Age: 28, Male, Presenting Problem Since: 5 months, Symptom Behaviour: getting worse, Symptoms Worse (24hr Behaviour): constant, Im very stiff in the morning, my job is very physical and alot of heavy lifting or walking with heavy objects hurts, at night everything stiffens right back up due to resting and lack of movment., Aggravating Factors:: Heavy lifting, standing up for a extented period, stairs, Easing Factors:: laying flat on my back, Investigations: My spine doctor said I have spondylolisthesis and will require surgery, I have both hips replaced, right (2009) hip resurfacing using metal on metal, left (2011) total hip replacement using ceramic on plastic., No Diabetes, No history of High Blood Pressure, Medications: hydrocodone for pain, humira for RA, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: Metal on metal hip resurfacing is failing and my ion levels are high.