<s>[INST] for last 1 week i have been experiencing pain in most of the joints like ankle knee hip and wrist. I have never before had anything like it except for a stiff lower back which still persists.the pain remains even while sleeping.it is difficult to take the first step in the morning. [/INST] Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you are having multiple joint pains, with early morning stiffness, and these are signs of early arthritis of inflammatory nature, It must for you to get yourself investigated for this, and the primary screening is done with a battery of tests, including CBC, ESR,CRP, RF.one other possibility is post viral arthralgia, which becomes a possibility if you have had an episode of fever in the recent past. In both these conditions, a short course of steroids to reduce inflammation is helpful but has to be taken under guidance of your doctor. I hope that answers your query. If you want any more clarification, contact me back. </s>