<s>[INST] Hi I have severe fatigue, numbness/tingling in my left side (face, arm leg), pain in the left side of my neck and ear, severe head pain on left side of head, sound can be excruciating, memory and cognitive problems. These problems have been intense for 6 weeks (unable to work) but I fear they have been on and off for 6 years. [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have ankles pain. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy, multiple sclerosis, medication reaction or side effect, migraine, anemia, depression or diabetes, type 2. I would suggest you to consult orthopedic surgeon for proper examination. Doctor mat order x-ray or CT scan to confirm the diagnosis. Doctor may prescribe muscle relaxant, nerve supplement like erosion forte or may refer you to neurologist for migraine or cardiologist for heart problem, because it could also be angina. For now take proper rest, apply warm compresses to arm, take ibuprofen or acetaminophen for pain and eat healthy. Hope your concern has been resolved. Get Well Soon. Best Wishes, </s>