Conversation: The conversation between human and AI assistant.
[|Human|] I frequently have a burning, achy sensation in my arms and legs, usually in the evening and upon waking. I have had it for years but it seems to be getting worse. I am female, 55. It is not my joints. It is in the top layers of my skin. I am in pretty decent shape otherwise.
[|AI|]  Hi, thank-you for providing the brief history of you. As you are 55 years old we need to understand that the body has a principle to undergo the wear and tear as age prolong and also Degenerative changes occurs. As you are having itchy and burning sensation in the arms and legs it can be due to any of the two reasons.1. Increased uric acid levels2. Degenerative disc disease if the uric acid levels are increased than with medication it can be controlled. Incase it is degenerative disc disease than a Thorough clinical assessment is advised along with MRI as to see the soft tissue status. With simple short term medication the sensory symptoms can be controlled.Also, physical therapy helps by Therapeutic ultrasound therapy and TENS therapy for inflammation and pain. Exercises play a key role to strengthen the muscular system and also avoid pinching of the nerve roots. In my clinical practice most patients are thoroughly assessed and based on it the clinical laboratory tests are performed and treatment is guided accordingly. RegardsJay In Chat Doctor.