Ankylosing spondylitis, Orthopedics FAQ - Page 2

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Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options

Supraspinous ligamentitis (strain) Hello Dr. Wang, I have been experiencing lower back pain for over three to four months. I have undergone a series of related examinations, including MRI and ultrasound, which ruled out conditions such as HIV, ankylosing spondylitis, and metastat...


Dr. Wang Shouji Reply:
Hello, if the more serious issues mentioned above are ruled out, please pay attention to your posture by keeping your head up and chest out. Strengthening your abdominal and back muscles, along with applying heat, should help alleviate the discomfort. In the long term, it is impo...

[Read More] Managing Supraspinous Ligament Inflammation: Rehabilitation and Treatment Options


Understanding Upper Right Back Pain: Causes and Solutions

Upper right back pain? Hello, doctor. I experience sharp pain in my upper right back when I breathe deeply, lie down, or stretch vigorously. This has been happening for almost a year. I have had a chest X-ray that showed no issues. I regularly play basketball, volleyball, and do ...


Dr. Wang Shouji Reply:
Hello, based on your symptoms, it is more likely that you have fasciitis, which typically presents with localized tenderness. If you have any doubts, it is advisable to seek medical consultation for confirmation. Changhua Hospital cares about your health. Dr. Wang Shou-ji.

[Read More] Understanding Upper Right Back Pain: Causes and Solutions


Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights

Inflammation of the lumbar spine at the L4-L5 level? Hello Doctor, I experienced unusual pain in my lower back after lifting water in early November last year, which became severe by the evening. Initially, I thought it was a muscle strain, but after two months of no improvement,...


Dr. Wang Shouji Reply:
Hello, considering your age and history of strains, if you have no prior history of lower back pain, the likelihood of ankylosing spondylitis is low. A strain of the lower back muscles and soft tissues can lead to chronic back pain and stiffness if not fully recovered, as the bac...

[Read More] Understanding Inflammation in the L4-L5 Lumbar Spine: Symptoms and Insights


Sudden Swelling of the Fourth Toe: Causes and Treatment Options

The fourth toe of the right foot suddenly swelled? The fourth toe on both feet has been persistently swollen for about two years. A month ago, the fourth toe on my right foot suddenly became swollen. I visited the immunology department at Beihua Hospital, and after blood tests, t...


Dr. Chen Yongxue Reply:
Hello, sudden swelling of the fingers and toes should first rule out any immune-related issues. Additionally, individuals over the age of 50 are at a higher risk for degenerative arthritis. Please visit an orthopedic clinic for further diagnosis. Thank you.

[Read More] Sudden Swelling of the Fourth Toe: Causes and Treatment Options


Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered

Genetic Issues Related to Ankylosing Spondylitis Hello Dr. Wang, 1. I have ankylosing spondylitis, but neither of my parents has this condition; only my aunt has rheumatoid arthritis. Is the likelihood of inheritance high, or are there other ways to develop this disease? 2. The...


Dr. Wang Shouji Reply:
Hello, in addition to X-rays, the diagnosis of ankylosing spondylitis also involves testing for HLA-B27. If both tests are positive, a definitive diagnosis can be made. Regarding its diagnosis and genetic implications, it is recommended to consult a rheumatologist. Symptoms of an...

[Read More] Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered


Medication for Ankylosing Spondylitis During Pregnancy: What You Need to Know

Medications for Ankylosing Spondylitis during Pregnancy I would like to ask the doctor, I have been diagnosed with ankylosing spondylitis and have been taking hydroxychloroquine for 4 months. My inflammatory markers in blood tests are normal, and the doctor advised taking one pil...


Dr. Wang Shouji Reply:
Hello, according to the literature, CELECOR may lead to premature closure of the ductus arteriosus in the fetus. Therefore, pregnant patients, especially those in the later stages of pregnancy (after 30 weeks), should avoid its use. It is recommended to consult the prescribing ph...

[Read More] Medication for Ankylosing Spondylitis During Pregnancy: What You Need to Know


Understanding Morning Finger Stiffness: When to Seek Medical Help

Finger stiffness? Hello Dr. Wang, two months ago I started experiencing stiffness in my fingers, initially in my right hand, and later my left hand also began to show some morning stiffness. After increasing my activity level, the stiffness in my left hand has improved significan...


Dr. Wang Shouji Reply:
Hello, if rheumatic diseases have been ruled out and only arthritis remains, it is important to monitor for excessive finger movement. You may start with warm compresses to reduce finger joint activity and apply anti-inflammatory ointments to alleviate the symptoms of tightness. ...

[Read More] Understanding Morning Finger Stiffness: When to Seek Medical Help


Risks of Heart Surgery in Patients with Ankylosing Spondylitis

Surgical Issues in Patients with Ankylosing Spondylitis Dear Doctor, My father is 72 years old and has suffered from ankylosing spondylitis since his teenage years, which is an autoimmune disease. He has previously taken immunomodulators. His cervical spine is completely rigid a...


Dr. Shi Guozheng Reply:
1. The risk of spinal fractures is higher, but with careful attention, surgery is still possible. 2. Bone healing is generally satisfactory, and many patients have undergone total hip arthroplasty with good outcomes. 3. Endotracheal intubation for anesthesia can be more compl...

[Read More] Risks of Heart Surgery in Patients with Ankylosing Spondylitis


Could My Symptoms Indicate Ankylosing Spondylitis?

Ankylosing spondylitis? Hello Dr. Lee, thank you for taking the time to respond despite your busy schedule. Here are my symptoms: 1. In mid-September, I felt a warm and tight sensation under my left rib (upper left abdomen), as if a strap was wrapped around it, which was very u...


Dr. Li Yongheng Reply:
Based on the symptoms mentioned, the likelihood of myofascial inflammation is the highest. It does not resemble the symptoms of ankylosing spondylitis, and a blood test for HLA-B27 can diagnose ankylosing spondylitis. It is recommended that you visit a rheumatology clinic for exa...

[Read More] Could My Symptoms Indicate Ankylosing Spondylitis?


Does Medication for Ankylosing Spondylitis Cause High Blood Pressure?

Ankylosing Spondylitis Can medication for ankylosing spondylitis cause high blood pressure?


Dr. Wang Shouji Reply:
If you are unsure about the medication you are taking, you can consult the prescribing physician or ask a pharmacist directly. Thank you.

[Read More] Does Medication for Ankylosing Spondylitis Cause High Blood Pressure?


Understanding Left Side Rib Pain: Causes and Concerns

Pain in the lateral ribs? Hello doctor, I have ankylosing spondylitis and have been taking the anti-inflammatory medication Mobic, one tablet daily, for a long time. I have noticed that the left side of my rib cage, just below the armpit, hurts when pressed. It doesn't hurt ...


Dr. Shi Guozheng Reply:
It may be that the pleura is slightly inflamed; you can get an X-ray to check for any bone issues.

[Read More] Understanding Left Side Rib Pain: Causes and Concerns


Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions

Herniated disc ankylosing spondylitis I would like to ask about my condition. During play, I fell from the bed to the floor and injured my buttocks, which caused pain. The doctor said I have a herniated lumbar disc. Initially, I experienced numbness in my legs, but now it has imp...


Dr. Wang Shouji Reply:
It is recommended to consult a neurosurgeon.

[Read More] Managing Pain from Herniated Discs and Ankylosing Spondylitis: Tips and Solutions


Understanding Ankylosing Spondylitis: Symptoms and Insights

Ankylosing Spondylitis Three weeks ago, I experienced pain in my lower back whenever I leaned forward or backward (it wasn't unbearable pain). After stretching a few times, the pain subsided. However, after sitting for a long time, leaning forward or backward would still cau...


Dr. Shi Guozheng Reply:
Ankylosing spondylitis can cause long-term chronic lower back pain, with stiffness that makes bending difficult. If the pain lasts only for a week, the likelihood of ankylosing spondylitis is lower. Additionally, ankylosing spondylitis is associated with X-ray changes, where the ...

[Read More] Understanding Ankylosing Spondylitis: Symptoms and Insights


Concerns About Using Celebrex for Stroke Patients with Hypertension

Questions regarding the use of Cilostazol in stroke patients? Hello Dr. Shih, I previously brought my father to Miaoli Hospital for a consultation regarding his left knee pain. After taking the medication you prescribed, one month later, on August 11, my uncle went to National Ta...


Dr. Shi Guozheng Reply:
Celebrex is used as needed for pain relief and does not need to be taken daily. Its impact on stroke risk is minimal. Typically, if there are concerns during the initial use, it is advisable to discontinue the medication.

[Read More] Concerns About Using Celebrex for Stroke Patients with Hypertension


Understanding Spinal Alignment: Seeking Medical Documentation for Military Service

Straight spine? I would like to ask the doctor, three years ago I had an X-ray at the hospital, and the doctor said that my spine appeared very straight with almost no curvature. I also find it difficult to stand for long periods; if I stand too long, my spine starts to ache, and...


Dr. Li Yongheng Reply:
Based on your symptoms, you may need to visit an orthopedic department at a public hospital that conducts military service physical examinations to diagnose conditions such as a herniated disc or ankylosing spondylitis. Once a diagnosis is established, you can request your physic...

[Read More] Understanding Spinal Alignment: Seeking Medical Documentation for Military Service


Understanding Ankylosing Spondylitis: Which Specialist to Consult?

Ankylosing spondylitis Doctor, I would like to ask whether ankylosing spondylitis should be evaluated by a rheumatologist or an orthopedic specialist. Is ankylosing spondylitis considered a major illness?


Dr. Wang Shouji Reply:
Hello: Ankylosing spondylitis is primarily treated by rheumatologists, and if surgery is required, it is then managed by orthopedic surgeons. Thank you.

[Read More] Understanding Ankylosing Spondylitis: Which Specialist to Consult?


Understanding Ankylosing Spondylitis: Blood Tests and Age Factors

I would like to inquire about ankylosing spondylitis? Hello Dr. Wang, I would like to ask about ankylosing spondylitis. If a blood test comes back positive, does that mean the disease will definitely develop? Also, is it true that only individuals under 40 can develop ankylosing ...


Dr. Wang Shouji Reply:
Hello: At this age, the pain is mostly likely due to ankylosing spondylitis. A positive HLA-B27 test does not necessarily mean that it is ankylosing spondylitis; there must also be evidence of enteropathic arthritis or even chronic inflammatory changes leading to fusion to make t...

[Read More] Understanding Ankylosing Spondylitis: Blood Tests and Age Factors


Understanding Chronic Pain in Children: Causes and Solutions

The child has previously sprained their ankle, and since then, they have been experiencing intermittent pain in the ankle as well as pain in the lower back? My boyfriend's daughter, who is in the fifth grade, previously twisted her ankle and only received a few sessions of t...


Dr. Li Yongheng Reply:
Testing for diabetes and ankylosing spondylitis requires only X-rays and blood tests, both of which are covered by health insurance. It is recommended to take your child to an orthopedic outpatient clinic for a detailed examination to avoid delaying the diagnosis. Thank you for y...

[Read More] Understanding Chronic Pain in Children: Causes and Solutions


Navigating Joint Replacement Surgery Risks in Elderly Patients with Complications

My father wants to undergo joint replacement surgery, but his physical condition seems to be unsuitable? Hello Doctor! My father, born in 1970, suffers from ankylosing spondylitis and, due to severe pulmonary tuberculosis many years ago, has almost lost function in his left lung,...


Dr. Shi Guozheng Reply:
Patients with ankylosing spondylitis are generally less suitable for lumbar anesthesia; however, a regional femoral nerve block can be used for surgical procedures near the hip joint on one side. This approach eliminates the need for spinal anesthesia. We have had numerous cases ...

[Read More] Navigating Joint Replacement Surgery Risks in Elderly Patients with Complications


Understanding Ankylosing Spondylitis: Morning Stiffness and Pain Explained

Questions about ankylosing spondylitis? Hello Doctor: I have a question. In the morning, I am unable to bend forward and can only bend to about my knees, and I experience severe pain on the left side of my lower back. The doctor diagnosed it as ankylosing spondylitis, but during ...


Dr. Wang Shouji Reply:
Hello: If the symptoms persist for a longer duration, and HLA-B27 and sacroiliitis are not associated with arthritis, it may not be completely indicative of ankylosing spondylitis. Attention should be paid to posture and whether there is excessive activity. Thank you!

[Read More] Understanding Ankylosing Spondylitis: Morning Stiffness and Pain Explained


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