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A 21-year-old male asked:

Can a pain management doctor diagnose ankylo spondylitis? i am a 22 year old female. i went to a pain management doctor last week and he diagnosed me with sacroiliitis. i received two injections, one in each joint, and the pain went away. the pain retu

2 doctor answers • 5 doctors weighed in
Dr. Jessica Alexander
Dr. Jessica Alexanderanswered
Anesthesiology 39 years experience
First, : First, any good pain management specialist would not just do injections without recommending physical therapy and/or adjunctive medications that treat the problem, not the symptoms of sacroillitis. Secondly, the diagnosis of ankylosing spondylitis is a complex one, based not only on symptoms, but on accompanying medical problems, and blood work. Getting a second opinion from a rheumatologist is an excellent idea.
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5.4k viewsReviewed >2 years ago
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Dr. Diane Minich
Dr. Scott Kreiner
Dr. Mark Kallgren
Dr. Diane Minich and 2 doctors agree3 doctors agree
2 comments
Dr. Scott Kreiner
Dr. Scott Kreiner commented
Physical & Rehabilitation Medicine 28 years experience
I agree, a rheumatologist or physiatrist would be the appropriate provider to see in order to diagnose your condition. Having an injection without a good diagnosis is never a good idea.
Jan 22, 2013
Dr. Scott Kreiner
Dr. Scott Kreiner commented
Physical & Rehabilitation Medicine 28 years experience
I agree, having injections without an adequate diagnosis is never a good idea. A rheumatologist or physiatrist should be able to better help you obtain a good diagnosis.
Jan 22, 2013
Dr. Rita Agarwal
Dr. Rita Agarwalanswered
Anesthesiology 37 years experience
Usually they can: Depends on background and training, but most can.
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My ct scan shows my scaril joint is fused together and my spine, s joints and t joints are also fused together. I have a lot of back pain worse in the morning, could this be ankylosing spondylitis I have hade the pain for over 15 years now?
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ANA neg, neg HLAB27, no inflammation on three mri's in 10 years (Had 3 since 2012). No inflammation. Crp and esr neg, mri in 2019 no sacrolitis. No stiffness and SI and joint pain off and on for 10 years. Ankylosing spondylitis?
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Last updated Oct 3, 2016

Found in:

Female health›Pain›Spondylitis

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