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History of lower back pain. Stiffness. Have deficiency of vitamin D. Prescribed Microcid and Saaz. How to get rid of pain?

hi i am Dr.M.A.Khan.I have a long history of lower back pain but it was recurrent and it hardly stays for 1 week but this time the pain persists from last three lower back feels extreme stiffness and pain specially during morning when i wake up.After consulting an orthopaedician he suggested me various tests in which uric acid comes negative,vitamin C comes significant, CRP in normal range, HLA B27 positive,Severe deficiency of Vitamin D.He then give me the medicines meant for Ankylosing Spondylitis which are Microcid-SR,Saaz-DS. Kindly help me out how should i get rid of such pain
Asked On : Mon, 11 Mar 2013
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Orthopaedic Surgeon 's  Response
Hai Dr.M.A.Khan,

Thanks for writing in,

Your symptoms and blood investigations reveal that you are suffering from Ankylosing Spondylitis (AS) along with Vit.D deficiency. AS needs life long treatment with disease modifying drugs(DMRD). Medications with physiotherapy/mobilisation of spine and joints are the one which will decrease your pain and progression of stiffness. These medications need to be titrated by regular follow-up. If your pain is not getting controlled, its better you consult your doctor. He might increase the dosage of current medications or add some steroids/methotrexate.
If these medications also fail to control your pain, then you might need TNF-alfa inhibitors.
Physiotherapy with mobilisation of the spine and joints will help you.

Wish you a good health,
Answered: Wed, 13 Mar 2013
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