Sir, I am getting effected by arthritis and feeling pain in my all fingers and back. I feel acute pain when I am idle for long time while rest day or during journey. I had consulted many doctors but no any progress are there. I am taking Etoshine 60 mg. By taking one Tab I find relieve for three to four day. Mostly feeling pain in the morning and evening during sleeping time. Could any body give me suggestion what yo do for its permanent solutions. All the test like HLA- 27, MRI of Spine is negative. Thanks, Pradeep Singh.

Dr. N C GuptaOrthopedist52yrs exp

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Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform me. 

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