Thanks for the query to H.C.M. Forum.
If I were your treating doctor for this case of severe pain & inflammation of joints , I would come come up with these possibilities, these includes.
1 Rheumatoid arthritis
, diagnosis can be confirmed by C B C , E S R ( 40 mm ) , rheumatic factor. Consult a rheumatologist
and get his opinion and treatment .As there are severe pain
in numerous joints , swelling with redness
( inflammation ) raised E S R and involvement of many joints , is an indication of rheumatoid arthritis.
your age is against ( but can't be ruled out) . usually osteoarthritis involves larger joint first but exception may be there . Diagnosis can be confirmed with consultation with an orthopedic surgeon.
3 Gouty arthritis , diagnosis confirmed by blood examination for uric acid level, if found elevated then chance of gouty arthritis . Consult an orthopedician and get his opinion.
4 In acute cases chickenguniea may be responsible for joint pain , so if fever
history present then consult a physician.
So consult a rheumatologist and get his opinion first of all.
Good luck. Dr. HET