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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Spine, Hips, Steroid Injection, Short Of Breath

my husband has one functioning lung and is oxygen . He is being treated for pain cause by inflamation in spine and both hips. He had steriod injection yesterday and has been short of breath for a day and 1/2. His breathing does improve to a blood oxygen level of 92 or so. Other than being severly sleep deprived for a few weeks, what could contribute to this shortness of breath?
Sat, 12 May 2012
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Orthopaedic Surgeon 's  Response
Hai,
1. Inflammation in spine and both hips with respiratory problem indicates that your husband is suffering from sero-negative spondyloarthropathy - ? Ankylosing spondylitis.
2. Ankylosing spondylitis if not controlled can lead to respiratory difficulty secondarily due to stiffness of spine and ribs which prevents the lung to get expanded,
3. These are auto-immune disorders and they also affect the lung directly,
4. Even though these auto-immune conditions cannot be cured, surely their progression can be halted. But in your case, it seems the disease has already started affecting his lungs. Sleep deprivation is again due to lack of oxygen for which your husband is putting extra effort using his neck/ abdominal muscles consciously to maintain his oxygen levels.
5. Early treatment with recent novel medications for such auto-immune diseases helps avoiding such complications and lead a near normal life.
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Pain In Spine, Hips, Steroid Injection, Short Of Breath

Hai, 1. Inflammation in spine and both hips with respiratory problem indicates that your husband is suffering from sero-negative spondyloarthropathy - ? Ankylosing spondylitis. 2. Ankylosing spondylitis if not controlled can lead to respiratory difficulty secondarily due to stiffness of spine and ribs which prevents the lung to get expanded, 3. These are auto-immune disorders and they also affect the lung directly, 4. Even though these auto-immune conditions cannot be cured, surely their progression can be halted. But in your case, it seems the disease has already started affecting his lungs. Sleep deprivation is again due to lack of oxygen for which your husband is putting extra effort using his neck/ abdominal muscles consciously to maintain his oxygen levels. 5. Early treatment with recent novel medications for such auto-immune diseases helps avoiding such complications and lead a near normal life.