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

### input:
I have been suffering from heel heel and ankle pains with swelling for the last one month. For the last ten days multiple joint pains developed, without any swelling, but swelling at ankle continuing and suffering from fever and chillness in the evenings. For the last one month, I have been using Dolokind & Pentakind tablets. For fever I am taking Lenol as prescribed by Doctor. Now, on 29 th I have consulted Rheumotologist in one of the famous Hospitals in Mumbai. They have prescribed HLA B27 test(reort yet to come) and medicines of :T.Etoshine90,T.Omnacortil5,T.Saaz,T.Folvite,T.Pan. I need ur sincere opinion. I was diagnosed for Reactive Artheritis ( without HLA B27 test).

### output:

Hi, thank you for providing the brief history of you thorough musculoskeletal assessment is advised. As you have been diagnosed with reactive arthritis a little knowledge about it is required Chat Doctor.  It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (Chlamydia trachomas) or the bowel (Campylobacter, Salmonella, Shell and Yersinia). Now, as you have multiple join pain and aches along with swelling at the ankle, I will advise you further to visit a physiotherapist who can help you with your pain and aches. Since the pain and aches are possibly due to the infection I am sure the physician will guide you with antibiotics for the same. Undergoing a thorough urine examination is advised as to check the possible bacterial infection present also. For the pain and swelling management the physiotherapy will help you with therapeutic ultrasound therapy and TENS therapy by which the inflammation and pain will subside. Also, performing regular exercises are guided here to understand that the bodies metabolism and immune system are slowed down which lead the bacterial infection to go higher and lead to reactivate arthritis. Exercise will help improve the metabolism, immune system and strength in the muscles as in the reactive arthritis the bacterial infection directly attacks the soft tissues of the joint. So exercises will play an important role. Also while performing the Strengthening of the core and pelvic floor along with special exercise will help improve the bladder to empty completely and avoid any bacterial infection to persist due to Union my clinical practice I recommend patients with similar complaints to physical therapy as it will help them to recover better and avoid future complications. RegardsJay In