HelloI have an individual with bad stinging pain...

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What are the causes for previous symbtoms ?

1.chronic disease as diabetus and hypertension which cause parathesia 
2.b12 b9 b6 defeciency 
3.high level of uric acid or calcium pyrophoshphate crystals which decompesed in joints pain and cause pain 
4.rheaumatoid arthrities disease which cause joint pain or others autoimmune disease 
5.osteoarthrities 
6.discopathy and disc space prolapse 

How to treat ?

1.treat high sugar an blood pressure reading 
2.neurobron injection daily 
3.allopurinol and clochicine for high crystals 
4.immunosupprest and cortisone or methotrexate for immunological disease 
5.vaitmin D supplementation and healthy food as fish milk cheese 
6,surgical correction for discopathy 
7.arcoxea 120 once daily 
8.panadol joint 4 times daily 
9.lyrica 75 at morning and night daily 

What are the investigations ?

1.blood pressure measurments 
2.sugar level mesurements 
3.b12 b6 b9 level 
5.uric acid and calcium pyropgosghate level 
6.RF anticcp level 
7.vaitmin d level and dexa bone scan 
8.vertebral column mri and for painful muscle