Mr. V. K. (PIN Number L-8425) came to the clinic for treatment of backache. He had severe low back pain. He had an X-ray done of the lumbosacral spine. It showed early degenerative changes in the spine. Dr Shah advised an HLA B 27 test, and it came as positive. He was diagnosed with Ankylosing Spondylitis.

Mr V. K. was on pain killers and a brief course of steroids. He had severe pain in the lower back for the last year. There was stiffness which was worse especially in the morning. There was severe pain and inability to walk for a few days. He was admitted to the hospital for two days. He was on three pain killers and muscle relaxants with antacids, which relieved him.

The pain increased in the morning, on waking up, by taking a long breath, lying down, coughing etc. He also had a calcaneal spur. Mr V. K. was stout, with a good build, he had profuse perspiration, he felt better in the winter and he disliked summer. There was a craving for salty food and he would have extra salt in food. He was of an irritable nature, but he would forgive. He was social. He would generally go out for tours.

He had good relations with everyone. He had stress in his business. He was a wholesale dealer for edible gum and a big trader was trying to undercut him in rates. Mr V. K. initially was at a loss and business went down and the goods were lying unsold. But once he came to know about it, he took corrective steps. He says it is all like playing a game.

This stress though was the backdrop of his trigger for ankylosing spondylitis. He still has good relations with the competitor, whom he beat at his own game. Based on these details, Dr. Shah studied his case systematically. Dr Shah prescribed Calc Flour 30 C and Calc Flour 200 C, in recurrent doses. Mr. V. K. had prompt relief in 4-6 weeks and he steadily improved. The pain was considerably less. In three months the pain and stiffness had reduced to a good extent.

He had discontinued all the painkillers. He was off the steroids and in eight months of treatment he had no complaints of spondylitis. He continued with the treatment for some time. Mr V. K. still follows up with his wife intermittently, but he does not require treatment. His treatment was concluded after one year. There has not been a single relapse.