Inflammation, vitamin deficiency, muscular strain, early arthritis, infection, or nerve-related pain that may not show up on X-rays could be the cause if joint pain persists even after a normal X-ray. If your doctor recommends it, you should undergo additional testing with blood tests like ESR, CRP, vitamin D, calcium, uric acid, and rheumatoid factor since medications are not working. Warm compresses, rest, light exercise, and avoiding strenuous strain can all help lessen pain. If the joints are swollen, stiff in the morning, or the discomfort keeps getting worse, please visit a doctor or rheumatologist.

Even when the fever has subsided, the infection may induce long-lasting joint inflammation, which can result in persistent ankle pain for months following a chikungunya-like sickness. While normal uric acid and Anti-CCP reduce the likelihood of gout or rheumatoid arthritis, they are not completely ruled out. Your elevated ESR and CRP indicate persistent inflammation. It may take several weeks for HCQS 200 to start working, and regular usage of analgesics like Etoshine 90 should be closely watched due to potential adverse effects of the kidneys, heart, and stomach. Please keep seeing a rheumatologist since you could require additional testing, physical therapy, supportive shoes, and treatment modifications.