Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
198 Doctors are Online

Slip disc and disc protrusion, HLAB27 positive, ankylosing spondylitis. Blood tests, MRI done. Treatment options?

User rating for this question
Very Good
Answered by

Practicing since : 2003
Answered : 600 Questions
I went for series of blood tests and spinal MRI on Monday in which I was diagnosed with L5 S1 Disc Protrusion (slip disc ) and HLAB27 +ve (Ankylosing spondylitis).
ESR done is 31 , CRP is 12 .

i want to know about the treatment for it
Posted Tue, 17 Apr 2012 in Brain and Spine
Answered by Dr. Gyanshankar Mishra 1 hour later

From your history I understand that you have been diagnosed with Ankylosing spondylitis.

I would like you to know the following:

1. There are four main treatment goals: control pain and inflammation, avoid joint and tissue damage, optimize function, and prevent the development of extra-articular manifestations like uveitis.

2. The medications include the following:
- Pain relieving & anti inflammatory medications:
a. NSAIDS- like Aspirin, Indomethacin, etc.
b. DMARDS: reduce the immune system response thus reducing the disease activity- e.g: cyclosporin, methotrexate, sulfasalazine, and corticosteroids.
c. Newer recent drugs inhibiting immune mediated disease activity - TNF alpha blockers e.g. etanercept, infliximab, golimumab and adalimumab.

3. In severe cases surgery is indicated.

4. Some physical therapy and exercises prescribed by physiotherapist helps in maintaining optimal join function.

5. Lumbosacral back support (braces) may be prescribed.

Thus, in short pain reliever and anti inflammatory tablets and physical therapy/back support may be prescribed in your case as per the evaluation of your treating Orthopedician.

Also I would like to comment on another aspect of your history. You have mentioned that recently you took Anti TB medications for lung Tuberculosis. I would like you to know that Ankylosing Spondylitis can also affect the lungs (like in TB) independently. So please consult your treating physician regarding this.

Hope I have answered your query. Please accept my answer if there are no further queries.

Wish you good health.
Take care.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to

The user accepted the expert's answer

Ask a Neurologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor