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Suggest treatment for lower back pain and stiffness

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Posted on Tue, 9 Aug 2016
Question: Hi I'm 29Yrs old. I have long history(almost 3yrs) of lower back pain and stiffness, sometimes it also pains in my shoulder. Recently doctors have diagnosed it as a seronegative arthritis whereas my HLAB27 reports are negative, L-S Spine & Pelvis joints MRI are absolutely clear and perfect however Patchy marrow edema is seen in the subarticular surfaces of the iliac and sacral side (iliac more than sacral) of inferior
1/3rd of the bilateral sacro-iliac joints. No joint effusion is seen.
doctor
Answered by Dr. Naveen Kumar Sharma (50 minutes later)
Brief Answer:
You are having bilateral sacroillitis

Detailed Answer:
Hello,
I have studied your case.You are having bilateral sacroillitis. In this condition there is back pain and stiffness. I have following suggestions for you.
1. You need to take HCQ 200 mg tablet twice daily.
2.Tablet Saaz 500 mg twice daily.
3.Some time there is need of steroid injection under C arm guidance.
4.Hot water fomentation , swimming is helpful. Avoid heavy exercises and muscle injury, as it will increase your disease.
5.Tablet Medrol 8 mg twice daily for short time can be given.
I hope this answer will be useful for you. Let me know if there is any other followup questions.
thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Naveen Kumar Sharma (25 hours later)
Thanks Doctor for the advise. Could you please suggest some diet supplements or Home remedy which can be taken to reduce the inflammation instead of taking NSAID and any diet restrictions should I follow ?

Waiting for your esteemed advise.

Thanks,
XXXX
doctor
Answered by Dr. Naveen Kumar Sharma (1 hour later)
Brief Answer:
No home remedies available

Detailed Answer:
Hello,
There is no home remedies available. But you can avoid curd, lemon, oranges. Avoid cold temperature in room and use hot water for bath. Unfortunately no home medicine is effective in this.
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4486 Questions

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Suggest treatment for lower back pain and stiffness

Brief Answer: You are having bilateral sacroillitis Detailed Answer: Hello, I have studied your case.You are having bilateral sacroillitis. In this condition there is back pain and stiffness. I have following suggestions for you. 1. You need to take HCQ 200 mg tablet twice daily. 2.Tablet Saaz 500 mg twice daily. 3.Some time there is need of steroid injection under C arm guidance. 4.Hot water fomentation , swimming is helpful. Avoid heavy exercises and muscle injury, as it will increase your disease. 5.Tablet Medrol 8 mg twice daily for short time can be given. I hope this answer will be useful for you. Let me know if there is any other followup questions. thanks