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Category Archives: Ankylosing Spondylitis

Ankylosing Spondylitis - Disease Mimics - rheumatologyindore.com

Ankylosing Spondylitis – Disease Mimics – Dr. Ashish Badika

Out of many subtypes of Spondylarthritis most common form is ankylosing spondylitis. Some diseases may have symptoms that closely mimic/resemble Ankylosing spondylitis (AS) and can be mistakenly considered AS.

Few conditions that mimic/ resembles Ankylosing spondylitis:

  • Acute back strain or lumbago: – Lumbago refers to lower back pain. The type of lower back pain and the area of pain distribution are the two factors that help in determining the cause of the back pain. In a person’s lower back several anatomical structures can cause extreme back pain and may radiate pain to other parts of the body like the leg. 
  • Acute or chronic mechanical low back pain: – The patient tends to experience pain in the back and it may last longer.  This targets soft tissues, spinal joints, and vertebrae. Some accident or activity you have done might be the reason for the pain.
  • Fibromyalgia: -It’s a very common type of condition that might affect muscles and bones. Patients experience symptoms like fatigue, joint pains, and generalized body pains.
  • Diffuse Idiopathic Skeletal Hyperostosis (DISH): – DISH leads to the hardening of ligaments particularly in the areas where they are attached to the spine. Common symptoms which might be experienced are stiffness in the upper back, moderate pain. It’s commonly seen in patients with diabetes.
  • Sacroiliac joint Infection: – The disease causes inflammation in either one or both sacroiliac joints. It can cause pain in the lower back or buttocks and may radiate pain to the legs.
  • Osteitis Condensans ilii (OCI): – OCI is a non-progressive condition. This condition is marked by iliac bone sclerosis and can be found on x-ray/imaging. Symptoms are most commonly seen in case of pregnancy or weight gain. Women are more prone to this disease. It’s is self-limited and its management is conservative.

It is advisable to visit a Rheumatologist to be sure of the disease you are having so that proper treatment can be given. 

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

Role of Physiotherapy in Ankylosing Spondylitis - rheumatologyindore.com

Ankylosing Spondylitis – Role of Physiotherapy – Dr. Ashish Badika – Arthritis & Rheumatology Center

Physiotherapy (PT) is very important for keeping you active and helping you in leading a normal lifestyle. Along with medications, PT plays a vital role in minimizing the stiffness of joints, reducing pain, and improving body posture. For patients suffering from Ankylosing Spondylitis (AS), physiotherapy is an integral part of treatment.

AS impacts mobility causes severe pain and makes you feel like not to move or do any physical exercise. Your Rheumatologist might suggest doing specific exercises regularly.

Exercises decrease pain and stiffness in patients with AS. In your PT session, you will be guided about different exercises which can be done at home for the management of AS symptoms. Some efficient exercises are spinal mobility exercise, strengthening, stretching.

Ankylosing Spondylitis - Role of Physiotherapy - Dr. Ashish Badika - Arthritis & Rheumatology Center

Physical therapists might ask to perform the following exercises:

  • Posture training like standing against the wall, prone lying, standing, walking. Improving posture is the key to managing AS symptoms efficiently.
  • Strengthening exercises like yoga for improving your strength and balance using light hand weights.
  • Stretching exercises for improving mobility as patients with Ankylosing Spondylitis naturally tend to avoid moving joints which gives them pain.

A physical therapist will design a well-planned routine of the exercises you need based on your symptoms. To get relief from your symptoms quickly it is important to be consistent with your treatment plan.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

Ankylosing Spondylitis – How Long to be Treated? - Dr. Ashish Badika

Ankylosing Spondylitis – How Long to be Treated?, Dr. Ashish Badika

Ankylosing Spondylitis (AS) is a disease that can be very well controlled with the latest advancements in treatment. It’s not fully curable yet it’s not worrisome if one gets this disease.

Depending on the symptoms you are experiencing your doctor will pick up the best treatment plan for you. When you undergo treatment make sure to intimate your doctor immediately if you face any side effects. Leaving the treatment with the worry of side effects is not advisable.

Eating healthy and nutritious food, maintaining weight, stopping drinking alcohol and smoking, exercising, medications, changes in lifestyle will help you to manage the symptoms and continue to live a productive life. It is rarest that a patient with AS gets severely disabled.

Ankylosing Spondylitis Treatments Available

Nonsteroidal anti-inflammatory drugs (NSAIDs), Disease-modifying antirheumatic drugs (DMARDs) & Biological therapy (Anti- TNF and IL 17 inhibitors). These drugs help in easing pain and reducing inflammation. Based on conditions doctors might prescribe these drugs for a long time.

Injectable Corticosteroids: Injecting corticosteroids helps in reducing inflammation and pain temporarily.

Surgery: This is very rare but patients may require it.

Exercise: Exercising on regular basis helps in reducing the symptoms and stopping the disease to cause a more severe impact. Safe exercises are recommended by health care specialists.

Your Rheumatologist may ask to continue the treatment for a long period of time under the supervision, for getting the best results.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

Ankylosing Spondylitis Pain Killers Relief - Arthritis & Rheumatology Center

Ankylosing Spondylitis & Pain Killers – Dr. Ashish Badika, Arthritis & Rheumatology Center

Pain killers also called as NSAID’s (Non-Steroidal Anti-Inflammatory Drugs) are anchor drugs in the treatment of pain of patients with Ankylosing Spondylitis.

NSAID’s are some of the oldest and most widely used medications for controlling pain and inflammation and are widely used as a first-line treatment for AS. While NSAIDs work quickly on pain, their effect as an anti-inflammatory takes longer.

There are various kinds of NSAIDS available like Ibuprofen, Diclofenac, Aceclofenac, Etoricoxib, Naproxen, etc.

Ankylosing Spondylitis Pain Killers can cause unwanted side effects.

Possible side effects of Pain Killers are stomach ulcers, stomach upset, high blood pressure, fluid retention (causing swelling around the lower legs, feet, ankles, and hands), kidney problems, heart problems, and rashes.

Long-term use of Pain Killers has been associated with a slightly higher incidence of heart attacks and strokes. Although side effects can occur at any time, the risk of side effects increases with higher dosages and with a longer duration of treatment. Patients should discuss the risks and benefits with their doctor, as well as any additional precautions to avoid side effects.

Pain killers can be used as bridge therapy for the treatment of patients with AS. Other drugs like DMARD’s and Biologicals are the mainstay of treatment and can be used for long-term treatment under a Rheumatologist’s guidance.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).

Ankylosing Spondylitis Advanced Treatments in indore - Dr. Ashish Badika

Ankylosing Spondylitis Advanced Treatments – Dr. Ashish Badika – Arthritis & Rheumatology Center, Indore

Treatment of Ankylosing Spondylitis is aimed at relieving pain and stiffness, reducing inflammation, preventing the condition from progressing, and helping you with your daily activities.

Local injections of corticosteroids are helpful for symptomatic sacroiliitis, peripheral enthesitis, and arthritis. Other drugs, including methotrexate & Sulfasalazine, may be useful for treating AS.

Tumour necrosis factor-alpha (TNFα) blockers & IL 17 inhibitors (Secukinumab) also called biologics have drastically changed the management of AS patients. These drugs work through a unique mechanism and help in controlling the disease symptoms of AS very fast and very effectively.

TNF inhibitors like Infliximab, Golimumab, Adalimumab, Etanercept are available. Another class of drugs available is called JAK inhibitors (Tofacitinib).

These drugs are time-tested and well-researched medicines. Depending on your condition Rheumatologist will decide the best one for you.

Dr. Ashish K Badika has 3 years of advanced training in Rheumatology and Clinical Immunology including 2 years Post Doctoral.

He has extensive exposure to Systemic Autoimmune Disorder (Rheumatoid arthritis, Psoriatic arthritis, Seronegative spondyloarthritis, Systemic lupus erythematosus, Scleroderma, Gout, Myositis, Sjogren’s Syndrome, Vasculitic conditions, and Paediatric rheumatology disorders).