Age: 46, Male, Presenting Problem Since: 16 months, Symptom Behaviour: mixed, Symptoms Worse (24hr Behaviour): stiff after waking up, Aggravating Factors:: periods of rest and activity, Easing Factors:: nothing really, Investigations: mri scan shows i may still improve over next 6-12 months, No Diabetes, High Blood Pressure: contolled to normal with candesartan and low salt diet (approx 120/75), Medications: paracetamol for back pain in morning, omeprazole for acidity, simvasatin, b12 vits, candesartan, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, Bowel & Bladder: i have bladder urgency, Other Info: my 1.5 years of low activity has left me 19 1/2 stone, although I am 5ft 10 and well built normally.