Viewing 2 posts - 1 through 2 (of 2 total)
  • Author
    Posts
  • kunal
    Member
    Post count: 2

    HELLO,Dr.CORENMAN, I AM KUNAL MANNA.I AM 24Yrs. OLD.I AM A STUDENT.MY PROBLEM IS THAT I AM FACING HORRIBLE PAIN IN LEFT LOWER BACK POSITION RECENTLY.THE BLOOD REPORT OF MY HLA B-27 & ANTI CCP IS AS FOLLOWS.

    HLA B-27- POSITIVE.
    IMPRESSION- “THERE IS A STRONG ASSOCIATION BETWEEN THE PRESENCE OF HLA B 27 ANTIGEN AND AN INCREASED INCIDENCE OF ANKYLOSING SPONDYLITIS (AS) AS WELL AS OTHERS DISORDERS, SUCH AS REITER’S SYNDROME,PSORIATIC ARTHRITIS AND ARTHROPATHIES ASSOCIATED WITH INFLAMMATORY BOWEL DISEASE.THESE DISORDERS ARE COLLECTIVELY CALLED SERONEGATIVE SPONDYLOARTHARITIS.”

    ANTI CCP- VALUE-0.74, METHOD- E.L.I.S.A

    NOW, AFTER AN ANTIBIOTIC COURSE (ETOSHINE MR, LEVOCARNITINE TABLETS, NAPROXEN 500 TABLETS etc.) I FELT A LITTLE BIT RELIEF.BUT THE PAIN IS COMING BACK WHEN I STOP TAKING MEDICINES.SO,WHAT SHOULD I DO? LAST YEAR I HAD NO PROBLEM IN PLAYING FOOTBALL, BUT NOW HORRIBLE PAIN IS COMING FREQUENTLY.IS THERE ANY PHYSIOTHERAPIC TREATMENT OR OTHER EXERCISE?IS THIS CURABLE? OR LONG TERM MEDICATION IS REQUIRED.
    LOOKING FORWARD TO YOUR KIND VALUABLE SUGGESTION IN THIS REGARD.

    THANKING YOU
    KUNAL

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    You first need to find out if you have an inflammatory spondyloarthropathy. Just because you are HLA B-27 positive does not mean that you have any of these inflammatory disorders.

    There are blood test still to be performed like CBC, ESR and CRP. If these are negative, you might just have typical degenerative disc changes

    The most common way to further your diagnosis is with an X-ray and possibly an MRI of your sacroiliac joints as this is the first place many of these disorders present.

    NSAIDs are one of the medication used to treat this. There might be anti-immune medications if you do have an inflammatory disorder. These are administered by a rheumatologist.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
Viewing 2 posts - 1 through 2 (of 2 total)
  • You must be logged in to reply to this topic.