Thank you for your input much appreciated. Yesterday I had a phone consult with the pain management Dr,he has been treating me for back pain it seems he thought I only had that. After having had MRI's and the result showing normal for my age( 67) degeneration no one can understand why I have such chronic pain in my back. I went on to ask him to look at the Xrays of my hands also and that I had not heard of 'Erosive' Osteoarthritis I finally plucked up the courage to ask "Do I have Ankylosing Spondylitis" ? and that it's not just the pain that I have other issues such as dry eye/nose/mouth,I have bowel problems too among other issues " I heard a sudden intake of breath when he said this is sounding more like an Inflammatory or Psoriatic arthritis and had I had a work up ? "No don't be silly" I told him at the age of 14 for 2 yrs and again at 28 for a few more yrs I had pustular Psoriasis under my feet that I had to walk virtually of tip toes. I think that might have been a light bulb moment for him. So he is writing to my GP to refer me to a Rheumatologist and to get a blood work up ,hopefully the HLA B27 and maybe now I will get some answers. Thank you to everyone on these pages I am learning a lot about what to say to Dr's and what to demand that I am worth more than "It's your age and it's osteoarthritis there is nothing we can do"