Chronic bone and joint pain in diabetes may be due to joint damage, inflammation, or nerve-related problems. Keeping your blood sugar well controlled is important to prevent worsening. Regular gentle exercise, proper rest, and a healthy diet can help improve joint health. Consult a doctor for suitable treatment.

You should consult a neurologist and a physiotherapist for personalised care. Treatment usually involves physiotherapy, using mobility aids, and medicines to reduce muscle stiffness and manage symptoms. Regular follow-up is essential to maintain function and prevent complications.

You should consult a doctor or orthopaedic specialist to determine the cause of your bone and joint problems. Treatment may include pain-relief medication, physiotherapy, lifestyle changes, or other targeted interventions, depending on the diagnosis.

Skin rash after starting Altraday and Sirdalud may be due to an allergic reaction to one of the medicines. Do not ignore this, as continuing the medicine may worsen the reaction. Consult your doctor immediately, who may stop or change the medicine and prescribe appropriate treatment.

Hereditary spastic paraplegia (HSP) can affect muscle strength and walking ability due to nerve involvement. Regular physiotherapy and guided exercises can help improve muscle control and mobility. Using supportive aids and maintaining an active routine may help prevent further stiffness. Consult a doctor for personalised therapy and management.

Yes, pregnancy is still a possibility, but based on what you have described, it seems less likely. A urine pregnancy test taken on 3 September would usually be reliable if conception happened around the expected time. However, sometimes the result can be a false negative if the test is done too early, if ovulation (the release of the mature egg) happens later than usual, or if the urine is too diluted. In your case, hypothyroidism and a raised TSH level may also play a role in delaying ovulation and disturbing the normal menstrual cycle (periods). Even after increasing your Thyronorm dose, it can take some time for hormone levels to stabilise and for periods to become regular again. Stress and hormonal imbalance can further contribute to a delayed cycle. If your period does not start within the next week, it is best to repeat the urine test with an early-morning urine sample or get a blood test for beta-hCG for a more accurate result. It is also important to follow up with your doctor to review thyroid control and other possible causes.