Conversation: The conversation between human and AI assistant.
[|Human|] I have had severe lower back pain for aout 18 months. Ive had blood tests which have shown inflammation and have been seeing a physio twice a week to help reduce the inflammation which as of yet hasnt made much difference. Things are so much worse at night or when i sit for periods of time. My knees and shoulders are also starting to be painful.Im due at the Drs next week, do you think i should as about ankylosing spondylitis?
[|AI|]  Thank you for the question. Good that you now seek help from an orthopedist. You may leave it to him to decide after X-rays and MRI of the spine for the origin of pain and management accordingly. Ankylosing spondylitis is just one of many conditions which give trouble and certainly a not very frequent cause. It gives much more stiffness in spine at various levels. As of now lake chloraxazone 500 mg and Ibuprofen 600 mg twice a day after meals for 5 days and do hot fomentation, avoid bending or lifting heavy objects. Relaxyl gel for local application