Spondyloarthritis के कितने प्रकार है? Axial spondyloarthritis क्या होता है?

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  • čas přidán 11. 09. 2024
  • Spondyloarthritis के कितने प्रकार है?
    Axial spondyloarthritis क्या होता है?
    Ankylosing spondylitis और Axial spondyloarthritis में क्या फ़रक है?
    *चिकित्सा अस्वीकरण*
    इस वीडियो में दी गयी सभी जानकारी केवल सूचना के उद्देश्य से है। इसका उपयोग परामर्श, निदान और/या चिकित्सा के लिए नहीं कीजिए। वीडियो से मिली जानकारी के आधार पर कोई भी निर्णय लेने से पहले विशेषज्ञ (अपने रूमेटोलॉजिस्ट) की सलाह लें।
    चैनल को ज़रूर सब्स्क्राइब कीजिए। AS से जुड़ी सभी जानकारी देखिए 🔔

Komentáře • 182

  • @user-vm5mp1ug6r
    @user-vm5mp1ug6r Před 4 měsíci

    sir , u always explain about disease in many type, could you please suggest or more focus on soluton/excercise/lifestyle/medicine

  • @poonamkriplani1502
    @poonamkriplani1502 Před 3 lety +2

    Thank you sir for this video...keep making such an informative videos...🙏🏼

  • @meeradevi9695
    @meeradevi9695 Před 3 lety +2

    You are great I hope one day all doc cure for this

  • @rahulyadavbr3552
    @rahulyadavbr3552 Před 3 lety +3

    Thanks sir for this session ❤️ SpA is wrote by doctor on my OPD card

  • @saurabhbisht3333
    @saurabhbisht3333 Před 3 lety +2

    Great informative video sir,
    Please make a video of some exercises for cure Ankylosing spondylitis, I have watched old exercise videos from this channel.
    kindly make a video for different pain scenarios. Thank you Sir. 😊

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety

      Definitely. Do have a look this session --czcams.com/video/ZcAD4dAJp60/video.html

  • @kamalajatav621
    @kamalajatav621 Před 3 lety +1

    Very useful information doc keep up the good work.god bless you 🙏

  • @sahadevsingh5233
    @sahadevsingh5233 Před 3 lety +1

    मार्गदर्शन करने के लिए धन्यवाद

  • @VijayKumar-rz5el
    @VijayKumar-rz5el Před 3 lety +1

    Thanks sir for nice video

  • @justinanger8464
    @justinanger8464 Před 3 lety +4

    @Dr Shashank Akerkar Sir,I am from Bangladesh. Last year i consulted with u.I am A S patient. Now i am on Bangladeshi doctors treatment. Sir problem is i don’t go to bed at night due to pain & pain increases in the morning. Sir after taking clonazepam. 5mg i am feeling good but my rheumatologist Don't allow it. Sir can i continue clonazepam 5mg for continue though u prescribed me etizolam .5 mg but it is no available in Bangladesh. Thanks Sir.

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +1

      You can take clonazepam. However it would be better to manage sleep without the medicines. Try & reduce stress if that is the cause. Go for a short stroll at night before going to bed. Avoid mobiles, TV before going to bed.

  • @RAVIKUMAR-ju7bp
    @RAVIKUMAR-ju7bp Před 3 lety +1

    Thanks Sir...

  • @DineshYadav-vg9dy
    @DineshYadav-vg9dy Před 3 lety +2

    Thank you so much for this episode. You really great job for us . I just want to know can i go for PRP therapy injections for my early stage of AS . Please give reply because my Rheamotologist suggest me this therapy.

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +1

      PRP has not been routinely used/ recommended form of therapy for AS.

    • @DineshYadav-vg9dy
      @DineshYadav-vg9dy Před 3 lety

      @@DrShashankAkerkar Thank you sir ..Is there any chance to talk to you or online appointment because i am from Delhi. I want to talk to you because i have normal symptoms from last two month.

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +2

      @@DineshYadav-vg9dy mail your number to mact.clinic@gmail.com or call on 9322922221 for online appointment.

  • @sasmitsakhare3325
    @sasmitsakhare3325 Před 3 lety +1

    Thank you sir

  • @shwetaxyz970
    @shwetaxyz970 Před 3 lety +4

    Thanx a lot, very well explained !! 👏🏻I have axial SpA , diagnosed very late , one of hip joint is little fused but other than that all other joints are ok by far . My question is , if I’m on biologics can it spread to other joints ? Or it will stay as it is for life long ?

    • @gauravsrivastava9149
      @gauravsrivastava9149 Před 3 lety +1

      U have to take biologics life long or as per ur doctors advise.there is a time limit of every biologics like 1 or 2 month . After that the control of biologics will be over then again u will need biologics. Say lifelong no end. Saaz dr ,ds , saazo delays the risk of fusion but doesn't cure as. U have to be active alert n sensitive towards ur body n particularly to ur joints n try to always check the mobility of ur joints.if u feel any difficulty in the mobility pls do an x-ray check up.n follow the remedies

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +1

      With biologics the chance of it worsening or affecting the other joints is less.

    • @shwetaxyz970
      @shwetaxyz970 Před 3 lety

      @@DrShashankAkerkar thanx a lot sir , actually I hv started feeling stiffness in other hip joint too . I’m on biologics , but can’t do regular exercises or can’t take my NSAIDS. Because of some reason ! That’s why I’m concern about it .

    • @Beamlight7
      @Beamlight7 Před 3 lety

      @@shwetaxyz970 how r u??? ... you watch the video of eesha knows. She manged her AS and is symtom free from her AS with ayurveda medicines...she tpo suffered a lot.... if u want the link ill send you

    • @narendraonline1590
      @narendraonline1590 Před 3 lety

      @@Beamlight7 whatever beneficial for the AS warrior please share sir🙏

  • @VishalGayakwad21
    @VishalGayakwad21 Před 5 měsíci

    Jay Hind sir
    Kaya ye bimari lifetime or jaan leva hai

  • @mohdfaheemraza5185
    @mohdfaheemraza5185 Před 3 lety +3

    Sir good evening mera HLAB27 POSITIVE hai doctor ne xray karaya MRI karaya pet scanning karaya magar report pure normal hain esr crp titra sab normal hain magar mere hip main jalan Solder main pain pith main pain lower back main pain raheta magar chalne phirne pe raat Ko jab sota hu to bilkul aaram ho jata hai Abi ek or scanning lumber spine karaya hu usme L4L5 main problem aaya hai please mujhe koi samadhan boliye kya karu

  • @nishajain1148
    @nishajain1148 Před 6 měsíci

    Thank u so much sir

  • @poonamkriplani1502
    @poonamkriplani1502 Před 3 lety +5

    Sir, is tofacitinib a biologic?

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +1

      Yes. An oral biologic.

    • @poonamkriplani1502
      @poonamkriplani1502 Před 3 lety

      @@DrShashankAkerkar hello sir... Is there any effective medicine present in the market for cartilage regeneration??? If yes please suggest...

  • @sudiptamitra2340
    @sudiptamitra2340 Před 3 lety +3

    Sir,
    Thanks for your support..
    Please mention if any medicine which is quite effective for infertility treatment which is coming after long using of salfasalazine..

    • @shwetaxyz970
      @shwetaxyz970 Před 3 lety +1

      It only effects male fertility as per my knowledge, in women’s it’s completely safe !

    • @gauravsrivastava9149
      @gauravsrivastava9149 Před 3 lety

      It is reversible i guess but if u r facing problem then pls try any good homeopathy

    • @gauravsrivastava9149
      @gauravsrivastava9149 Před 3 lety

      If joint not fused then consult ur rheumatologist n immunologist for conceiving

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety

      @@shwetaxyz970 Yes

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +2

      Decrease in the sperm count due to sulphasalazine is generally reversible. Do consult a urologist for specific investigations & medicines.

  • @amitwasingh
    @amitwasingh Před 3 lety +3

    Sir does extreme cold weather affects spa by any means??????

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety

      Extreme cold does increase arthritis pain & stiffness in many warriors.

  • @muskanshokeen7379
    @muskanshokeen7379 Před 3 lety +5

    Sir biologics in tablet mai bhi aa skti h or kab tak

    • @gauravsrivastava9149
      @gauravsrivastava9149 Před 3 lety

      Kahan tak me janta hu biologics injection form me hi aata h or ye u ke nerves nason me lagta h or directly u ke ghutno me or ye rheumatologist ya immunologist ke supervision me lgta h or isme 8 to 10 ghante lagte h mtlab 8 ya 10 ghante ke liye tum admit rahogi

    • @navx1817
      @navx1817 Před 3 lety +2

      Biologics ki e tarah jak inhibitors available hai. They are originally a medication for other type of athritis. Only pfizer used to make it, now there are different companies making it. It is named as Toficinitib. Google it. They have now promising results for AS also.

  • @gauravsrivastava9149
    @gauravsrivastava9149 Před 3 lety +1

    To everyone if any joint got partially little or fully fused stop taking intake of calcium . Like milk n milk products

  • @ujjwalsingh2083
    @ujjwalsingh2083 Před rokem +1

    Sir SpA likha hua hai rhemotologist ke slip me mere left hip me pain rehta hai si joint me inflammation aya hai sir kindly guide sir.abhi 2 mahine se start hua hai age 33.xray me nai hai koi change sir bas mri me hai .pls how can I consult u sir

  • @gangadharnookala6514
    @gangadharnookala6514 Před 3 lety +4

    Sir a ankylosing spondilites teek ho sakta kya sir hamara gardan thoda aage juka hai hamara age 49 years ham is beemarise 15 years ho chuke hai please kuch treatment hosaka hai to batana

  • @azizmohd55
    @azizmohd55 Před 3 lety +2

    Dr Sir just suggest me i am ankiology patient can I take covid vaccine. Is it safe pls suggest.

  • @mohdfaheemraza5185
    @mohdfaheemraza5185 Před 3 lety +2

    Axal spondylitis kaise examination kare

  • @rajaateeque8237
    @rajaateeque8237 Před 3 lety +2

    Sir Ankylosing spondylitis patient can get covid vaccine

  • @MfzAl-hind
    @MfzAl-hind Před 3 měsíci

    डियर डॉ साहब मैं स्पॉन्डयलों आर्थारइटिस से पीड़ित हूं लखनऊ kgmu से ट्रीटमेंट करवा रहा हूं.... दवा से बेहतर कण्ट्रोल रहता लेकिन सर एक्सरसाइज करतें ही दर्द बढ़ जाता है, मुझे क्या करना चाहिए.

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 měsíci

      क्या physiotherapy से आपका दर्द बढ़ता है? इसकी क्या वजह हो सकती है?
      czcams.com/users/shortsE-TZBW8X2Z0?feature=share

  • @sdmgroups1626
    @sdmgroups1626 Před 3 lety +1

    Sir मुझे पिछले 3 महीने से ankylosing spondilitis के symptoms है,
    क्या इस समय इसे बढ़ने से रोककर पूरी तरह खत्म किया जा सकता है??

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +1

      jald se jald rheumatologist ko milo. shurwati stage me jaldi thik ho sakta hai.

    • @The_Sandeep_karauli
      @The_Sandeep_karauli Před 3 lety +1

      @@DrShashankAkerkar sir आपको दिखाना चाहता हूं। कहां और कब दिखा सकता हूं?

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety

      @@The_Sandeep_karauli 9322922221 for online appointments, 022225946624 for physical visit

  • @seemajat-vl3zd
    @seemajat-vl3zd Před 3 lety +1

    Me udaipur se dr. Mohit Goyal ka treatment le rhi hu bt muje jyada kuch aaram nhi h plz sir aap muje kuch suggest kro

  • @navx1817
    @navx1817 Před 3 lety +2

    Hello Sir,
    I wanted to ask that is it possible to have sacroiliac inflammation as shown on MRI (sacroilitis) but no axial Spondylitis/ankylosing spondylitis? I did not had any accident or trauma but i have been in pain since 2018 starting. Blood reports all normal, HLA negative. No morning stiffness but consistent pain and discomfort. Muscle spasms 3-4 times in last 3 years.
    Please reply.

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +1

      This can happen in athletes. One can get minimal edema in sacroiliac joints due to sports activity/ exertion/ running marathon. This type of edema generally affects a particular part of the sacroiliac joints. However this would remain for a short duration & unlikely to last for 2 years. One needs to examine you & have a look at the MRI plates. Do consult a rheumatologist & discuss for a definite answer.

    • @sandeepdhillon7841
      @sandeepdhillon7841 Před 3 lety

      Sir does sacroilitis could occur due to prolonged sitting routine and bad posture or is it always associated with ankylosing spondylitis

    • @Beamlight7
      @Beamlight7 Před 3 lety

      Nav, how r you now ?

  • @tumpadey8466
    @tumpadey8466 Před měsícem

    I am spa patients

  • @abhijitdebnath9811
    @abhijitdebnath9811 Před 2 lety

    My doctor suggested Biologics(Adalimumab 40 mg) for 3 months, once in two weeks for AS problem. Do I need to continue Adalimumab after 3 months? What's your view Sir?

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 2 lety +1

      Yes. Taking it only for three months may not be sufficient. Please talk to your rheumatologist in details about the same.

    • @abhijitdebnath9811
      @abhijitdebnath9811 Před 2 lety

      @@DrShashankAkerkar One thing surprises me. Every rheumatologist strongly suggests for regular physical exercise for AS. But my rheumatologist(Dr. V.V.Kaushik,Apollo Chennai) told me not to do physical exercise because he said" Bone me sujan ho gya, kabhi bhi exercise nahi karna". What do you say Sir?

    • @majiddar5695
      @majiddar5695 Před 2 lety

      @@abhijitdebnath9811 bhai kiya hal hai iswaqt apka kiya kio farq howi

  • @sxsx6929
    @sxsx6929 Před 3 lety +3

    Sir Is any Promising medicine coming in near Future for A.s

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +2

      We already have quite a few good effective medicines available as of now. There are a few like Tofacitinib in the trial phase as well.

    • @vaishviktripathi890
      @vaishviktripathi890 Před 3 lety +1

      Sir, how can we have an online appointment with you, I would surely like to meet you in person as soon as it is possible for me to reach where you live.

    • @poonamkriplani1502
      @poonamkriplani1502 Před 3 lety

      @@DrShashankAkerkar tofacitinib is very effective medicine...m taking it from last one month...

    • @sanjaykapoor5976
      @sanjaykapoor5976 Před 3 lety

      @@poonamkriplani1502 are you taking tofacitinib for ankylosing spondylitis if yes where you have pain .I m also suffering from As.

    • @poonamkriplani1502
      @poonamkriplani1502 Před 3 lety

      @@sanjaykapoor5976 yes for AS... Hip joint me pain tha... Mere is month ke reports kafi achchhe hai after taking tofacitinib.

  • @nishajain1148
    @nishajain1148 Před 6 měsíci

    Pls make a video on anti bodies and diseases

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 6 měsíci +1

      Sure

    • @ashishkushwaha8830
      @ashishkushwaha8830 Před 6 měsíci

      sir meri xray ki report me syndesmopytes seen hua hai iska kya matlab hai aur mujhe kya karna chahiye please btaiye abhi mai koi bhi medicine nhi kha rha hu waiting for your reply sir
      @shashankakerkar sir

  • @amardas8672
    @amardas8672 Před 3 lety +2

    Sir kuch logo ne kaha.. saaz lene se iska bhi side effect hei.. isse bhi kidney liver par effct krta hei.. kya karu sir??? Or sir mera army ka joining letter bhi achuka hei.. aap kuch salha de.. saaz continue kar sakta hoon kya life time..iska major side effcts hote hei kya

    • @amardas8672
      @amardas8672 Před 3 lety +1

      @@gauravsrivastava9149 homeopathy konsa medicine sir

    • @ranjantiwari49
      @ranjantiwari49 Před 3 lety +1

      itna badi bimari ho gyi hai
      ab side effects ka kya sochna
      side effects sochoge toh disable ho jaoge

    • @yaseenkohli9673
      @yaseenkohli9673 Před 2 lety

      @@gauravsrivastava9149 apne homeopathy try ki ha

    • @gauravsrivastava9149
      @gauravsrivastava9149 Před 2 lety

      @@yaseenkohli9673 haa

    • @yaseenkohli9673
      @yaseenkohli9673 Před 2 lety

      @@gauravsrivastava9149 abhi kese ha ap condition kesi ha apki ?

  • @sunesarabest
    @sunesarabest Před 3 lety

    DOCTOR
    Thank you for great information. I am from Pakistan. I have HLA-B27 is positive and I have pain in left SI joint and back pain since last 4 months. I have consult 3 rehmedologist and they diagnosed Axial spondyloarthritis. They give me cosentyx biological for my treatment.
    Question:
    Biological injection is only treatment for axial spondyloarthritis. Please let me know
    Can I get your video consultation?

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety +1

      Mail a request for online consultation to mact.clinic@gmail.com. Do mention your mobile number in the mail.

  • @amardas8672
    @amardas8672 Před 3 lety +1

    Or sir.. joining k baad to covid vaccine lagayenge.. isse problem hogi kya AS k liye.. unhe to me AS k bare mei sach sach nahi bol sakta

  • @skistehar5520
    @skistehar5520 Před 3 lety +1

    Sir biologics injection is lifetime for ankylosing spondilites ?

  • @abhishekchauhan7661
    @abhishekchauhan7661 Před 7 měsíci

    is Axial spondylitis can change in ankylosing my x ray is normal and i am taking medicine nucoxia 90 my pain is low before taking medicine is any posibilty it will change in anklosing

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 7 měsíci

      How does ankylosing spondylitis progress?
      czcams.com/video/mw2awEs8bZU/video.html

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 7 měsíci

      Ankylosing spondylitis कैसे आगे बढ़ता है? क्या हर वॉरीअर में फ़्यूज़न होता है?
      czcams.com/video/a0FnOPr_hJA/video.html

  • @vaibhavjoshi1624
    @vaibhavjoshi1624 Před 2 lety

    Thanks

  • @ajinathjaybhaye4422
    @ajinathjaybhaye4422 Před 2 lety

    Sir axial spondylo arthritis (non radio graphic) kis wajah se hota hoga

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 2 lety

      Ise autoimmune kaha jata hai. Apni khud ki immunity apne hi jodon ko foreign samazkar attack karti hai

  • @mahadeobharsakade6738
    @mahadeobharsakade6738 Před 7 měsíci

    Sir muze hai,serenogative spondyloarthoritis

  • @dharmenderpanwar7085
    @dharmenderpanwar7085 Před rokem

    Sir, Is Ankylosing spondylitis and axial spondyloarthritis same ?

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před rokem

      Ankylosing spondylitis & axial SpondyloArthritis: what is the difference?
      czcams.com/video/WWI0CJCLkDc/video.html

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před rokem

      Spondyloarthritis के कितने प्रकार है? Axial spondyloarthritis क्या होता है?
      czcams.com/video/FAuhSw8EiOo/video.html

  • @sanjaykapoor5976
    @sanjaykapoor5976 Před 3 lety +3

    Dr.sir good afternoon.Thankyou for guiding SS pt.sir I m ankylosing spondylitis patient.i m taking adalimumab 40 mg every 2 week from last 4 months but now my problems increased my crp and est increased which were normal from 4 months. Kindly help me what to do.i have also used injection 2 days before.but no improvement even I m taking saaz 1 gm continue. Very acute pain and swelling in my hip and ankle pain in chest ribbs.chest xray is normal.

    • @majiddar5695
      @majiddar5695 Před 3 lety

      Aviod any kind of injection go to ayurvedic treatment and do exercise daily

    • @sanjaykapoor5976
      @sanjaykapoor5976 Před 3 lety

      @@majiddar5695 I have already taken ayurvedic medicine for two years .

    • @kausarkhalid9589
      @kausarkhalid9589 Před 3 lety

      Sar mujhe axial spondyloarthritis h is bimari ko 5 saal ho chuke h please iska ilaj btaye sar m bhut preshan hu

    • @kausarkhalid9589
      @kausarkhalid9589 Před 3 lety

      Sar injection s koi Nuksan to nhi h

    • @sanjaykapoor5976
      @sanjaykapoor5976 Před 3 lety

      @@kausarkhalid9589 no

  • @gurbanikaur3276
    @gurbanikaur3276 Před rokem

    Sir mujhe spa axial as hai...saaz ds and toficitnib le rahaa hu

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před rokem

      Kya AxSpA control me hai?

    • @gurbanikaur3276
      @gurbanikaur3276 Před rokem

      @@DrShashankAkerkardoc kamar ke nichle hisse me dard rehta hai saaz ds two times, tofacitnib 1 din chod kar and etoricoxib two times in week hai...pain kabhi rehta hai kabhi nahi rehta...mujhe nahi pataa control mai hai ya nahi

  • @seemajat-vl3zd
    @seemajat-vl3zd Před 3 lety

    Sir me bhi AS patients hu bt sir muje gutno me jyada pain h spin me to bht kam h ek left knee me jyada pain rhta h

  • @VishalGayakwad21
    @VishalGayakwad21 Před 4 měsíci

    Sir AS/SPA Mai sex ki kami hoti hai kya
    Sorry sir but batao muze

  • @UshaYadav-xq3ho
    @UshaYadav-xq3ho Před 3 lety

    Sir I have started sulfaselazine one month before but only 5% relief. In my hip pain I met rheumatologist he suggested me biologicals as I have active bilateral sacrolitis....AXIAL SPA. he said any medicine will not work for me except biologicals.sir I afraid side effects of biological and want to try atleast one more month saaz.will this work or not in my condition.i have not in serious condition.sir pls pls guide me🙏🙏

    • @DrShashankAkerkar
      @DrShashankAkerkar  Před 3 lety

      You can always try Saaz for a few months. Exercise regularly if not doing so. However do have a 'stop loss order' What this means is that have a fixed time limit eg 3 months beyond which if there is no relief you should discuss with your rheumatologist & go ahead with biologics. Biologics are quite safe if taken under supervision & with proper precautions.

    • @UshaYadav-xq3ho
      @UshaYadav-xq3ho Před 3 lety

      @@DrShashankAkerkar thank you so much 🙏 doc.for reply.i will try saaz for 2 more months. I am not able to do exercise because my both wrist got tenosynovitis.is it due to ankylosing or other reasons ??

    • @Beamlight7
      @Beamlight7 Před 3 lety

      @@UshaYadav-xq3ho how r u now, I too have sacroillities, are u hla b27 positive. My doc has put me on saaz ds and etoricoxib.... has saaz ds helped u

    • @UshaYadav-xq3ho
      @UshaYadav-xq3ho Před 3 lety

      @@Beamlight7 yes I have ankylosing spondylitis and hla b27 positive since 2014.it was 70 % cute with exercise and panchkarma , ayurvedic treatment but when I came in chennai one year back it started again .may be because of weather.i have started sulfaselazine in January 2021,after 3 months I have got 60-70% relief.somtime pain increases.i have noticed that my problem increase with weather conditions but it not happens with all🙏

    • @Beamlight7
      @Beamlight7 Před 3 lety

      @@UshaYadav-xq3ho thank you for replying. I pray and hope u get 100% relief all the days of your life. Actually 2 weeks back I started saaz ds, and was sufferring with sacroiliitis since 2yrs, but the different orthopedics I went to, gave meds which didn't subside th issue. The last ortho I went to did my MRI and thats the sacroillities was diagonised. He gave meds which didn't help. Now I am on rheumatologist treatment. I am Hla b27 negative, but don't know what went wrong at age of 30, now I m 33. Ironicqlly I was a vegetarian, eating fish and rice too, but no milk from age 20 to 30. Then I started non veg again, and ate lots of sweets, and processed meats, that when all symtoms started.... Are u still continuing with ayurveda ??? I wanna give ayurveda a try, I believe ayurveda can help a lot simultaneously... also did u try biologics ?