Is Adfar injection a better treatment option for ankylosing spondylitis?

Hello,

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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 fracture itself. The treatment is going fine, so far they have tried Sulfasalazine and Etoshine (Etoricoxib). But when the disease involves the spine, we are left with limited options. And the next step is a biological drug, you can choose either of the three available options. Yes, we need to control the inflammation. The only thing I could not find was the ESR (erythrocyte sedimentation rate), CRP (C- reactive protein), and CBC (complete blood count). I would have liked to see the inflammation in the blood. I would suggest going for an injection of Zoledronic acid. It is for osteoporosis arising due to immobility of the spine and will help strengthen the spine, preventing further bone loss and fractures. All in all, you are in the right hands. Feel free to contact me for more queries.

Thank you.