<s>[INST] hi I have started taking micronor 7 weeks ago and have been getting lower back ache but mainly tingly muscle pains on all my joints especially my knuckles, wrists and elbows. Ive never had any of these symptoms before do you think it could be the pill?? [/INST] Hi, I admire your positive outlook and congratulate you for the attitude. Now I guess you have non-inflammatory degenerative joint and disc disease (pain only when you move and none when you rest). See main thing is if this pain is symmetrical in nature it means in both sides. And affects smaller joints you can suspect rheumatoid diseases... you are preferred to consult rheumatologist. But for pain you can do some active exercise jogging swimming. back tilting pushing bridging type of exercises.... </s>