Common "Ankylosing Spondylitis" queries answered by top doctors | iCliniq

Ankylosing Spondylitis

Ankylosing spondylitis is an autoimmune inflammatory disorder of the spine characterized by pain and stiffness with a variable course. It mainly affects the joints of the spine and sacroiliac joint in the pelvis. As the severity increases, the joints start to fuse with each other resulting in a rigid spine.

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Is biologic Etanercept suitable for my ankylosing spondylitis?

Query: Hello doctor,I have ankylosing spondylitis (HLA B27 positive) for the past 12 years and with pulmonary tuberculosis the very next year. And took medicine for nine months, and now I am daily taking Saaz, and I am going to plan for Biologics. The doctor suggested Etanercept 50 mg, but I am afraid of s...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. You need to do Mantoux test and interferon gamma level before starting biologics because they can cause reactivation of tuberculosis if there is doubt you should receive the two drug ATT regimen (anti-tubercular treatment) before starting biologics that is recommend...  Read Full »

Can my husband take Adalimumab for ankylosing spondylitis?

Query: Hello doctor,My husband is suffering from ankylosing spondylitis, and he is under treatment since last year. His doctor has now suggested Adfrar 40 injections along with physiotherapy and a belt. The doctor has also suggested halting swimming until further instructions. I am looking for a second opi...  Read Full »


Dr. Naval Mendiratta

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect the patient's identity), and his disease does look quite severe. Developing a compression fracture is an indication that the disease activity is high. The reason for stopping exercises would be the f...  Read Full »

How do I overcome muscle and nerve tightening? Please help.

Query: Hello doctor, Seven years ago, I was affected by ankylosing spondylitis (HLA-B27 positive) (RF negative). And then after a year, I was affected by pulmonary tuberculosis (TB lungs). Tuberculosis was controlled within months and I continued taking medication for ankylosing spondylitis. And then f...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. Following are the answers for your queries: Get an  MRI LS spine done, to see for any disc prolapse as the pain you are describing along with tingling sensation is seen in disc prolapse only. A combination of Pregabalin and Methylcobalamine will help you in neuropathy pa...  Read Full »

I have been experiencing severe pins and needles sensation in my palms and feet. Please help.

Query: Hi doctor, I am having a pins and needles sensation in my palms and feet. Also, stinging pain can be felt when performing physical activities that involve the upper body. X-ray report of the thoracic spine mentions potential ankylosing spondylitis due to the presence of interspinous ligament ossific...  Read Full »


Dr. Muhammad Shoyab

Answer: Hi, Welcome to icliniq.com. I understand your concern. I understand it is quite concerning to have apparently dissimilar reports on two tests, especially when you are having specific and persistent symptoms. However, the good news is that MRI (magnetic resonance imaging) is almost the gold standa...  Read Full »

I am a HLA B27-positive male. Will it pass to my children?

Query: Hello doctor, I am a 26-year-old, and I had hip resurfacing surgery eight years back. I am an HLA B27 positive, even my father is also positive. I have had joint pain for the last fourteen years. Now, I wish to know that if I marry and have children will this pass on to them? What measures should I...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. About 80 % of people with ankylosing spondylitis have HLA B27 positive, and only 1 to 4 % of people with positive HLA B27 develop ankylosing spondylitis. That means out of 100 people with positive HLA B27, only one to four can develop ankylosing spondylitis, and 96 t...  Read Full »

I am suffering from ankylosing spondylitis. Kindly help.

Query: Hello doctor,I am suffering from ankylosing spondylitis from two years. Can you please tell me whether there are chances to slow the disease progression and how?  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. There are four modes of therapy for ankylosing spondylitis. NSAID (non steroidal anti inflammatory drugs) group, steroid, disease-modifying anti-rheumatic drugs such as Methotrexate, TNF blocker like Adalimumab, physiotherapy also should be done, also avoid smoking, m...  Read Full »

I am suffering from ankylosing spondylitis. Kindly help.

Query: Hello doctor,I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) for 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of the neck, forward bending, and morning stiffness with sciatica. Kindly suggest new medications and NSAIDs. I have attached HLA...  Read Full »


Dr. Puri Divya Inder

Answer: Hello, Welcome to icliniq.com. The NSAIDs you can take are Etoricoxib 90 mg once daily orDiclofenac75 mg twice daily. You can try this out and see which one helps more. Once your pain is controlled, you can try to reduce the dose to alternate days or even lesser depending on your pain. Folic acid ...  Read Full »

Why did the pain on the right side of my back move to the hips?

Query: Hi doctor,I have pain in my hips. I began to have a slight ache on the right side of the lower back and then it got moved to my hip-deep in the socket like a toothache. I have had pain in my bones also for the past two days. Taking a hot water bath helped me and I was able to move around a little bi...  Read Full »


Dr. Rajiv Ranjan Kumar

Answer: Hi, Welcome to icliniq.com. Based on your history, the common rheumatological condition that needs to be ruled out is spondyloarthritis (SPA). It includes many groups of diseases starting from ankylosing spondylitis, reactive arthritis, and others. It causes back pain, and lower limb arthritis and...  Read Full »

Why am I having constant left lower back pain after an injury?

Query: Hello doctor,I have had a lower back injury for three years, and that has not been improved with rehabilitation or anything. There is constant pain in the left side of my lower back, which becomes worse on twisting motions, exercise, and bending to the point where I can barely walk. My physiotherapi...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. Your iliolumbar ligament is completely visualized and is free from any pathology in the MRI (attachment removed to protect patient identity). Your vertebra, intervertebral disc, spinal column, and spinal cord are also grossly normal. However, there is early facet...  Read Full »

Is my pain in the joints related to genetic disorder?

Query: Hi doctor,I am a 25-year-old male. My height is 5 feet and 5 inches and my weight is 121 pounds I am a software engineer. For the last four months, I am having pain in both hips. To be more precise, the pain is in the front side of the joint between the hip and thigh. Around four months back, I had ...  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hello,Welcome to icliniq.com.You are very young and should not be having the kind of hip pains that you have described. I have also gone through your reports (attachment removed to protect patient identity), which you have sent and there are some points that we have to concentrate on and discuss wit...  Read Full »

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