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  • Jack
    Member
    Post count: 2

    I have the HLA-B27 gene and am having issues with my entire back. Shoulder and neck pain, which I have been told is d/t C5-6. Lower back, pelvic, and hips have pain that radiates down the leg and into my heels and bottom of my foot. I have not had an image of my lumbar that I know of. Would a lumbar image be warranted with the following subjective data prior to any surgery on the C5-6?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    HLA-B27 is a protein found in a small percentage of individuals. It is associated with certain spondyloarthropathies (autoimmune disorders that involve the spine and joints). The classic one is ankylosing spondylitis. I assume that since you know you have HLA-B27, you have been previously worked up for this disorder and found not to have it.

    You have shoulder and neck pain with a “d/t’ of C5-6. I am unclear what “d/t” stands for.

    Generalized pain throughout the lower back and legs with HLA-B27 would warrant lumbar spine X-rays in my practice to look for the various spondyloarthropathies.

    If you want further information on spondyloarthropathies, unfortunately, these conditions are not on my website. My new book for clinicians has a chapter on it. if you want to go in that direction.

    Dr. Corenman

    Jack
    Member
    Post count: 2

    Thank you for your reply.

    I am sure the MD that tested for the gene did some kind of workup but at the time I was not having the symptoms that I am now (I was tested in 11/04). Things have really progressed I feel. I have scheduled an appointment with that MD to further look into AS.

    “d/t” was my short hand for due/to (sorry)

    My primary care provider was able to work me in today. MD did order a full c-spine, lumbar, and hip x-ray. Thank you again for your time and reply. Your dedication and compassion truly shows! A very unique quality these days!

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    Obviously- have the doctor look for spondyloarthropathy. Ankylosing Spondylitis can also affect the neck and the eye

    Dr. Corenman

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