<s>[INST] my daughter was suffering mild back back pain and associated 3 or 4 joints. She has been consulted with Dr.Vinod, orthoone in coimbatore and she has given sazo 500 for 3 months. After that medicine was stopped. After 8 months now she started pain on her back. She is aged 12 years. She has RA negative and ESR 29 per hr. Should I consult any other specialist for this or who is the best for this and I am very anixious whether this is a chronic or once she reaches puberty will go automatically? Is it a immune disorder [/INST] Hi, Last time, when she had the symptoms, what all joints were affected? Did it just pain or associated with swelling, redness and warmth over the affected joints also? Any history of associated fever? Recurrent attacks of back pain and joint pains, especially if associated with swelling, indicates recurrent arthritis. This can suggest VIA (juvenile idiopathic arthritis) or its variants, a counterpart of rheumatoid arthritis in adults. I would suggest you to consult a rheumatologist for evaluation. Initial basic workup can be done with a pediatrician also. You may be asked for few blood tests and an x-ray. Meanwhile, give simple analgesics like paracetamol for pain relief. Take care. Hope I have answered your question. Let me know if I can assist you further.  </s>