Need opinion. Are these needed?

The consultation given is proper just get the tests done and send the results here You might be having spondyloarthropathy which will be confirmed after the mentioned tests You can start tab. Tofacitinib 5 mg 1-0-1 after breakfast and dinner for 2 months

Start above meds get test done

Do not sit on the floor use western toilet seat Do heat fomenting

Yes plz get these tests done

This treatment is being suggested   on bases of the information provided.  However I would like to examine & investigate you  in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any.  -Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. -(You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Keep a pillow under the knees. --. Avoid painful acts & activities. -- .Do mild exercises for the back and lower limbs. --.(Take help of physiotherapist or you can visit my you tube channel 'Dr NC Gupta'.)   & see  'me and my yoga'; & 'yoga simplified'. Kindly subscribe to the channel to get notifications for further new information of your interest.  --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.   Dr N C Gupta MS (ortho) DMC 3624  

Yes, please go through blood test