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Tag 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).

Ankylosing Spondylitis & Systemic Involvement - Dr. Ashish Badika

Ankylosing Spondylitis & Systemic Involvement – Dr. Ashish Badika, Arthritis & Rheumatology Center

Ankylosing Spondylitis (AS) is not limited to the involvement of only the spine/joints. There are chances that a person with AS might also have involvement of other organs like lungs, gut, heart, eyes, kidneys, etc.

It is not necessary that every person having Ankylosing Spondylitis will face some complications or comorbidities.

Ankylosing Spondylitis & Systemic Involvement - Dr. Ashish Badika, Arthritis & Rheumatology Center

Some of the  complications of AS are:

  • Impacts mobility as we know that AS leads to chronic inflammation in the patient’s joints, therefore joint damage might occur which can lead to limited mobility.
  • Lungs complications may also arise like Fibrosis.
  • Bowel movements get impacted too in some cases. IBD Inflammatory Bowel Disease including Crohn’s disease and ulcerative colitis. A person may show symptoms like weight loss, fatigue, blood in the stool.
  • Cardiovascular compilations in form of high blood pressure, heart attacks, etc.
  • Eye involvement in form of red, painful eyes is often called as Uveitis.
  • Best treatment plans for AS include medications, regular exercise, and physical therapy. These treatments might be advised by the doctor based on the symptoms you are experiencing.
  • People suffering from AS must visit the doctor at regular intervals. There are possible treatments that help to manage complications in an efficient way.

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).

Ankylosing Spondylitis Is it Treatable – Dr. Ashish Badika- Arthritis & Rheumatology Center, Indore

With the advancements in science, Ankylosing Spondylitis is no more considered an untreatable disease. Although there is no permanent cure for Ankylosing Spondylitis, but with proper treatment, spinal deformities and other complications can be prevented or delayed.

The ultimate objective of treatment for ankylosing spondylitis is not only reduction of pain and stiffness but protecting patients from long-term complications, deformity and making them to lead a normal life as much as possible.

Following a treatment under the care of a Rheumatologist is the best way to get relieve from symptoms of ankylosing spondylitis. There are several treatment modalities for treatment. If non-steroidal anti-inflammatory drugs do not help, your doctor may recommend starting biological drugs, such as tumor necrosis factor (TNF) blockers or interleukin 17 inhibitors. DMARDS like sulfasalazine and Methotrexate also help to some extent in many patients.

Sulfasalazine is especially helpful inpatient with peripheral arthritis( knee, ankle joints, etc).

A positive outlook, regular exercises, and medicines will make the life of a person having Ankylosing Spondylitis almost near to a normal person.

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).