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It looks like you probably have spondyloarthropathy which is an autoimmune condition which affects your sacroiliac joint and can involve peripheral large joints like hip joint. You should consult a rheumatologist (can connect with me if required) There are multiple dmards available for the same Damage can't be explained only on mri..it is necessary to take proper history and examine you as there are variety of arthritis and accordingly we have to decide on treatment. I don't think folitrax is absolutely required in this case..will have to first take a thorough consultation with you and decide on management

Kindly consult orthopedician... for examination physiotherapy and analgesics dmards and joint aspiration and culture report..bursitis..uric acid shud be tested...steroid injection ..so kindly consult them...

Your Report looks like you have rheumatoid arthritis ,. Extent of damage according to history and report is less . Tab folitrax ( methotrexate) is DMARD  ( disease modifying anti rheumatoid drug ) It helps to  decrease inflammation and erosion . Along with folitrax , folic acid also given to reduce the side effect of  methotrexate. Retoz  (Etracoxib)  also an anti-inflammatory . Which help in reducing inflammation. Tab folitrax causes side effect on kidney, liver.

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This is a chronic problem and won’t go away with any medication. Considering you are in early 30s, if DMARD (ie the medications you are using) are not controlling the symptoms, you will need to be offered a different medication called Biologics. It is likely you will need a hip replacement on the left side in near future. With regards to monitoring your current medications effects: the advise is 1. Every 3 months blood tests for LFT, CBP, KFT 2. Every year Ultrasound abdomen 3. If developing breathing problems or chronic cough, Chest X ray (and based on the results HRCT chest) Physiotherapy is also very good for your condition. STAY WITH ONE RHEUMATOLOGIST TO AVOID COMPLICATIONS. All the best. J G S R clinic

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Please share details of your symptoms. You seem to be having Rheumatoid arthritis.Get cbp with esr, Rheumatoid factor, tests done. It is not curable by meds, but can be controlled very well, by preventing it's progression. Continue meds as prescribed by your physician. Do regular hot fomentation. Once pain is relieved, start doing regular exercise after consulting physiotherapist. Take a balanced diet with adequate calcium, vit d3.

Your MRI shows early to moderate damage in the left hip joint: • Mild joint effusion (small fluid buildup) • Articular erosions + subchondral cystic changes in the acetabulum (bone damage and small cysts under the cartilage) • Subtle subchondral marrow edema in the femoral head (inflammation in the bone under the weight-bearing area) This suggests inflammatory arthritis (likely axial spondyloarthritis or ankylosing spondylitis type, given bilateral chronic sacroiliitis, worse on right). The damage is not very advanced yet — no mention of severe joint space narrowing, major bone destruction, or collapse. It’s early enough that good treatment can slow or stop progression, reduce pain, and help you live a normal or near-normal life for many years. Is it curable permanently? No full cure exists for this type of arthritis, but it is very controllable. With proper medicine + exercise, most people avoid severe disability, and hip damage can be slowed dramatically. Hip replacement is only needed in advanced cases (often after many years if untreated).

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No joint collapse so with medicine  it will  fix. How long?? It differs from person to person. So unable to answer. U need lot of patience.

Can be ankylosing spondylitis

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need a few more details please consult for further evaluation and treatment

There is NO mention of joint collapse, severe deformity, or advanced destruction, This means the joint is NOT destroyed,You are still at a stage where progression can be stopped.Many patients live normal, active lives with treatment.It is NOT permanently curable,BUT it is very well controllable.Don’t stop Folitrax out of fear—it is protecting your joints.