Family, Internal Medicine, General Medical Questions/Joint pain and fatigue


My mom age 47, is suffering from some serious health problem. She takes medicine for high BP and cholesterol control on a daily basis. The problem is she always have a pain in the knee joints and has a swelling too. Occassionally her legs have a tickling sensation and pains. She has nerve swellings which can be seen on the calf. She is having fatigue always and peak time between 10am to 12pm. We consulted many doctor but not cured. Sometimes after sleep its difficult for her to keep feet on floor. Recently she started using NEURORUBINE tabs. Is it ok to have one daily? Her weight is 98 kg. Please help!

Dear Shafreej,

It sounds as though your mom has neuropathy and arthritis. Is she a diabetic? Neurorubine tablets are a complex vitamin B. it helps with nervous system heath, but will not help much with the pain. Has she been seen by a rheumatologist?

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN


My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.


I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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