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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Joint Pain , Back Pain And Stiffness?

My symptoms are as follows: Joint pain, primarily SI joint, low back, neck, knees, hands & wrists. Stiffness and reduced mobility in neck and waist. Stiffness worse in morning. Fatigue & difficulty sleeping 50% of time Migraine (min 1 per week) weakness in hands plantar faciitis type pain test results have all come back fine except for elevated hs-crp, slightly elevated MPV, elevated leukocytes in urinalysis, and an ill-defind gamma globulin. Pain gradually getting worse over last 18 months. No relief from rest. Pain is severe much of the time. finally found a Dr willing to listen instead of brushing me off and we are waiting on test results for HLA-B27 gene and peripheral joint xrays. Currently my lumbar and hip xrays are normal except for mild osteoarthritis in lumbar spine. I have read stories of Ankylosing spondylitis and have found many parallels to my experience. In your opinion would these symptoms/results point to a probable diagnosis of AS? Family history of lupus and various arthritis. Thank you
Mon, 27 Jun 2016
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case with diligence.

Your symptoms resemble AS.
AS 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.
That’s good that your other reports are with in normal limit.

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.
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What Causes Joint Pain , Back Pain And Stiffness?

Hello, I have studied your case with diligence. Your symptoms resemble AS. AS 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. That’s good that your other reports are with in normal limit. 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.