<human>: Hi Doctor,My name is narayanReddy age:27, i am having back pain since 9 yrs , it was started with lower back after some years it was spreaded all over mybody including shoulders,Knees,neck i got 1.6 yr back neck surgery that is bonegraft after that my neckpain got severe and I took MRI ,Blood Test RF(Rhumotide Factor), B3 and D12 that report everytihng is normal, pls adivce me
<bot>: Hello, I have studied your case with diligence. Ankylosing spondylitis typically involve spine and hips with other large joint also in young age. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like, CCP, ESR, complete blood count, HLA B27. I can help you for your chronic pain, For further details you can contact me on my profilehttp://doctor. ChatDoctor .com/doctors/ Chat Doctor.  If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care