Ankylosing spondylitis is a kind of arthritis that stiffens the spine and sacroiliac joints, causing that deep inflammatory ache. They say it's often linked to a gene called HLA-B27, but for us in India, I hear it can present differently and is found less frequently. What causes it? The doctors in Shimla spoke of the body attacking itself, but my reality is the long, bumpy bus ride to get the NSAIDs that simply blunt the edge of the pain. My view from this charpai each stiff morning, watching the mist cling to the deodars, is a clearer scan than any X-ray of what inflammation truly costs.
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