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Suggest Treatment For Ankylosing Spondylitis

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Posted on Mon, 20 Feb 2017
Question: Hi, I am suffering from ankylosing spondylitis since 2 years. I have lost much of my mobility of the spine and I am constantly in pain all the time. What advice would you give me to manage the pain and avoid any further loss of mobility.
doctor
Answered by Dr. Dr. Praveen Tayal (27 minutes later)
Brief Answer:
Exercise and muscle relaxants will help.

Detailed Answer:
Hello,
Thanks for posting your query.
i have seen the attached reports. You have low levels of vitamin D too in addition to ankylosing spondylosis. The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician.
Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective. Do start with Vitamin D3 supplements and do regular back exercises like swimming.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Praveen Tayal (7 hours later)
Thank you for you answer. All the doctors I have consulted till now have told me the same thing. Since my condition is chronic, I want to confirm if the long time use of muscle relaxants and nsaids is safe? Also, which d3 supplement would you recommend? Since they can be obtained over the counter, I would really like to try your suggestion. Thank you.
doctor
Answered by Dr. Dr. Praveen Tayal (3 hours later)
Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
Long term continuous use of pain killers and muscle relaxants is not recommended. it can affect your liver and kidneys. it is best to use these on as and when needed basis and gradually introduce exercise into your daily routine so that the need of these medicines can be reduced.
You can take Uprise D3 or D3 must 60000 units once a week for at least 8-10 weeks and then get the D3 levels evaluated again to see the progress.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Ankylosing Spondylitis

Brief Answer: Exercise and muscle relaxants will help. Detailed Answer: Hello, Thanks for posting your query. i have seen the attached reports. You have low levels of vitamin D too in addition to ankylosing spondylosis. The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician. Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain. Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective. Do start with Vitamin D3 supplements and do regular back exercises like swimming. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal