I have noticed that whenever I am exposed to cold weather, I develop pain on the right side of my nose. At the same time, both of my ears start popping. In addition, after waking up in the morning, I experience pain and stiffness in both shoulders, upper arms, and palms. The symptoms improve as I start moving during the day My ANCA test is normal, but these symptoms continue to occur. I would like to know the possible cause and whether further evaluation is needed Pain also feels in bilateral hip and juction of neck behind