question: Ok so I have list of complaints that I never thought went together but now I am worried that they do.  I'm a 29 year old male.  I originally went to the doctor about two-three years ago for unexplained back pain.  X-rays were negative, blood work and urine tests only showed slightly elevated uric acid.  I was told I  may have the precursors to gouty arthritis.  I was given ultram for the pain.  Now, in addition to the back pain I am experiencing pins and needles in my back and sometimes chest area especially at times of temperature change like hot baths or a cool breeze.  I am constantly fatigued but I have a poor diet and don't exercise except for my job as a warehouse worker.  Lately I've had some trouble swallowing as well and once or twice unexplained general weakness. Any ideas?