Is Sulfasalazine Suggestible For Sacroiliitis?

Posted on Tue, 13 May 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 13 May 2014 Answered on

Mon, 2 Jun 2014 Last reviewed on

Question : sir having left side lower back pain.......previously there was a history of similar pain before 1 year.....and an observation made by me was that pain started when ever i over mastrubated and once the pain starts it is taking 2 months time to get cured.......earlier with the same symptoms doctors got an mri done and at one instance they diagnosed me with disc bulging and at the other "suspected" sacroilitis for which they suggested indicap SR ( which is a NSAID ) along with sulfasalazine . I have not taken sulfasalazine because i knew that their procedure of concluding ankylising spodilitis was wrong but i have taken indicap sr with which iam getting partial relief.....required your opinion

Answered by Dr. Chander Mohan Singh (1 hour later)

Brief Answer:
You must trust your doctor.

Detailed Answer:
Hi,

I have read your query.

I need to see your detailed description of your symptoms and your reports of MRI scan to be better able to help you. I also need your reports of HLA-B27, anti-CCP and X-ray of lumbrosacral spine, focusing sacroiliac joints-AP, lateral view.

Your doctor has diagnosed it as sacroilitis. If it is a correct diagnosis thenyour doctor has rightly prescribed you salfasalazine for sacroilitis. In such a case, with indomethacin you should take salfasalazine otherwise your pain will not relieved. Even if your pain gets relieved by only taking indomethacin, after a week or so your pain will again appear if you do not act on advise of your doctor.

Atlast I would like to say that you must have regular follow up.

Try to avoid weight lifting as much as you can.

Apply hot packs for 30 mins in morning and evening.

Do back strengthening exercises as uploaded on youtube.

I hope you have got your answer.

Thanks,

Dr.Singh.

Above answer was peer-reviewed by : Dr. Vaishalee Punj