 [ Symptoms ] i ache all the time mostly my neck shoulders arms and hands and tired all the time bloodwork came back good [ Disease ] i am sorry you are going through this the symptoms you are describing could be caused by many conditions but a likely culprit is some sort of spinal issue spinal degeneration is not uncommon as we age though i do not know how old you are and a ruptured disc in the neck can happen to anyone either of these conditions can cause aching and tiredness of the limbs i would suggest you go back to the doctor to ask about these symptoms because it sounds like further testing might be warranted blood work will not help diagnose a spinal injury or degenerative disc disease i wish you all the best