### Patient: Hello doctor, I have been experiencing severe pain in my joints and stiffness in my neck and lower back. I also feel numbness and tingling sensation in my arms and legs. 
### Doctor: Based on your symptoms, we need to conduct a few medical tests. We'll start with a plain x-ray and radiographic imaging procedure to get a closer look at your joints and spine. After that, I recommend physical therapy exercises to help reduce the pain and stiffness. We'll also need to examine your foot and conduct other diagnostic procedures, including an interview and evaluation, to assess your overall health. In addition, we may need to apply a splint and conduct physical therapy exercises, manipulation, and other procedures to help manage your symptoms.