I am 48 years male and found hlab27 +ve in 2009. Initially used folitrax, ssaz and nucoxia. Last month intake saaz defza disperzyme myoril and naproxen. Now I am taking etoshine 90 gabaneuron nt shelcal 500. Total 6 doctors I have tried so far in allopathic. Approx 25 depura 60 k used. Beginning was from buttock then pain in ankle. Presently feeling low back & left shoulder pain.

Dr. Santosh G.BhoirOrthopedic Doctor17yrs exp

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Change of life style physiotherapy if possible swimming continue your medicine.  

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Dr. Atulya ChaudharyOrthopedic Doctor7yrs exp

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Hello Mr. lybrate-user ji changing doctors every now and then I will not help you at all. Please try to understand ankylosing spondylitis which is diagnosed by hlab27 is not an ordinary disease. Well disease activity worsens, just tablets become in effective. Be that anything including naproxen myoril calcium ???????????? sulfasalazine methotrexate etc etc etc. Sulfasalazine remains the mainstay of treatment in initial cases. If you are not getting relieved by sulfasalazine then you have to consult a rheumatologist nearest to your location. Iv drugs the new medicines which work very good in conditions like yours. These medicines are called biologics. On the budget front they will cost you more than tablets but hundred times more effective than any tablets. Please try to understand that changing doctors every month or two months and changing medicine combinations will not help you in any way. You must get yourself checked. Which includes blood investigations x-rays and other relevant investigations. If a particular joint has eroded and been destroyed by the disease activity they might need a replacement operation which will bring you relief and you can stay out of pain for a very long duration of time.  

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