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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What is the reason for edema of both feet and ankles?
Query: Hello doctor, I am regularly taking 6 oz of warm water with half a slice of a medium-sized lemon and one medium spoon of honey right in the morning for the last 15 days. Whatever be the benefits, I find my arthritic knee pains have slightly increased along with edema of both feet and ankles and pa... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. You have mentioned that you are suffering from ankylosing spondylitis (AS) with osteoarthritis. But, you have not mentioned which DMARD (disease-modifying antirheumatic drug) you are taking.Anyways, I would suggest the following. NSAIDS (non-s... Read Full »
What can be done to slow the disease progression in ankylosing spondylitis?
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 group. Steroid. Disease-modifying anti-rheumatic drugs such as Methotrexate. TNF blocker like Adalimumab. Physiotherapy also should be done. Avoid smoking. Maintain good posture. If inflammat... Read Full »
Please give suggestion on high eosinophil count in a bypass patient.
Query: Hello doctor, I am a 47-year-old male. I am suffering from ankylosing spondylitis for 34 years. I had my bypass surgery before 18 years and having depression then on. Now My eosinophil count is high 1090. I am currently on Pentop 40 in the morning, Fludac 20 once daily after breakfast, Concor 2.5 o... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read a brief summary of your case. You had CABG (bypass heart surgery) after that you are on Concor (Bisoprolol, beta-blocker), Ecosprin AV (combination of Asprin and Atorvastatin). For depression, you are on Fludac (Fluoxetine), and anti-anxiety drug Anxit... Read Full »
After I stopped Methotrexate and Exemptia, I develop dryness, skin rashes and joint pain. Why?
Query: Hello doctor, I am a 41-year-old male, an old case of ankylosing spondylitis and was on Methotrexate for 10 years, then switched over to injection Exemptia and after six month of injections, I started developing skin rashes and dryness and lost hairs on my both the legs only on the outer side. I ha... Read Full »
Answer: HiWelcome to icliniq.com.I have seen the images (attachment removed to protect patient identity).I went through your case which is indeed a chronic one and has a lot of other manifestations in skin too. Ankylosing spondylitis is commonly associated with psoriasis and so other vasculitis which may pr... Read Full »
How long should Humira be taken?
Query: Hi doctor, I am a 55 year old male. I have been suffering from ankylosing spondylitis for at least 15 years. With very limited mobility and severe pain, I was under continuous medication and was taking Remicade (Infliximab) for the last five years. Till recently, Remicade was working well and my pai... Read Full »
Answer: Hello, Welcome to icliniq.com. The recommendations are that you should get Adalimumab for at least 12 weeks, before we can say that you are a nonresponder to the drug. So, it would be the same 12 weeks. There are other anti-TNF drugs (anti-tumor necrosis factor) available such as Etanercep... Read Full »
I am suffering from ankylosing spondylitis. Kindly suggest new medications.
Query: Hello doctor, I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) since 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of neck, forward bending and morning stiffness with sciatica. Kindly suggest the new medications and NSAIDs. I have attached ... Read Full »
Answer: Hello, Welcome to icliniq.com. The NSAIDs you can take are Etoricoxib 90 mg once daily or Diclofenac 75 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 ac... Read Full »
After a day of walking around the mall, I am having calf pain. What should I do?
Query: Hi doctor, I just came back from a day walking around the mall. I am having cramping pain in my left calf. It feels like a rubber band is wrapped around my leg. It is better when sitting but hurts when outstretched. I am on Enbrel and previous medical history includes low blood pressure and low chol... Read Full »
Answer: Hi, Welcome to icliniq.com. I am glad to answer your query. I would have appreciated a reason for having ENBREL (Etanercept), whether RA or ankylosing spondylitis or psoriatic arthritis. The drug have some known neurological side effects along with increase susceptibility to infection. Your cond... Read Full »
Is it safe to take Gabapentin for back stiffness?
Query: Hello doctor, I am a 33 year old unmarried male, and I have a back stiffness problem for more than three years. Everyone gives the says that my posture is not proper while walking. Two years back when I consulted a doctor, he suspected ankylosing spondylitis, but HLA-B27 was negative. After seeing... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the attached reports (attachment removed to protect patient identity). The diagnosis of ankylosing spondylitis is a clinical and radiological diagnosis. The clinical criteria is a history of inflammatory back pain, and the pain is worse in mornings and ... 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 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 »
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, lower limb arthritis and it ... Read Full »
What can be done for dull pain in cartilage, ribs and shoulder blades that appears after Covid attack?
Query: Hello doctor, I have ankylosing spondylitis (HLA B27 positive) for the past 14 years. After I had COVID six months back while recovering, I had a dull pain in the sternum and cartilage of the chest. I took antibiotics, and the pain subsided. But now, for the past few weeks, while sleeping, it is pai... Read Full »
Answer: Hello, Welcome to icliniq.com. The symptoms suggest active disease at present. You are currently on a low dose of tablet Sulfasalazine (anti-inflammatory) which can be increased if needed. To control the inflammation, I suggest taking tablet Etoricoxib (non-steroidal anti-inflammatory drug) 120 mg... Read Full »