tests, scans,X-rays. You will be alright under hospital care