Your symptoms involve multiple muscle groups and joints, while your MRI spine and CK (creatine kinase) are normal, making a major muscle disease or significant lumbar spine problem less likely. A Vitamin D level of around 26.5 can contribute to generalized musculoskeletal pain, but it may not be the only cause. Since your pain has persisted for over a month, is worse in the morning, and is now involving your shoulder, wrist, and thumb, I would advise a detailed evaluation by a Physician or Rheumatologist to rule out inflammatory, metabolic, or other systemic causes. Avoid self-medicating with painkillers for prolonged periods. You can also book an online consultation with me to review all your reports in detail and guide you further.

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Your symptoms involve several muscle groups and joints and are not fully explained by the lumbar MRI finding of “straightened curvature.” Normal CK, RA factor and ASO titres are reassuring, but they do not exclude every inflammatory, metabolic or medication-related condition. Morning/night pain with new shoulder, wrist and thumb symptoms warrants an in-person assessment by a orthopedician , particularly if stiffness lasts more than 30–60 minutes. The uric acid of 7.2 alone usually would not explain widespread muscle pain unless there are typical episodes of a red, hot and swollen joint.

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