Conversation: The conversation between human and AI assistant.
[|Human|] I have been having chronic to severe pain in my hands and arms. It seems to travel from one area to another. When the pain is severe, I can t close my fingers as too painful. Sometimes it will hit in my elbow but mostly in my hands. I was diagnosed with Gout in my feet a couple of months ago so am on a gout diet with med for that, but this has me baffled. Any ideas? I m unable to take anti-inflammatories as had a GI bleed at one time so have been given Oxycodone or Tyl. #3 for pain. This does little to eliviate the pain and I don t want to get addicted to the codeine either. Thank you. Lucy
[|AI|]  Hi, thank you for providing the brief history. As you have this gout and on medication now I will advise you to undergo physical therapy as it will help improve the metabolism and also reduce the pain. Physical therapy will include therapeutic ultrasound therapy and TENS therapy. Post which exercise will be taught to improve the general metabolism and improve the overall muscle physiology. RegardsJay In Chat Doctor.