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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Pain In The Spine Which Has Been Diagnosed As Psoriatic Arthritis. Can Medicine Cure This Or A Surgery Is Required?

I recently got diagnosed with spinal psoriatic arthritis. I've had symptoms for years that were misdiagnosed as osteoarthritis (which I also have in my spine - they missed the psoriatic arthritis.) Now I'm finally seeing a rheumatologist and will be starting Enbrel or Humira in about a week. My question is: Will a drug like that take away this daily pain that travels up and down my spine? (I know from MRI's that I have significant spinal arthritis.) Or is there any surgery to help me with the spinal damage once I get the psoriatic arthritis under control? Thank you.
Tue, 10 Dec 2013
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

Psoriatic arthritis can be treated well with medication and surgery may not be required.

If Your MRI says disc bulge with annular tears leads to compression of nerve root then surgery may be helpful

If You have completed all sorts of conservative therapy and you are not getting expected result.
Then I will advise you to go for minimal invasive spine surgery and decompression of annular tear and disc bulge.

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
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Have Pain In The Spine Which Has Been Diagnosed As Psoriatic Arthritis. Can Medicine Cure This Or A Surgery Is Required?

Hello, I have studied your case. Psoriatic arthritis can be treated well with medication and surgery may not be required. If Your MRI says disc bulge with annular tears leads to compression of nerve root then surgery may be helpful If You have completed all sorts of conservative therapy and you are not getting expected result. Then I will advise you to go for minimal invasive spine surgery and decompression of annular tear and disc bulge. 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