HELLO, AS SUCH THEIR IS NO CONNECTION BETWEEN RHU. ARTHRITIS N  SYMPTOMS. IT MAY BE PSYCHOLOGICAL.  DON'T TAKE ME WRONG. SOMETIMES PATIENT TO FIND ATTENTION OF LOT MORE PEOPLE OR TO GET  SYMPATHY  THESE TYPES OF SYMPTOMS HAVE BEEN SEEN IN LOT OF PATIENTS. WITH REGULAR TREATMENT PAIN IS NOT SOOO IMMENSE EXCEPT DUE TO CLIMATIC CONDITIONS. TABLET PROPRANOLOL 40MG  HALF AFTER BREAKFAST, N HALF AFTER DINNER FOR TEN TO FIFTEEN DAYS IF SHE FEELS BETTER CONTINUE IT. BUT YET ONE CONSULTATION WITH PSYCHIATRIST (UNKNOWINGLY) FOR DETAILED HISTORY LIKE DURING SENSLESS ANY URINE OR STOOL COMES OUT OR SHAKING OF HAND IS THEIR ETC ETC ETC. AND EXAMINATION IS VEY BENEFICIAL. PATIENT THOUGHT CHANGES AS ALL R VERY MUCH CONCERNED TO ME LIKE THAT. I HOPE YOU UNDERSTAND THIS. O.K BYE.