Doctor insights on:
Joint inflammation: Ankylosing spondylitis is a long-term disease that causes inflammation of the joints between the spinal bones, and the joints between the spine and pelvis. It eventually causes the affected spinal bones to join together ("bamboo spine"). Cause unknown. Associated with hla-b27 antigen. Symptoms of night/morning stiffness better with exercise. Can also have eye and heart involvement. ...Read more
It is a: An autoimmune immunologic disease of skeletal system primarily affecting the spine that causes severe inflammation leading to pain & leads to an auto fusion of the spine which can lead to a deformity with the bone losing density & more susceptible to fracture due to stiffness & decreased density diagnosed by blood testing & x-rays with treatment range : pt & medication as well as surgery. ...Read more
Yes: Yes. The challenge is to maintain functional posture during the process. ...Read more
No: I have never heard of that association before. Let's just say no. ...Read more
Several ways: This is a problem that necessitates a face-to-face meeting with your doctor. This will allow him/her to examine you, ask specific questions. And possibly order tests to find out what's wrong and what to do to help you. ...Read more
New compared with?: Rheumatologists now have new medications (dmards & tnf-? blockers) to use in addition to nsaids. Disease modifying anti-rheumatic drugs include sulfasalazine, methotrexate, & corticosteroids. Tnf blockers include enbrel, remicade, (infliximab) & humira. Consult a rheumatologist for more info on these new treatment modalities. ...Read more
First an evaluation: First, tou need to be checked as there are other diseases that can mimic one another and tests are not perfect. Certain people can have a positive test and have no disease such as a hla b 27. ...Read more
Medical treatment: Surgery is an option rarely taken and is of last resort. There is no cure but treatment exists that can change the lives of people with as. Whereas a progression to spine fusion and immobility was common in the past, current medications can lessen or even sometimes prevent such complications. The keys are early diagnosis and treatment by a rheumatologist. ...Read more
Usually normal: Ank spondy responds beautifully to tnf agents such as Enbrel or Remicade (infliximab). Life expectancy is usually normal. The things that effect life span are neurologic or cardiac complications or severe complications of medications. ...Read more
Many factors are -: -used to choose the proper drug 4 AS. Entanercept (Enbrel (etanercept)) is a TNF inhibitor. It acts on TNF- alpha the master regulator of inflammation. it is a Cytokine that is the factor in inflammation. Enbrel (etanercept) acts as a decoy and binds TNF-alpha, and decreases the inflammation and improves people with AS. There R others 2 choose from so a detailed work up is needed. ...Read more
NO!: It means you should be active and do exercises and be looked after by a rheumatologist. ...Read more
Back pain: I believee the diagnosis work up was initiated because of back aches or stifness of vertebral joints. ...Read more
Extension exercises: Consider exercises that extend your spine. Consult a physician and a pt. ...Read more
Is it true that many of us have the genetic marker for ankylosing spondylitis but will never have any symptoms?
See below: Over 90% who tested positive for seronegative spondyloarthropathy never have any symptoms. However you have previously posted that you have had 2 cases of iritis---so technically you have had symptoms. Hla-b27 can be seen in all seronegative spondyloarthritis which is a family of arthrititic conditions include psoriatic, chrohn's, ulcerattive colitis, reactive/reiter's as well as ankylosing spon. ...Read more
I was just diagnosed with ankylosing spondylitis but don't see RA till Oct what can I do for the pain in the meantime?
Many things.: You should start an exercise program tailored to the disease. Maybe see a physical therapist. Your dose of naproxen should be maxed out- 550 BID or you should consider moving to a different agent such as indomethacin. Additional agents such as acetaminophen or low dose narcotics may be added. See the national ankylosing Spondylitis Society on line for a lot of info..... ...Read more
How would a Dr distinguish between ankylosing spondylitis and costochronditis? Or, when would AS be suspected in chest pain?
Very different: They're very different: AS generally causes lumbo-sacral pain (that's low back) whereas costochondritis causes pain the costo-chondral junctions which are located in front, upper chest, 2 inches to the left and right of the sternum (breastbone). These are sore to compression in CC. AS is often assoc with a + blood test (for HLA-B27). CC has no blood test. Both improve with NSAIDs like ibuprofen. ...Read more
I'm 35 year old and from last 8 year's I have ankylosing spondylitis. My hight is 5'7" and my weight is 55 kg. How I can get some weight and be healthy?
BMI 19.7 (normal): According to the numbers you provided, normal range for body mass index is between 18.5 and 25, yours is on the lower side of the normal range, better keep it this way given that you have ankylosing spondylitis, your best bet with this condition is to keep moving and exercise as much as you can, good luck ...Read more
No: This is an inflammation of the facets of the spine, the sacroiliac joint and rib facets related to an inherited deficiency of bodily antigen (termed hla b27). Treatment is very helpful and it tends to be episodic. The spondylitis part is when the facts fuse causing stiffness of the spine. You should be under the care of a rheumatologist for this. ...Read more
Unknown, genes: The exact cause is uncertain, but it does seem to have a genetic connection. It is more common in males. It usually starts in early adulthood (occasionally earlier or later), ofter with morning stiffness and back pain. Severe pain, stiffness in a young person in the absence of trauma may be a good reason to see your doctor. Consider a seeing a rheumatologist. ...Read more
Arthritis/inherited: This is an inflammation of the facets of the spine, the sacroiliac joint and rib facets related to an inherited deficiency of bodily antigen (termed hla b27). Treatment is very helpful and it tends to be episodic. The spondylitis part is when the facts fuse causing stiffness of the spine. You should be under the care of a rheumatologist for this as it is best to avoid the crippling aspects. ...Read more