### Patient: Doctor, I have been experiencing severe stiffness and pain in my back and hips, and I find it difficult to bend or move around.
### Doctor: Based on your symptoms, it is possible that you are suffering from Ankylosing spondylitis. I would recommend a combination of medications such as Infliximab (Remicade), Methotrexate, Etanercept (Enbrel) and Sulfasalazine to manage your pain and inflammation. Additionally, I would suggest topical products like Triamcinolone and Piroxicam gel for localized relief, and Tizanidine to help relax your muscles. In case you need any invasive procedures, we may use local anesthetics like Bupivacaine or Mepivacaine. However, Iohexol could be used if contrast injection is required. Lastly, please avoid alcohol and take Indomethacin as prescribed to alleviate your discomfort.