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What Causes Severe Tail Bone Pain And Swelling On Buttocks And Thighs?
Question: Dear doctor medical reports are attached.
Am 47 year female, Have devaloped severe tail bone pain since last 4 months. Now buttock & lower back thigh swelling is also observed. Already have heel pain since last 6 months 7 difficulty in walking & standing for more time.
Dry eye symptoms are also troubling.
Pl help
1. dry eye problem is deteriorating even after inserting punctal plugs.
2. touch feels irritating specially behind shoulder.
Kindly suggest. HLA report is also enclosed
Regards
Brief Answer:
HLA-B27 is positive suggest Ankylosing spondylitis
Detailed Answer:
Hello,
I have studied your case with diligence.
As per your MRI there is mild disc bulge.
Your blood test for HLA-B27 is positive.
typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased you have such stiffness in spine?
You may need proper exercises and lifestyle modifications.
In ankylosing spondylitis there is progressive stiffness so you need vigorous daily exercises and physiotherapy.
Epidural steroid injection may help if pain persists.
Tab indocap 25mg is good to relive stiffness and pain of ankylosing spondylitis.
You can start sazo 500 consulting your doctor.
Your other reports are with in normal limit.
Opthalmic involvement is common in AS ,you may need to use lubricant eye drops to maintain moisture.
Shoulder pain will reduce with medication,exercises and if required injection.
Till time continue medication and physiotherapy.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor
Have taken following for a month.
1. Tab. zerodol sp twice a day
2. cap meganeuron od
3. tab menopace od
4. elevated heels + contrast foot bath
Now continuing with following since 15 th march
1. tab menopace od for one month
2. cap osteofit xt twice a day for 2 months
3. Tab felodex od for 15 days
4. contrast bath as earlier
now finding difficulty in even clapping, it feels uneasy.
Stiffness at right thigh while bending.
left heel pains more.
shall i continue with medicine above along with the tablet prescribed by your good self.
When is the complete cue expected so that I can return to my earlier normal life.
Have consulted eye & retina specialist which resulted in putting puntal plugs in both eyes.
continuing exercises since last 4 months.
regards
Brief Answer:
Explained below
Detailed Answer:
Hello again
I have suggested you some medication,you can start them consulting your doctor,these medication are different from what you are taking.
You need to understand your disease.Ankylosing spondylitis may degrade as age advances if you dont keep your body fit by diet and exercises.
Many of my patients get relief by yoga pranayama and XXXXXXX XXXXXXX so you can also start that.
There is no cure for ankylosing spondylitis,you can reduce your problem by maintaining your diet,exercises and some medication.
You need to continue exercise life long.
Take care of your eyes.
If required you may need to investigate for reactive arthritis.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks a lot Dr. XXXXXXX
Dear Healthmagic.
Would also like to have a second opinion from rheumatologist pls.
Regards
Brief Answer:
welcome
Detailed Answer:
Take care
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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