Every pathological reports are nopositive. ESR and CRP are found above the average level whenever investigated. Bilateral sacroiliac joint show hypointensity along the iliac side on both T1-weighted and T2-weighted images in subarticular location suggestive of focal sclerosis. Small erosions seen along bilateral articular margins. Negative for local areas of T2 STIR hyperintensities to suggest local oedema. Probable Fibromyalgia�(FM) with�Spondyloarthritis�(SpA). MRI SI joints with screening of lumbosacral spine shows: Features to suggest bilateral sacroiliitis as described. Symptoms: Musculoskeletal pain Sleep disturbances and interrupted� light sleep or daytime sleepiness (can?t sleep if went bed after 9 pm). 3 .Mood swing and do not like rush, hard smell, noisy sound, light and party-function. Sensitivity to loud noises or bright lights. 4. Unknown Fear, Anxiety, Memory loss, cognitive difficulties, unable to concentrate. 5. Pain and swelling in any part of body (Especially in joint or near to joint). 6. Pain area may change in days, weeks or months (any two of neck, hip, lower back, upper back knee ,ankle, chest bone etc.). Affected Part?s temperature high. 7. Suppress Appetite 8. Chronic, diffuse, sharp, throbbing, or severe pain in muscles, tendons, and ligaments around the joints and near to joints. It migrates over the body. 9. Constipation, passing excessive amounts of gas always, gastrointestinal reflux diseases, foul smell from mouth, frequent urination 10. Feeling tired and weakness, fatigue 11. Swelling is rational to pain intensity. If pain is superficial swelling disappear. 12. Muscle soreness, or muscle spasms 13 Sensitivity to cold ,weather change, stodger and other?s behavior, sleep and bowel movement, Irritability 14. Joint stiffness (sometimes joints stop complete movement of body part) 15. If problem persist more than a month weight gains 5 kg 16. Heating affected part, and proper digestion, passing gas and body massage relieve symptoms 17. Smell of urine changes frequently. 18. Gram and their products, peanut aggravate symptoms 19. If pain persist in muscles more than a month it makes lump. Heating disappears it.