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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Bone TB. Taken AKT-4 And AKT-3. Can Exercise Be Done?

Hi This is nagarjuna, I have a bone TB ( From MRI it is found in in d9 and d10 and from bone scan it s found Increased tracker uptake in d9 verteba and increased uptake in right 3rd and left 3rd ribs.).I used AKT-4 for 4 months and akt -3 for 2 months. Doctor suggested to take akt-3 for next 4 months. I asked suggestion about riding bike and going for Gym. He told that I can ride a bike but in gym you need to use only threadmiller. Still how many months should i continue the treatment and Can I do activities like lifting 1 KG dumples or 6 feet rods ? or is t not suggestable one and early morning i am getting pain in lower back right side. But doctor is suggesting it is not due to bone TB. Can I know the reason for this pain. Could you please suggest
Tue, 10 Sep 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

This is just to enlighten you that Bony tuberculosis is a Pauci bacillary lesion (contains less number of TB bacilli in the lesion) when compared to the Pulmonary TB. So, a treatment regimen with 4 drugs for a period of 6-9 months is sufficient to eradicate bony tuberculosis.

The disease activity and the therapeutic response can be judged by ESR, C reactive protein estimation and xrays of the dorsal spine.

You should avoid forward bending till the vertebral bony architecture has returned to normal. Wearing of a Dorsolumbar spinal brace is recommended which will provide support to the vertebral column.

Your low back pain could possibly be due to muscle spasm. Use of Muscle relaxants like Thiocolchicoside (Myoril) for 2-3 days will resolve the pain & spasm. Moist heat fomentation will also help.

Hope this information is helpful. Good day
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Have Bone TB. Taken AKT-4 And AKT-3. Can Exercise Be Done?

Hi, thanks for writing to HCM. This is just to enlighten you that Bony tuberculosis is a Pauci bacillary lesion (contains less number of TB bacilli in the lesion) when compared to the Pulmonary TB. So, a treatment regimen with 4 drugs for a period of 6-9 months is sufficient to eradicate bony tuberculosis. The disease activity and the therapeutic response can be judged by ESR, C reactive protein estimation and xrays of the dorsal spine. You should avoid forward bending till the vertebral bony architecture has returned to normal. Wearing of a Dorsolumbar spinal brace is recommended which will provide support to the vertebral column. Your low back pain could possibly be due to muscle spasm. Use of Muscle relaxants like Thiocolchicoside (Myoril) for 2-3 days will resolve the pain & spasm. Moist heat fomentation will also help. Hope this information is helpful. Good day