### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am Milind, diagnosed sero negative arthritis,with Rh factore positive.ANA TEST IS NEGATIVE.I am on celecoxib 200 1bd,Leflunomide 20 1 od & Hydroxychloroquine 200 1 bd. My overall condition is stable & without pain episode ever since medicine started 5 month back. HOWEVER, I am fealing weakness & mascular pain on stress. My physician has given Myoril 4mg 1 bid for week. HOW long these medicine will continue? Do you suggest any other reasone for weakness & mascular pain. I am non diabitic, no history of hypertension,lipid profil, LFT, RFT & BIOOD PICTURE REPORT NORMAL. AGE 53Y MALE, WT 90KG HT 165 CMS.

### output:

Hi, Thank you for providing the brief history of you, Since you mentioned you have been diagnoses with Hero negative arthritis and on medication which is helping is good news. As you mentioned your symptoms of muscular weakness and weakness, these are a part of the RA symptoms. What you need to come out of these symptoms is indulging yourself under a physical therapist who will help you learn how to make the muscle stronger and balance your functional activities without losing more energy. Since you have a pathology, the body mechanism will be running out of energy to support the needs of the cellular mechanism. Undergoing physical therapy session will help your muscles to become stronger, improve the metabolism, improve the fatigue levels to lower down, and overall body conditioning. After all, exercise is the natural way of healing the body as post exercise the body produces its own medicine to heal the body. I recommend you to learn the exercises from a physical therapist. Important note :RA should not travel towards the joints of the ribs. As it is painful and may lead to trouble. For which I will highly recommend performing regular breathing exercises. With the grace of God I wish you a Good health. RegardsJay In Chat Doctor. 