Breaking the Stiff Deadlock How a Young Professional Conquered Ankylosing Spondylitis
Mr. P.J. (Patient ID: 55126), a 32-year-old male working as a business development manager in a reputed MNC, consulted the Life Force Homeopathy Pimpri branch telephonically in July 2024 for the management of ankylosing spondylitis (AS). He had been struggling with the condition since 2018, experiencing persistent lower back and neck pain, stiffness, and reduced spinal mobility.
At the time of consultation, his major complaints included moderate to severe lower back pain with early morning stiffness, lasting up to 1–2 hours. He also had neck girdle pain with restricted movement, especially after waking up or prolonged inactivity. A stooped posture while walking had recently developed over the past 3–4 months due to increased stiffness.
Daily activities, especially his sedentary 8-hour desk job, were challenging and contributed to the persistence of symptoms. Despite efforts, he had been unable to maintain a regular exercise routine due to pain and stiffness.
Mr. P.J. was HLA-B27 positive and had undergone an MRI in 2018, which revealed bilateral sacroiliitis and other degenerative spinal changes. He had a history of using multiple treatment modalities:
Inj. Adalimumab (Adalipca 40 mg)—15 injections administered in 2019 (1 injection every 15 days).
Tab. Tocib 5 mg BD (Tofacitinib)—started in August 2023.
Ayurvedic and homeopathic medications and over-the-counter painkillers were used intermittently in the past, but without sustained relief.
Personal and Family Background:
Mr. P.J. lives in a middle-class, culturally rooted family of five—his parents, elder brother, and wife. His father is diabetic, his mother is a homemaker, and his upbringing was emotionally stable and well-supported. He holds a Post Graduate Diploma in Management (PGDM) and describes himself as calm, composed, emotionally sensitive, and reserved, though well-liked by peers and elders alike.
Physically, he is vegetarian, eats in small intervals, craves sweet and spicy food, drinks 1.5-2 liters of water daily, and is chilly in thermal preference. He has no urinary or bowel issues but reports disturbed sleep. His health history includes typhoid in 2016.
After a detailed case study of the chronicity and nature of the disease, Dr. Rajesh Shah prescribed Medorrhinum 30 and other homeopathic medicines.
Follow-up Progress:
07 September 2024: Status quo (SQ). Pain and stiffness in the lower back and neck persisted. His sedentary work lifestyle was identified as a contributing factor.
12 November 2024: Notable improvement. Back pain significantly reduced, though thoracic stiffness remained unchanged. Patient was not on conventional medicines during this period.
11 January 2025: Marked progress. 60-70% reduction in back pain. Morning stiffness was mild and relieved by movement. Neck stiffness and pain were absent.
12 March 2025: Continued recovery. An additional 10-15% improvement was observed. Morning stiffness lasted only 10–15 minutes. No other active symptoms.
09 May 2025: Overall improvement of 75-80%. Backache and stiffness greatly reduced. No joint swelling. Neck mobility remained normal.
Conclusion:
Ankylosing spondylitis is a chronic, progressive condition that is medically considered controllable but not curable. Under individualized homeopathic treatment by Dr. Rajesh Shah, Mr. P.J. has shown remarkable and consistent improvement over a span of several months.
This progress underlines the importance of constitutional homeopathy in managing long-term autoimmune conditions like AS, especially when integrated with lifestyle correction and stress management.
Case study written by Dr. Mitali Singh, Associate Doctor to Dr. Rajesh Shah