How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
How to determine whether joint pain is caused by an outbreak of ankylosing spondylitis or other factors? Hello Doctor, I was recently diagnosed with ankylosing spondylitis (X-ray showing bilateral grade 2 sacroiliitis, HLA-B27 positive), but I am already 52 years old. My age-rela...
Dr. Shi Guozheng Reply:
You should first see an orthopedic specialist and get an X-ray to check. If the joint is already damaged, it could be due to degenerative changes or ankylosing spondylitis. The X-ray findings for these two conditions are different, so it's advisable to consult a specialist f...[Read More] How to Differentiate Between Ankylosing Spondylitis and Other Joint Pain Causes?
Foot Pain Relief: Choosing the Right Insoles for Ankylosing Spondylitis
Foot pain insoles Hello Dr. Chen: I am a patient with ankylosing spondylitis. Ever since my diagnosis, whether in the morning or evening, if I stand for more than ten minutes, the soles of my feet start to feel sore and numb, similar to how a typical person feels after walking se...
Dr. Chen Yongxue Reply:
Hello, if you are unable to stand for long periods, it may be due to fascia inflammation. You can visit an outpatient clinic for further examination and treatment. Thank you.[Read More] Foot Pain Relief: Choosing the Right Insoles for Ankylosing Spondylitis
Understanding Back Pain: Causes, Treatments, and When to Seek Help
Back problems Hello, Doctor. I would like to ask about a burning sensation in my back and lower back that has lasted for three weeks. The pain is often so severe that I cannot speak. I have seen a nephrologist, and everything is fine. Could this be related to fascial inflammation...
Dr. Shi Guozheng Reply:
Pain may be related to inflammation of the muscles or fascia. If there is a burning sensation, it could indicate localized inflammation or nerve compression or irritation. It is advisable to consult a physician. In cases of ankylosing spondylitis, if the muscles are tense, heat t...[Read More] Understanding Back Pain: Causes, Treatments, and When to Seek Help
Understanding Heel Pain: Risks and Treatments for Rheumatoid Arthritis Patients
Heel pain Hello Dr. Wang, I would like to ask if my aunt has rheumatoid arthritis, do I have a risk of developing ankylosing spondylitis? Thank you 🙏 I was preparing for graduate school and spent almost every day studying at home, which involved prolonged sitting and a lack of ...
Dr. Wang Shouji Reply:
You can visit the outpatient clinic for a check-up.[Read More] Understanding Heel Pain: Risks and Treatments for Rheumatoid Arthritis Patients
Understanding Muscle Issues: Managing Stiff Neck and Pain in the Upper Back
Stiff neck due to muscle issues? Hello Doctor, I have cervical spine hyperlordosis. On May 7th, I experienced a stiff neck on the right side. After visiting an orthopedic doctor, I was told that aside from the hyperlordosis, there were no other issues, and it was a muscle problem...
Dr. Wang Shouji Reply:
Hello, regarding muscle issues and loss of curvature in the cervical spine, it is important to pay attention to your head posture, especially if you often look down, such as when using a mobile phone for extended periods or using a pillow that is too high while sleeping. Applying...[Read More] Understanding Muscle Issues: Managing Stiff Neck and Pain in the Upper Back
Can Weather Changes Cure Sacroiliac Pain in Ankylosing Spondylitis Patients?
Can the pain caused by weather changes in patients with sacroiliitis (ankylosing spondylitis) be completely cured? Hello Dr. Li, I am a patient with ankylosing spondylitis (20 years old), and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a rhe...
Dr. Li Wenhong Reply:
Hello: Ankylosing spondylitis cannot be cured, please cooperate with the treatment from the rheumatology department for proper management. Thank you! Changhua Hospital, Orthopedics, Dr. Li Wen-Hong.[Read More] Can Weather Changes Cure Sacroiliac Pain in Ankylosing Spondylitis Patients?
Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Can the pain in the sacroiliac joint due to sudden weather changes (in patients with ankylosing spondylitis) be treated? Hello Dr. Shi, I am a 20-year-old patient with ankylosing spondylitis, and I have been experiencing symptoms for 3.5 years. Currently, under the treatment of a...
Dr. Shi Guozheng Reply:
1. If it is ankylosing spondylitis, it will not improve, but if there are symptoms, medication can be used for treatment, which can still lead to some improvement. 2. When symptoms appear, it is important to rest more and reduce activity; local heat application may have some eff...[Read More] Managing Sacroiliac Joint Pain in Ankylosing Spondylitis: Weather Sensitivity Solutions
Does Sacroiliac Joint Pain Syndrome Cause Elevated Inflammatory Markers?
Does sacroiliac joint pain syndrome cause an abnormal increase in inflammatory markers? Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was...
Dr. Chen Bochen Reply:
Hello, the patients with sacroiliac joint pain syndrome typically do not show elevated levels of CRP or ESR.[Read More] Does Sacroiliac Joint Pain Syndrome Cause Elevated Inflammatory Markers?
Understanding Sacroiliac Joint Pain Syndrome and Its Symptoms
About Sacroiliac Joint Pain Syndrome Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was diagnosed with ankylosing spondylitis. However, I ...
Dr. Li Wenhong Reply:
Hello: Sacroiliac joint pain and inflammation are often the first symptoms of ankylosing spondylitis. If X-rays reveal arthritis and blood tests show a positive HLA-B27 reaction, it is likely ankylosing spondylitis. You should have it detected early; please follow the recommendat...[Read More] Understanding Sacroiliac Joint Pain Syndrome and Its Symptoms
Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?
Does sacroiliac joint pain syndrome cause elevated levels of CRP and ESR? Hello Doctor, I have been experiencing pain in my sacroiliac joint for six months, and rehabilitation has not been effective. After consulting a rheumatologist and undergoing some tests, I was diagnosed wit...
Dr. Shi Guozheng Reply:
Simple sacroiliac joint arthritis does not cause an increase in inflammatory markers, whereas in ankylosing spondylitis, inflammatory markers will be elevated.[Read More] Does Sacroiliac Joint Pain Syndrome Cause Elevated CRP and ESR Levels?
Could My Symptoms Indicate a Potential Spinal Fracture?
Is there a high possibility that my symptoms indicate a spinal fracture? Hello Dr. Lee: I am 19 years old and have ankylosing spondylitis. Previously, I only experienced pain in my buttocks, and I am currently taking Salazopyrin to stabilize my condition. However, in the past six...
Dr. Li Wenhong Reply:
Hello: Typically, fractures of the vertebral arch caused by acute trauma present with significant pain symptoms. Since you did not experience acute back pain after your motorcycle accident 1.5 months ago, it is unlikely that you have a vertebral arch fracture. Commonly, vertebral...[Read More] Could My Symptoms Indicate a Potential Spinal Fracture?
Understanding Pain Patterns in Ankylosing Spondylitis: A Patient's Inquiry
Question number 189108 was missed? Hello Doctor, I just asked question number 189108 and forgot to ask one more thing. I’m not sure if I can add another question. If my symptoms are related to "arthritis" in the spine caused by ankylosing spondylitis, is it possible to ...
Dr. Li Wenhong Reply:
Hello: When arthritis is well-controlled, it usually doesn't hurt much, but it can still be painful with excessive activity. Please pay attention to the level of activity; moderation is key. Changhua Hospital Orthopedics Dr. Li Wen-Hong.[Read More] Understanding Pain Patterns in Ankylosing Spondylitis: A Patient's Inquiry
Understanding Hip Labral Tears: Symptoms, Treatment Options, and Recovery
Issues related to hip labral tears? **Symptoms and Medical Consultation Process:** Last July, I underwent a lateral hip abduction procedure and felt some discomfort. The next day, I woke up with tightness and soreness around my left hip, along with a squeezing sensation when lift...
Dr. Zhan Xian Reply:
Hello, you can ask your surgeon about your concerns. There is still a possibility of rupture worsening.[Read More] Understanding Hip Labral Tears: Symptoms, Treatment Options, and Recovery
Could I Have a Spinal Fracture After a Motorcycle Accident?
Could I have a spinal fracture? Hello Dr. Chen: I am 19 years old. Three months ago, I fell off my motorcycle while turning in the rain, as the road was slippery with leaves. I was traveling at about 40 kilometers per hour and did not hit anything; I just slid for a short distanc...
Dr. Chen Bochen Reply:
Hello, 1. Spondylolysis is a common condition, and most individuals are asymptomatic during their youth; symptoms may gradually appear due to injury. 2. Spondylolysis can often be managed through rehabilitation and strengthening of core muscles to alleviate symptoms, but over ...[Read More] Could I Have a Spinal Fracture After a Motorcycle Accident?
Can Blood Tests Detect HLA-B27 in Asymptomatic Children?
Can a blood test detect B27 in children? Hello Doctor: I was diagnosed with ankylosing spondylitis 20 years ago while serving in the military, and I tested positive for HLA-B27. After that, I was discharged. I later got married and have two children, an 11-year-old son and a 9-ye...
Dr. Wang Shouji Reply:
Hello, the HLA-B27 tissue antigen is a hereditary trait that can be detected through a blood test. However, if there are no symptoms, engaging in regular exercise is generally acceptable. You may consult with a rheumatologist for further advice. Changhua Hospital cares about your...[Read More] Can Blood Tests Detect HLA-B27 in Asymptomatic Children?
Is My Pain Due to a Bone Issue or Ankylosing Spondylitis?
Am I experiencing a bone issue or ankylosing spondylitis? Hello Dr. Chen, Three weeks ago, I went hiking, and after descending, I noticed that I experience lower back pain when I stand up after sitting. I have since undergone rehabilitation. During this time, I typically sit for...
Dr. Chen Bochen Reply:
Hello, based on your age and the symptoms you described, the most likely issue is intervertebral disc disease caused by poor posture and lack of exercise. Most of the time, engaging in light exercise (such as slow jogging for 20 minutes), using a lumbar support, taking short-term...[Read More] Is My Pain Due to a Bone Issue or Ankylosing Spondylitis?
Understanding Lumbosacral X-Ray Findings: What to Do Next?
Lumbar spine X-ray I apologize for the inconvenience, but I would like to ask the doctor about my long-term lower back pain. I have visited a medical facility because there was a suspicion of ankylosing spondylitis. I underwent X-rays and genetic testing, which have ruled out the...
Dr. You Dianqi Reply:
Hello! I'm sorry I can't see the images you mentioned. I recommend discussing this with your attending physician. Thank you.[Read More] Understanding Lumbosacral X-Ray Findings: What to Do Next?
Understanding X-Ray Findings in Chronic Back Pain: What to Know
Lumbar spine X-ray I apologize for the inconvenience, but I would like to consult with a physician. Due to long-term back pain, I was evaluated and suspected to have ankylosing spondylitis. I underwent X-ray examinations and genetic testing, and the results showed that I do not h...
Dr. Shen Boquan Reply:
Hello, there are many causes of lower back pain. According to statistics, 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress can all lead to discomfort. If the pain si...[Read More] Understanding X-Ray Findings in Chronic Back Pain: What to Know
Rehabilitation Strategies for Sacroiliac Joint Arthritis in Ankylosing Spondylitis
Rehabilitation issues for sacroiliac joint arthritis? Hello Doctor: I am a patient with ankylosing spondylitis. I had an X-ray two days ago, and my attending physician said that my sacroiliitis is approximately grade 1-2. I would like to ask the doctor, in addition to taking my a...
Dr. Chen Yongxue Reply:
Hello, ankylosing spondylitis is a hereditary condition. While it cannot be cured, it can be managed. It is important to develop a regular exercise routine, as this helps to slow the progression of the disease. Regarding medication use, it is generally necessary only in the prese...[Read More] Rehabilitation Strategies for Sacroiliac Joint Arthritis in Ankylosing Spondylitis
Understanding Ankylosing Spondylitis: Can It Be Transmitted?
Ankylosing Spondylitis Doctor, I would like to ask, because I don't quite understand. A friend of mine has a family history of ankylosing spondylitis, and today I made plans to go out with him to eat hot pot. Is there a possibility that I could be infected? I would appreciat...
Dr. Shi Guozheng Reply:
Ankylosing spondylitis is not contagious. Individuals with this condition possess a specific gene known as HLA-B27, which is related to the immune system. It cannot be transmitted from person to person; it is not an infectious disease, and one cannot contract it from sharing a ho...[Read More] Understanding Ankylosing Spondylitis: Can It Be Transmitted?