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

### input:
hi sir....i have had severe  "point" pain in my left sacral region progressively gradually increasing over the period of 2yrs...started after in had chickengunya infection....did an mri, was diagnosed to have erosions hypodense in my left sacroiliac joint and was spreading towards the right. the pain starts wen i lie down supine...we i try to turn to laterals,,,almost terribly painful...cant turn at all....now it has has increased ...wen i lift weight..and wen i walk fast the pin point pain starts...my doctor told me to check my vitamin d levels..it was deficient...hence started on pain killers n calcium n vit d supplements...but the pain is not alleviating at all...plzz help doc..                                                                                               jenny d

### output:

Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. The changes you have mentioned in the X-ray, are irreversible changes. So, main agenda of your treatment is the prevention of further damage to the joint and its progression to the right side. The treatment prescribed to you by doctor is perfect you should continue with it. You should avoid lifting heavy weight. Maintain the good posture even if you sit in the chair. Best ergonomics of the body posture prevent your joint erosion and can help you to prevent further pain to you. You should visit the physiotherapist, they give you heat therapy and electron therapy. They are much help full for pain management in recent times. They also taught you exercise which will be much beneficial to you for pain management. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.