Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

167 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Hip x-ray showed osteoarthritis. Getting lower back pain and pelvic pain. Looking for proper treatment

Answered by
Dr. Divya Agarwal


Practicing since :1999

Answered : 576 Questions

Posted on Wed, 30 Jan 2013 in Lupus
Question: I am 39 year old female who has had low back and pelvic pain for 9 months and thoracic left sided pain for 3 months. Which radiates around my lower ribs There has been no clear trigger and I have had a normal laparoscopy a month ago and my hip x rays show osteoarthritis. My bloods are ok apart from an ESR of 20. I had rheumatoid factor years ago I think which was negative. My BMI is 27 and I have had poor posture since I was a child. I also suffer from a lot of neck pain although this is ok at the moment. My pains in my upper back improve with rest ie lying down and are worse when sitting at work at the computer. When I am moving around it is easier but my hips hurt. my upper back feels tight and sore on the left most of the time. I am awaiting an MRI result of my spine. Should I pursue this any further in terms of other types of arthritis?
Answered by Dr. Divya Agarwal 1 hour later

I am sorry to know about the pain and difficulty you are going through. The arthritis which fits with your symptoms is spondyloarthritis. It generally affects males. However, when it affects females, the symptoms may be a bit atypical.

I would definitely want to know what comes out in the MRI of the spine and also if they have screened the sacroiliac joint.

The other thing would be to get a particular test done by the name of HLAb27.

- Do you feel better after doing back exercise?
- Does anti-inflammatory medications give you any relief?
- Are you on Vitamin D and Calcium Supplements?
- Have you checked your Vitamin D levels?

Get back to me with these and we will be able to better understand this.

Above answer was peer-reviewed by : Dr. Mohammed Kappan
Follow up: Dr. Divya Agarwal 4 hours later
Back exercises haven't helped much. the best thing is rest. I don't know my HLA B27 but I don't have anyone in my family with significant back problems. I don't know my vit d and I don't take supplements. I am vegetarian. I am a bit stiff after lying down but this settles down to just a tightness in my upper back and hip area. Antinflammatories do help but give me indigestion
Answered by Dr. Divya Agarwal 13 hours later

Then, the best thing would be to get the MRI results, and probably run a few tests for your HLA-b27 and 25hydroxy Vit D levels.

In the meantime, you should be taking at least 500 mg of calcium and 1000iu of vitamin D daily.
Try local measures like hot fomentation and anti inflammatory gels twice a day.

Graded exercises to strengthen your back should also help.

Above answer was peer-reviewed by : Dr. Shanthi.E

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests ,   ,   ,  

Recent questions on  Hla-b

doctor1 MD

My friends MRI report of lower back (spine) said "mild diffusion seen"? Is it serious? He has pain in lower back at times.

doctor1 MD

Sir ihad severe pain in low back 10 yrs backI was diagnosed for HLA B 27 test which came positive.Then onwards i have been taking Nucoxia on SOS but from last3 years i am having UVities in peak summer does it mean i am suffering from Anklosying spondiliyis
when i take nocoxia i get temporary relief and i do not have that much severity shd i take saaz and what are its side effects

doctor1 MD

Last April I became ill with a sore throat . Tonsils swollen, low fever, a very sore stiff neck: felt very sick all over. Muscle aches, loss of appetite, I lost about 10-12lbs. Went to my strep throat and gave me some antibiotics. Test was...

doctor1 MD

Hi, I am facing porblem of increased levels in uric acid, this problem has been since last 2 years and first came to knowledge when i faced severe pain in hand joint. i went through the report and found the uric acid very close to the upper limit....

doctor1 MD

Dear Sir, I have learnt a lot about your goodself and want to share some personal concern with you.My brother aged 27 yrs suffer with HLA B 27 from last 6- 7 yrs and he is very much depressed with the ailment ,He always having stiffness and he feel his back very weak.there is no much movement in his neck . I just want from ur goodness what precaution he try to smooth his life? Is this ailment is curable ?