Conversation: The conversation between human and AI assistant.
[|Human|] I have been experiencing pain in my shoulders, arms and stiffness in my hands and legs since November of last year. It began gradually as stiff hips, legs (both sides) then moved to my shoulders that have become very painful and my range of motion is limited. I ve been to an Orthopedist who did xrays and indicated there was no visible signs of damage, I have been to a Rheumatologist who indicated possibly I might have Polymyalgia but my blood work came back normal so she referred me to my OB/GYN for possible hormone therapy. He reviewed my bloodwork and said he didn t understand the referral. I am not sure what my next steps should be. I have considerable pain in my arms and shoulders. My shoulders have begun to pop and my hands are stiff. Any suggestions?
[|AI|]  Hi, The location and movement of a pain gives clues as to what is going on. Ok, then the localization to the upper body alone and whether it is in the joints or muscles. Aches in the joints and stiffness especially in the morning would fit with an inflammatory condition like early rheumatoid arthritis.  A used rate, C reactive protein, and fibrinogen would show inflammation. You probably had some / all of these. They might not be elevated immediately. The treatment for an inflammatory condition would be anti-inflammatories to start and also exercise. Hope I have answered your query. Let me know if I can assist you further.