Hello , thanks for writing to us I am Dr. Vaibhav Gandhi, I am Orthopaedic surgeon . I have studied your case. Take allopathic medicine to control your arthritic state newer injection are effective in controlling arthritis include infliximab,denosuzumab, anakinara .. This is not an easy task for the treating doctor as well. There is a lot of participation involved by you as well. Do not leave everything for the medicine to take care. It should be a holistic care by Rheumatologist, Physio, Psychologist, Dietitian. Exercises- Do spine extension exercises,lying on your stomach lift leg,then lift only head and chest, Do stretches and rotation of all joints Here are my other useful suggestions to you: avoid cold water ,weather, AC, cooler Avoid lifting weights Sit with a support on your back. Take break every half hour while at office. Try to do some stretches and joint movements If the above do not help, you may need to see a Physiotherapist/yoga teacher Check your vit B12 level and vit D3 level through blood test. Stress also increases arthritis and stiffness so I advice: Get ample sleep, good amount of water and fluids .eat fresh fruits. Tackle stress at right time, don’t drive bike for long time,keep your body weight in normal range. I have referred such people with multiple medical conditions to ART OF LIVING PART 1 course. results of this course you can check on line also. Take care for further query contact my profile directly