Hello--my background story first please. I am a 57 year old white male. I had a heart episode last May. Diagnosed w/CHF. On May 21st underwent quintuple bypass, mitral and aortic valve replacement and thoracic aortic aneurysm repair. Since I have prescriptions for low-dose aspirin, Furosemide, Citalopram, Pravastatin, Lisinopril and Carvedilol. At first all went OK. Increased my exercise, got stronger and felt fine. Now however I have much less strength and my joints are killing me {right knee, both shoulders, neck, skull behind ears and the bottom of my left foot}. It is very near impossible to get any exercise, which I need to keep my weight down and help my cardio. The one thing my doctors seem to ignore is I was diagnosed with Ankylosing Spondylitis in 1992. I feel this is interfering with my recovery, but I am not sure. My question is what could be causing my pain. Thank you for any insight/help.