<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi iam having joint pain in my wrist joint, elbow joint and the finger joints. sometimes the shoulder joint pains very badly. iam taking Etova MR 40040 myself. completed 10 tabs and still the pain persists.please suggest if i have to continue taking the tab and what test should i undergo to diagonise my problem, this pain is really very painfull  <response>: Hithank-you for providing the brief history of you. A thorough clinical examination is advised. As you have pain in the upper limbs including the small joints of finger we can look for a RA factor and this can be found via a RA test. Also, if the pain is traveling in nature we need to see for a cervical spine and do a thorough examination. Post which we can understand the actual root cause. These is the two test required to figure out the root problems and diagnosis. Regards Jay In Chat Doctor. 