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Ankylosing spondylitis with back ache - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   I have a history of ankylosing spondylitis. Have been diagnosed with HLA-B27.
Facing burning sensation over left part of chest and left hand, and stiffness over the neck.
Doctor :   Hi
User :   hi
Doctor :   I am dr. XXXX
Doctor :   Let me read your query
User :   Good morning, Sir
Doctor :   Ok
User :   are you a rheumatologist ?
Doctor :   I am a General Physician
User :   thanks
Doctor :   I can help within my expertise
Doctor :   Ok are you on some treatment
Doctor :   When were you diagnosed with Ankylosing Spondylitis?
User :   I have been diagnosed and treated last year in Mumbai and I got ok in 15-20 days
User :   It was Dr Archic, in Dadar
User :   it was all ok till last one month. and I again started facing the same problem/symptoms
Doctor :   AS shall have relapses and your doctor would have educated you
Doctor :   Are you on physiotherapy or rehabilitation treatment
User :   not as of yet.
Doctor :   which should go on even though you do not have problems
Doctor :   What iis your age?
User :   I am trying to understand if I need to visit a "rheumatologist" or a "orthopaedic" ?
User :   I am 30 Yrs
Doctor :   What is your job?
User :   Dr XXX told me this could not be cured but can be suppressed using exercises and medication
User :   I am into audits/ consulting and do sit for longer hrs
Doctor :   I agree with him
Doctor :   Actually your problem needs addressal from three specialists
Doctor :   One is Rheumatologist to reduce the progress
Doctor :   Occupational therpaist who can advice you how to continue the job without complications and hinderancnes
Doctor :   Physiotherapist who can give you advice on the exercises to be performed
Doctor :   daily and during work
Doctor :   I shall help you with tips
User :   Ok. Can you suggest me a specialist doctor/ hospital. Sure.
Doctor :   1) Take as many breaks as possible, once in 20 minutes
Doctor :   for one minute
Doctor :   2) Regularly perform desk exercises which cannot make your muscles stiff and pain
Doctor :   3) Follow up with your Rheumatologist as per his advice
Doctor :   4) When in pain, do not rely on pain medicines only
Doctor :   First start with warm massages and hot fomenation
Doctor :   Rest your back so that the muscle spasm is cleared
User :   Would swimming be helpful ?
Doctor :   Yes, nothing in excess
Doctor :   Dr. XXX is a good Rheumatologist
Doctor :   in XXX
Doctor :   000-0000
Doctor :   Any exercise that you practice should not harm you
Doctor :   Certain movements in the body are painful for individuals
Doctor :   hence those movements are to be avoided
Doctor :   For examples, you are in prone position in swimming it may cause pain for certain individuals
Doctor :   so should be restricted
Doctor :   Are you with me?
Doctor :   I have to close the window as you are not responding
Doctor :   Please login back if you have more quereis
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