BACKACHE

age ३२ years,backache since 2 years.severe pain on cocyx region & lateral to l1-l3.No inflamation.non DM,HTN.
MRI-mild postero central disc protrusion at L5-S1 disc.
Xray pelvis ap view- sclerosis in middle thirds of right sacroiliac joint.
Arthiritis pannel -Normal
latest RA factor-40-80(+ve)
NO OTHER SYMPTOM. ....

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