Night time bone pains are usually due to inflammation. Do the following, 1. Blood tests : CBP, ESR, ANA, Rheumatoid factor, anti-ccp antibodies, HLA-B27, Calcium and Vitamin D 2. Plain x rays of whole spine looking for evidence of Ankylosis 3. DEXA scan of bones 4. See a Rheumatologist All the best. WWW.JGSR-HEALTH-EDUCATION.IN

Do you also feel breathlessness while sleeping?? It's sounds like PND (Paroxysmal nocturnal dyspnea) if breathlessness also present. I suggest you to go for cardio and pulmonary checkup along with musculoskeletal.

Stop  alcohol. RA TEST   BONE DENSITY TEST. TAB ULTRACET P TWO TIMES OR AT NIGHT

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion

Hello, Since your pain happens mainly in winters, at night while sleeping, and improves after waking up and moving, this is most likely muscle or joint stiffness related to cold weather and reduced circulation during sleep. It does not typically suggest bones “losing density.” since you are pain-free during the day is good thing. However, since you are diabetic and have history of alcohol use, proper evaluation is important. What you can do next: • Keep your body warm at night (thermal wear, thicker blanket). • Use a firm mattress and proper pillow support. • Do gentle stretching before sleep. • Check Vitamin D and calcium levels. • Consult a physician or orthopedician for proper evaluation instead of taking painkillers regularly. Healthy tips: • Maintain good sugar control. • Avoid regular use of painkillers without supervision. • Stay physically active daily. Since this has been happening for 3–4 years, a proper consultation with basic tests can identify the exact cause and give long-term relief instead of temporary pain control.

This looks like muscle/joint stiffness in winter, not bone weakness. Pain improving after movement supports this. See a physician or orthopaedic doctor. Avoid regular painkillers.

Hi. Diabetes along with history of chronic alcoholism can cause multiple long term health issues. Kindly consult with me on 94 two six eight six 78 nine six.

Ok , I understand your problem very well. You need to evaluate properly first and you need to consult with orthopedic doctor locally. You have mainly vitamins deficiency due to chronic alcohol habits. B1 , b12 , d3 level is required for further assessment. Connect me on practo for further management and evaluation.

Kindly do connect and consult

Need a few more details please consult for further evaluation and treatment

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Dear Patient, Your symptoms (night pain in back, ribs, chest during winter that improves after waking) are most commonly due to Vitamin D deficiency, bone weakness, or musculoskeletal stiffness. Diabetes and past alcohol use can also contribute. Tests: • Vitamin D3 • B12 • Calcium profile • HbA1c Advice • Warm compression at night • Stretching before sleep • Good mattress • Sunlight exposure Usually this condition is treatable and improves after correcting Vitamin D. If pain persists in daytime also, text me