I'm experiencing these weird full-body muscle vibrations, almost like internal waves, whenever I move. It's been going on for about 2.5 years now, and it happens in my neck, shoulders, arms, legspretty much everywhere. Whenever I bend down, I feel this wave-like sensation in my back, too. Along with that, I've been having neck and back pain. Can you help me figure out what's going on? I'm really curious and a bit worried about these symptoms.

Dr Mubarak Parveez B

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Gout arthritis management: _Current situation:_ 1. High uric acid levels 2. Recurring gout attacks (right knee, now left knee) 3. Febuxostat (Febustat) 40mg daily provides relief _Concerns:_ 1. Dependence on medication for pain management 2. Intermittent dosing (2 timesday) may not be optimal 3. Potential kidney stone risk with high uric acid _Recommended adjustments:_ 1. Consult rheumatologist or primary care physician. 2. Consider: - Increasing Febuxostat to 80mg daily (if tolerated). - Allopurinol (alternative uric acid reducer). - Probenecid (uricosuric agent). 3. Lifestyle modifications: - Hydrate adequately (2-3 litersday). - Low-purine diet (limit organ meats, seafood). - Maintain healthy weight. - Exercise regularly. - Limit alcohol intake. _Additional considerations:_ 1. Colchicine for acute gout attacks. 2. Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain. 3. Corticosteroids (oral or injected) for severe inflammation. _Monitoring:_ 1. Regular uric acid level checks. 2. Kidney function tests. 3. Liver function tests.

Answered 16 days ago