Your severe back pain with a positive HLA B27 test suggests a possible inflammatory condition like ankylosing spondylitis, which often requires specialized care beyond just painkillers.

🩺 What This Likely Means

HLA B27 positivity combined with chronic back pain that improves with painkillers but returns may indicate an inflammatory arthritis affecting the spine. This condition typically needs targeted treatment to control inflammation and prevent progression.

🩺 Recommended Next Steps

• Consult a rheumatologist promptly for a thorough evaluation and confirmation of diagnosis.
• Discuss starting specific anti-inflammatory or disease-modifying treatments, such as the medication Salazar Tablet, which is used for ankylosing spondylitis and related conditions.
• Avoid self-managing with only painkillers, as they do not address underlying inflammation and may mask symptoms.

⚠️ When to Seek Urgent Care

• If you experience worsening pain, fever, unexplained weight loss, or neurological symptoms like numbness or weakness in legs, seek immediate medical attention.

Seeing a rheumatologist will help tailor treatment to your condition and improve your quality of life. If you want, I can explain more about ankylosing spondylitis and its management.