Toes hands feel frostbite or stiff and painful twitch visible in quad stiff calves hips clear mri on spine and brain nuero feel its anxiety? 4 months

Serotonin syndrome?: You may want to discuss your dose of fluoxitine which may be associated with tremors due to the "serotonin syndrome" discuss with your prescribing physician.

See primary: You are having both neurologic and musculoskeletal problems. I would see your primary for full evaluation. This could be an inflammatory condition or neurologic condition. After full examination work-up can be done.