Understanding Atypical Symptoms of Ankylosing Spondylitis in Young Adults
I am not sure if it is truly ankylosing spondylitis? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis at Chang Gung Memorial Hospital for over two years. Initially, he only experienced pain in the sacroiliac joint in his buttocks, ...
Dr. Zeng Guosen Reply:
The symptoms described by the user, such as experiencing pain in the lower back when leaning backward (but not when bending forward), are not typical of ankylosing spondylitis. There is no morning stiffness, no increased pain upon waking, and no relief after daytime activities, w...[Read More] Understanding Atypical Symptoms of Ankylosing Spondylitis in Young Adults
Should My Son Continue Taking Pain Relievers for Ankylosing Spondylitis?
I'm not sure whether to continue taking anti-inflammatory pain relievers? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis for over two years. His only symptom has been pain in the sacroiliac joint in his buttocks. At the onse...
Dr. Zeng Guosen Reply:
1) If ESR/CRP levels are normal and symptoms are stable, pain medication may not be necessary, but regular monitoring of ESR/CRP and X-rays is required. 2) Ankylosing spondylitis typically begins by affecting the sacroiliac joints, and approximately half of the patients will expe...[Read More] Should My Son Continue Taking Pain Relievers for Ankylosing Spondylitis?
Managing Medication Changes for Ankylosing Spondylitis: A Patient's Journey
How to switch medications? Hello Doctor, my son is currently 19 years old and has been diagnosed with ankylosing spondylitis for 2 years. His only symptom is pain in the sacroiliac joint. At the onset of the disease, he took one tablet of Voltaren (60 mg) daily for a month, but i...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Since my child started taking 2 Salazopyrin and 1 Methotrexate daily, his CRP has significantly decreased to 0.2 mg/dL, which was previously unattainable even with 2 Sulfasalazine daily (although his ESR occasionally...[Read More] Managing Medication Changes for Ankylosing Spondylitis: A Patient's Journey
Can COVID-19 Vaccine Trigger Plantar Fasciitis Symptoms?
Does the COVID-19 vaccine cause plantar fasciitis? Hello Doctor: Since receiving the third dose of Moderna (the first two doses were BNT), I started experiencing the following symptoms on the third day: 1) Itching all over my body, which resolved after 4-5 days. 2) Symptoms of pl...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. My answers are as follows: 1) Can plantar fasciitis occur after receiving the COVID-19 vaccine? Are there similar cases among patients seen by doctors? --> It is unlikely; I have not seen or heard of such cases. 2) Should I see a rheumatolog...[Read More] Can COVID-19 Vaccine Trigger Plantar Fasciitis Symptoms?
Gratitude to Dr. Gao: Expert Insights on Ankylosing Spondylitis Care
Thank you, Dr. Gao? Hello Dr. Gao, my son is 19 years old and is a patient with ankylosing spondylitis. Since his diagnosis of ankylosing spondylitis a year ago, we have had many questions and uncertainties, especially since this is our first encounter with such a disease. There ...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Please feel free to reach out. If you have any questions or concerns in the future, you can jot them down whenever you have time. In addition to asking in the e-hospital, you can also bring your organized questions to the outpatient visit with y...[Read More] Gratitude to Dr. Gao: Expert Insights on Ankylosing Spondylitis Care
Do All Ankylosing Spondylitis Patients Experience Morning Stiffness?
Do all patients with ankylosing spondylitis experience morning stiffness? Hello Doctor: I would like to confirm something with you regarding a question I asked yesterday (<a href="https://adoctor.tw/article/182368">#182368</a>, details below). I am attaching...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Morning stiffness is not related to the condition of the L4-5 vertebrae. Morning stiffness is associated with inflammation of the joints, tendons, and ligaments. The reason some individuals experience morning stiffne...[Read More] Do All Ankylosing Spondylitis Patients Experience Morning Stiffness?
Do All Ankylosing Spondylitis Patients Experience Morning Stiffness?
Do patients with ankylosing spondylitis always experience morning stiffness? Hello Doctor, I am 20 years old, HLA-B27 positive, and MRI of the sacroiliac joints shows inflammation (the following is an excerpt from my MRI report: R/I chronic sacroiliitis; axial spondyloarthropathy...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Do patients with ankylosing spondylitis always experience morning stiffness? Does the pain in the sacroiliac joints of ankylosing spondylitis patients always improve after activity? --> The likelihood of experienc...[Read More] Do All Ankylosing Spondylitis Patients Experience Morning Stiffness?
Vaccines and Inflammation: Understanding Symptoms in Ankylosing Spondylitis
Vaccines and Inflammatory Markers Hello Doctor, I am a patient with ankylosing spondylitis. Recently, after receiving the vaccine, I have developed new symptoms of chest pain, which has lasted for six months. Both cardiology and pulmonology have stated that it is not a heart or l...
Dr. Zeng Guosen Reply:
Hello, the vaccine can indeed trigger the activation of autoimmune diseases. First, it's important to determine whether the nature and location of the chest pain are related to ankylosing spondylitis; you may want to consult a rheumatologist. If that is ruled out, you should...[Read More] Vaccines and Inflammation: Understanding Symptoms in Ankylosing Spondylitis
Post-Vaccine Effects on Ankylosing Spondylitis: Recovery Insights
The follow-up effects of vaccines on ankylosing spondylitis? Doctor, for some patients with ankylosing spondylitis who have experienced suspected flare-ups or worsening conditions after vaccination, is it true that the majority of these flare-ups or worsening conditions have retu...
Dr. Zeng Guosen Reply:
There have been cases reported by netizens of ankylosing spondylitis symptoms relapsing or worsening after vaccination, but these are still relatively rare. The vast majority of individuals have returned to normal over time following these relapses or exacerbations. It is recomme...[Read More] Post-Vaccine Effects on Ankylosing Spondylitis: Recovery Insights
Comparing mRNA and Subunit Vaccines for Ankylosing Spondylitis Management
The impact of vaccines on ankylosing spondylitis? Hello, doctor. Currently, among the COVID-19 vaccines, there are mRNA vaccines like BNT and Moderna, as well as subunit vaccines like High-End and Novavax. Could you please let me know if there are any research reports or medical ...
Dr. Zeng Guosen Reply:
Currently, there are no research reports available to compare which is less likely to cause a relapse or worsening of ankylosing spondylitis between mRNA vaccines and subunit vaccines. Thank you.[Read More] Comparing mRNA and Subunit Vaccines for Ankylosing Spondylitis Management
How Long Does It Take for Medications to Relieve Ankylosing Spondylitis Pain?
How long does it take for medication to be effective in treating ankylosing spondylitis? Hello Doctor: 1) For patients with ankylosing spondylitis experiencing sacroiliac joint pain, if they find relief with Celebrex (celecoxib), how long should they take it to achieve complete...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) For patients with ankylosing spondylitis experiencing sacroiliac joint pain, if they find relief with Celebrex (celecoxib), it typically takes a few days (usually less than a week) to notice an effect. We usually mon...[Read More] How Long Does It Take for Medications to Relieve Ankylosing Spondylitis Pain?
Managing Pain from Ankylosing Spondylitis: How Long Should Medication Last?
Does the pain caused by playing sports require a long time of medication to alleviate? Hello Doctor, I am a patient with ankylosing spondylitis. In the past few months of medication, I have noticed that when my pain is almost resolved, if I do not play badminton, my sacroiliac jo...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Is it common for the pain caused by badminton to take such a long time to heal from ankylosing spondylitis? I remember that when I didn't have the condition, pain from sports injuries would usually resolve natural...[Read More] Managing Pain from Ankylosing Spondylitis: How Long Should Medication Last?
Could COVID Vaccine Trigger Arthritis Flare-Ups Months Later?
Will the recurrence of the condition after receiving the COVID-19 vaccine occur only three months later? Hello Doctor, I am a patient with ankylosing spondylitis. I suspect that after receiving the first dose of the BNT vaccine, my previously well-controlled ankylosing spondyliti...
Dr. Liao Zhongxin Reply:
Hello: The vaccines currently being administered may cause some patients to experience side effects; please refer to Attachment 1 for details. 2. If there are concerns about discontinuing medication or side effects after vaccination, please consult with your original physician fo...[Read More] Could COVID Vaccine Trigger Arthritis Flare-Ups Months Later?
Managing Ankylosing Spondylitis: Pain Relief and Rehabilitation Options
Rheumatology and Immunology Hello, doctor. I have issues with ankylosing spondylitis and spondylitis. I usually start feeling pain around four or five in the morning. I previously visited Chi Mei Hospital, where I had imaging done and reviewed the reports. The doctor mentioned th...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Treatment for ankylosing spondylitis requires regular check-ups, medication adjustments based on examinations and symptoms, continuous exercise, and rehabilitation if necessary. I highly recommend exercise, and it is especially important for th...[Read More] Managing Ankylosing Spondylitis: Pain Relief and Rehabilitation Options
How Smoking Affects Pain Areas in Ankylosing Spondylitis Patients
Newly added pain locations for ankylosing spondylitis? Hello Doctor, I often see reports online stating that patients with ankylosing spondylitis should not smoke, but they do not explain how smoking affects ankylosing spondylitis. I would like to ask you, if smoking increases pa...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Ankylosing spondylitis not only affects the spine but also indirectly or directly impacts the ribs due to their connection with the spine, leading to chest and back pain. Many chronic ankylosing spondylitis patients experience rib or chest pain...[Read More] How Smoking Affects Pain Areas in Ankylosing Spondylitis Patients
Understanding Vaccine Side Effects: A Focus on Ankylosing Spondylitis
Side effects of vaccines? Hello Doctor, I am a patient with ankylosing spondylitis. Three months after receiving the vaccine, I started to feel a recurrence of my stiffness. I would like to ask the doctor, is it common for side effects of the influenza vaccine to manifest three m...
Dr. Hong Yuanbin Reply:
Hello, the likelihood of experiencing vaccine side effects occurring three months after vaccination is very low, so it is presumed that it is not related to the vaccine. Thank you for your inquiry.[Read More] Understanding Vaccine Side Effects: A Focus on Ankylosing Spondylitis
Can Vaccination Trigger Flare-Ups in Ankylosing Spondylitis Months Later?
If vaccination can exacerbate ankylosing spondylitis, would the worsening typically begin three months later? Hello Doctor, I have ankylosing spondylitis, and I am currently 19 years old. I have been suffering from this condition for over 2 years. I would like to ask you: 1) Is...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Continuing to take Xarelto should maintain its therapeutic effect; if there are any changes in efficacy, you can schedule an earlier follow-up for evaluation. 2. Most vaccine-related side effects occur within a month; ...[Read More] Can Vaccination Trigger Flare-Ups in Ankylosing Spondylitis Months Later?
Comparing mRNA and Subunit Vaccines: Impact on Ankylosing Spondylitis Flare-Ups
Which vaccine, mRNA vaccines or subunit vaccines, is less likely to cause a relapse or worsening of ankylosing spondylitis? Hello Doctor, currently among the COVID-19 vaccines, we have mRNA vaccines like BNT and Moderna, as well as subunit vaccines like High-End and Novavax. Coul...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Currently, there are no studies comparing the relationship between different vaccines and the exacerbation of rheumatic diseases. 2. The vast majority of rheumatic symptoms that arise after vaccination are temporary, a...[Read More] Comparing mRNA and Subunit Vaccines: Impact on Ankylosing Spondylitis Flare-Ups
Understanding the Link Between Ankylosing Spondylitis and Vaccination
The relationship between ankylosing spondylitis and vaccines? Hello Doctor, I am a 51-year-old male patient with ankylosing spondylitis. I received my first dose of the BNT vaccine in October last year and the second dose in January this year. I would like to ask if the symptoms ...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1) Is my chest pain more likely caused by the vaccine or by smoking? --> Ankylosing spondylitis can also cause chest pain, and the likelihood may be higher than the side effects from the vaccine, so it is unlikely to...[Read More] Understanding the Link Between Ankylosing Spondylitis and Vaccination
Can Immune Modulators Like Salazopyrin Reduce Severe COVID-19 Risk?
Does the immunomodulatory function of Salvia miltiorrhiza reduce the likelihood of developing moderate to severe symptoms after contracting COVID-19? Hello Doctor, I have ankylosing spondylitis and I am currently 20 years old. I am taking two Salazopyrin (500 mg each) and one Met...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1) From a theoretical standpoint, could it be that because I am taking Salazopyrin, I am less likely to develop moderate to severe symptoms after contracting COVID-19 compared to others of the same age and condition who ...[Read More] Can Immune Modulators Like Salazopyrin Reduce Severe COVID-19 Risk?