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Abstract Ageing is an international issue brought on by declines in adult mortality and fertility. cause the percentage of older age groups to rise. Acute infectious diseases become less common as populations age and are replaced by chronic non-communicable diseases including musculoskeletal problems. Chronic musculoskeletal pain is the main complaint of sufferers, and it is especially significant in the elderly due to its effects on quality of life, independence, and social engagement. Only cardiovascular disease has a greater economic impact than chronic musculoskeletal discomfort. An essential instrument for analyzing the factors impacting the course of illness and the efficacy of treatment is the comprehensive geriatric assessment (CGA). The functional, physical, mental, emotional, pharmacotherapeutic, and socioeconomic states of the patient are the main areas of attention for the CGA. This cross-sectional study included 100 patients all are above age of 65 years old who have musculoskeletal diseases divided into More than half of the studied patients (67.0%) had RA, while the remaining17.0% had OA and 2% of studied patient have SLE and 10% of cases have gout and 1% have fibromyalgia and 1% have osteoporosis and 1% have systemic sclerosis and ankylosing spondylitis. Every patient underwent a general physical examination and history taking. and a questionnaire must be used to thoroughly question each subject. Data on extra-articular characteristics, concomitant illnesses, and treatment histories have been gathered. Comorbid conditions, using the charlson comorbidity index (CCI) to summarize the medical comorbidities. Every participant underwent a thorough clinical examination, which included a thorough musculoskeletal examination and a thorough geriatric assessment, which included functional testing using Katz activities of daily living (ADLs), mobility testing using the timed ”Get up and Go Test,” cognitive testing using the Mini Mental State Examination (MMSE), depre |