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 04/07/2025