Suggest treatment for severe pain in the left hand, foot and mid back
Patient: Hi, I have SLE Lupus. It has bothered me since age 15. I got diagnosed 2009 and I am 63 now. Recently I have had severe pain in the left hand 1st finger knuckle all the time. Pain left foot between 1st and 2nd toe in which I had a shot last month. Finally, mid back to left hip area that sometimes stops me from walking. I am on plaquenil and muscle relaxer and tramadol. Doctor: i know you are suffering from pain don't worry I will give u some medicine that can cure it1.you can take paracetamol up to 4g/day2.or tab ibuprofen400mg/600mg1-1-1daily      or3.tab diclofenac 50mg TDs4.Aceclofenac 200mg be5.Etoricoxib 120mgod6.flugiritine100mgbd.              or7.Zeltoprofen 80 mg bid8.tab aceclofenac +paracetamol +thiocholcosidetopical NSAIDs gel may be useful