Having an ESR in the single figures does not correlate with pain and inflamation. I feel too much emphasis is put on the ESR by dr.'s as to what is going on with the disease. My sed rate this month was 6. This does not in any way correlate to the pain I have had this month. Though I will say when it was at 20 my pain levels were higher. But what I am trying to say is that just because your sed rate is normal or in single digit numbers doesn't mean you do not experience regular AS pain.
There is no drug stronger than a good attitude.