hi, thank you for providing the brief history of you A thorough musculoskeletal assessment is advised. As you have been diagnosed with reactive arthirits a little knowledge about it is required Reactive arthritis is a painful form of inflammatory arthritis (joint disease due to inflammation). It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (Chlamydia trachomatis) or the bowel (Campylobacter, Salmonella, Shigella and Yersinia). Now, as you have multiple join pain and aches along with swelling at the ankle, I will advice you further to visit a physiotherapist who can help you with your pain and aches. Since the pain and aches are possibly due to the infection I am sure the physician will guide you with antibiotics for the same. Undergoing a thorough urine examination is advised as to check the possible bacterial infection present also. For the pain and swelling management the physiotherapy will help you with therapeutic ultrasound therapy and TENS therapy by which the inflammation and pain will subside. Also, performing regular exercises are guided here to understand that the body s metabolism and immune system are slowed down which lead the bacterial infection to go higher and lead to reactivate arthirits. Exercise will help improve the metabolism, immune system and strength in the muscles as in the reactive arthirits the bacterial infection directly attacks the soft tissues of the joint. So exercises will play an important role. Also while performing the Strengthening of the core and pelvic floor along with special exercise will help improve the bladder to empty completely and avoid any bacterial infection to persist due to UTI In my clinical practice I recommend patients with similar complaints to physical therapy as it will help them to recover better and avoid future complications. Regards Jay Indravadan Patel