I developed chronic stiff pain in both elbows & shoulders. no injuries. was sent to pt with no improvement. i wake especially stiff as well. any idea?

Stiff elbow/ shoulde: F/U w/ rheumatologist as may have inflammatory arthritis. Xrays will check for osteoarthritis,possble MRI to check tendons, blood work - ANA ( lupus- inflammatory arthritis) RF ( rheumatoid arthritis) CPK - myositis, ESR/ CRP to check inflammation,& other markers. Also check TSH as if TSH/T4 are off you can have muscle aches, check urine for kidney and check that not GI related arthritis.