Could It Be Ankylosing Spondylitis? Understanding Your Back Pain
Is this ankylosing spondylitis? Hello Doctor, I have been experiencing stiffness in my lower back for almost a week. It’s not sore or painful, and I don’t feel particularly stiff in the morning. The stiffness varies in timing, but it tends to improve after taking a hot shower. Ho...
Dr. Shi Guozheng Reply:
Typically, an X-ray can reveal changes in the spine and sacroiliac joints. Additionally, a blood test for the presence of the HLA-B27 antigen can also be useful for reference. It is necessary to visit a hospital for these examinations.[Read More] Could It Be Ankylosing Spondylitis? Understanding Your Back Pain
Understanding Ankylosing Spondylitis: Treatment Options and When to Consider Surgery
Ankylosing spondylitis Hello, I was diagnosed with ankylosing spondylitis while serving in the military. My right foot swelled up, making it difficult to stand for long periods, and every step I took was painful. At that time, the doctor said I could only take steroids to relieve...
Dr. Shi Guozheng Reply:
If the hip joint is affected and medication treatment is ineffective, surgery may be considered. First, it is essential to check for the presence of arthritis, assess whether there is joint space narrowing, and determine if there is significant functional impairment before making...[Read More] Understanding Ankylosing Spondylitis: Treatment Options and When to Consider Surgery
Understanding Sciatica: Is It Related to Piriformis Syndrome?
Questions about sciatica? Hello, doctor. One day, while sitting, I started to feel pain in my left buttock, which later became very painful in the morning when I woke up. Whenever I lie flat and relax, my buttock feels uncomfortable, and I can't bend my leg freely; sometimes...
Dr. Wang Shouji Reply:
Hello: Based on your symptoms, there is a higher likelihood of inflammation in the muscles at the back of the hip. Consider a local injection of anti-inflammatory medication (such as corticosteroids) to see if it improves your symptoms. It is recommended to follow up at the outpa...[Read More] Understanding Sciatica: Is It Related to Piriformis Syndrome?
Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Ankylosing Spondylitis Hello doctor, three months ago I experienced lower back pain after lifting heavy objects, and during an incidental examination, I was found to have the HLA-B27 gene associated with ankylosing spondylitis. However, after examination, the doctor determined th...
Dr. Shi Guozheng Reply:
Ankylosing spondylitis does not cause joint crepitus. Crepitus in the hip is unrelated to hip joint necrosis. It occurs due to the fibrosis and subsequent stiffness of the gluteus maximus muscle, which produces a sound as it glides over the greater trochanter of the femur. This s...[Read More] Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Effective Rehabilitation Strategies for Ankylosing Spondylitis Management
Ankylosing Spondylitis Hello Doctor: I would like to ask what rehabilitation methods can be used for ankylosing spondylitis in daily life? How can I prevent it from worsening? I heard that taking vitamin C is effective; is that true? Thank you!
Dr. Shi Guozheng Reply:
This disease can cause calcification of soft tissues, leading to stiffness and immobility of the joints, typically occurring in the cervical spine, lumbar spine, and hip joints. The usual rehabilitation approach involves regular exercise and engaging in gentle activities such as ...[Read More] Effective Rehabilitation Strategies for Ankylosing Spondylitis Management
Understanding Ankylosing Spondylitis: Symptoms and Diagnosis Explained
Ankylosing spondylitis Hello Dr. Wang: Previously, I felt something unusual in my right foot, and after seeing a traditional Chinese medicine doctor (later a Western doctor diagnosed it as flat feet), the doctor suggested I check for ankylosing spondylitis. I would like to ask, w...
Dr. Wang Shouji Reply:
Ankylosing spondylitis symptoms typically include recurrent back pain, a family history, and a higher prevalence in males, as it is an autoimmune disease. X-rays may show inflammation of the sacroiliac joints and spinal joints. A blood test for HLA-B27 may be positive. Diagnosis ...[Read More] Understanding Ankylosing Spondylitis: Symptoms and Diagnosis Explained
Managing Ankylosing Spondylitis: Effective Treatments and Prevention Tips
excuse me? Is ankylosing spondylitis treatable? Are there ways to prevent it from worsening?
Dr. Fan Hongbin Reply:
Hello, regarding your questions, here are the responses: 1. Ankylosing spondylitis is primarily determined by genetics, and a blood test for the HLA-B27 antigen can be conducted. Ankylosing spondylitis is not curable. The disease course is typically chronic, with periods of exac...[Read More] Managing Ankylosing Spondylitis: Effective Treatments and Prevention Tips
Morning Back Pain: Is It Ankylosing Spondylitis?
Experiencing back pain upon waking up? Hello, for the past year or two, I often wake up feeling pain near my spine, which prevents me from bending my back. I have to get out of bed straight and often need to get up several times before I feel more comfortable. Could this be what ...
Dr. Wang Shouji Reply:
Ms. Wang: If you have been experiencing back pain for one to two years, it is certainly necessary to determine the underlying cause. Otherwise, it could develop into chronic lower back pain, which is more troublesome. As for ankylosing spondylitis, it is more common in males. At ...[Read More] Morning Back Pain: Is It Ankylosing Spondylitis?
Unexplained Joint Pain: Seeking Answers for Persistent Discomfort
No identifiable cause? Hello, my finger joints, the joints in the soles of my feet, and the joints near my knees, as well as the joints connecting my thighs to my hips, often experience pain in the bones and muscles around these areas. I have undergone X-ray examinations at the h...
Dr. Zhou Lizhi Reply:
In cases of multiple joint ligament pain, systemic diseases should first be considered, such as gout, rheumatoid arthritis, and ankylosing spondylitis. Among these, it is important to inquire about any history of gout. Rheumatoid arthritis is most commonly seen in young women, wh...[Read More] Unexplained Joint Pain: Seeking Answers for Persistent Discomfort
Understanding Ankylosing Spondylitis: Managing Pain and Sleep Issues
Ankylosing Spondylitis I have been suffering from ankylosing spondylitis for 15 years. Currently, I am taking anti-inflammatory and muscle relaxant medications at the Immunology and Rheumatology Department of Taipei Veterans General Hospital. Two weeks ago, I suddenly experienced...
Dr. Shi Qiming Reply:
Ankylosing spondylitis is a chronic long-term disease that affects various parts of the body, particularly the spine and joints. The pathology occurs due to the adhesion between the joints, leading to a gradual loss of mobility and resulting in stiffness. Additionally, decreased ...[Read More] Understanding Ankylosing Spondylitis: Managing Pain and Sleep Issues
Understanding Disc Herniation and Ankylosing Spondylitis Symptoms
Herniated disc? Ankylosing spondylitis? Hello Dr. Wang, I apologize for the lengthy message... ^^" Last year during the Lunar New Year, I was squatting down while holding a child, and at that moment, I felt fine. However, later that night, I suddenly experienced severe lower...
Dr. Wang Shouji Reply:
Ms. Lin: Generally speaking, young women without a family history have a low chance of developing ankylosing spondylitis. It is mostly likely a problem with the muscles or soft tissues. If there are accompanying symptoms such as lower limb numbness or sciatica, those cannot be ru...[Read More] Understanding Disc Herniation and Ankylosing Spondylitis Symptoms
Understanding Hip and Lower Back Tendon Inflammation: Causes and Solutions
Tendinitis often occurs in the area where the lower back connects to the hips? Hello Doctor, I would like to ask about the pain I've been experiencing in the area where my lower back connects to my hips for the past few years. After visiting the doctor, I was told that it wa...
Dr. Lin Yijun Reply:
Hello: First, without a direct examination, it is not possible to provide a definitive diagnosis, but the following opinions are for your reference. 1. If your lower back pain is accompanied by morning stiffness lasting more than 30 minutes, worsens after rest, and improves wit...[Read More] Understanding Hip and Lower Back Tendon Inflammation: Causes and Solutions
Understanding Morning Lower Back Pain: Causes and Specialist Guidance
Regarding lower back pain issues? Dear Vice Director, I have been experiencing pain in the left lower back upon waking up in the morning for about three months. Sometimes the pain is severe enough to wake me up, preventing me from continuing my sleep. After getting up, the pain ...
Dr. Shi Qiming Reply:
Dear Sir/Madam, There are numerous causes of lower back pain, and when accompanied by stiffness and pain upon waking in the morning, rheumatoid arthritis and ankylosing spondylitis should be considered first. If all tests return normal and neurological symptoms are significant, ...[Read More] Understanding Morning Lower Back Pain: Causes and Specialist Guidance
Morning Back Pain: Understanding Causes and Seeking Relief
Every morning, I experience internal soreness in my lower back and back, which causes me difficulty sleeping due to the pain? Dear Doctor, I really don't know what to do. Please help me with these questions. I am unsure about my condition, and it feels like the range of issu...
Dr. Wang Shouji Reply:
Dear Mr. Yeh, Based on your description, you are experiencing lower back pain upon waking in the morning, and since you are a male patient, it is important to rule out ankylosing spondylitis. Most patients with ankylosing spondylitis experience morning lower back pain and stiffn...[Read More] Morning Back Pain: Understanding Causes and Seeking Relief
Understanding Ankylosing Spondylitis: Symptoms, Treatment, and Pregnancy Concerns
Ankylosing Spondylitis Hello, doctor. My husband is 31 years old. Since early October last year, he has been waking up in the middle of the night due to lower back pain. He has seen many doctors, and each one has given a different opinion. Today, we visited the Tri-Service Genera...
Dr. Shi Qiming Reply:
Hello: Ankylosing spondylitis currently has no curative treatment; the available therapies primarily aim to slow its progression and prevent severe deterioration. However, it does not significantly affect life expectancy. Due to the difference in incidence rates between genders (...[Read More] Understanding Ankylosing Spondylitis: Symptoms, Treatment, and Pregnancy Concerns
Understanding Sacroiliitis vs. Herniated Disc: A Patient's Journey
Sacroiliitis or herniated disc? About six years ago, I fell while playing badminton and sat on the ground. At that time, I did not seek medical attention, thinking that resting would resolve the issue. In the following years, I experienced lower back pain whenever I was overly fa...
Dr. Lin Yijun Reply:
Hello Ms. Su, Without having seen you in person or reviewed your imaging studies, the following explanation can only serve as a reference. Given your history of injury and the symptoms you have described, it is reasonable for the rehabilitation physician to consider the possibil...[Read More] Understanding Sacroiliitis vs. Herniated Disc: A Patient's Journey
Is It Really Ankylosing Spondylitis? Understanding Your Back Pain
Is it really ankylosing spondylitis? Hello Doctor, I am 25 years old and have been experiencing lower back pain for nearly a year. However, my pain is only significant when I engage the affected area, such as bending down or sitting upright. I believe this did not occur suddenly;...
Dr. Lin Xiaoyi Reply:
Hello: The diagnosis of ankylosing spondylitis should be based on symptoms, physical examination, and X-ray findings. A positive HLA-B27 test is a reference point, but for clinically suspicious patients, a positive HLA-B27 significantly increases the likelihood of ankylosing spon...[Read More] Is It Really Ankylosing Spondylitis? Understanding Your Back Pain
Managing Ankylosing Spondylitis: Overcoming Pain and Finding Relief
Ankylosing Spondylitis I have ankylosing spondylitis due to excessive and inappropriate exercise, which has caused some degree of spinal scoliosis. Previously, I experienced severe hip pain and swelling in my left forefoot, but after treatment from a chiropractor, the hip pain ha...
Dr. Chu Baijun Reply:
Hello, Sausage Brother: Ankylosing spondylitis is an autoimmune disease that often triggers inflammatory responses in certain joints and does not necessarily require external injury. In severe cases, appropriate medication should be used in a timely and moderate manner for proper...[Read More] Managing Ankylosing Spondylitis: Overcoming Pain and Finding Relief
Persistent Right Back Numbness After Fall: Possible Causes and Solutions
Numbness in the right back after a bruise! Hello: I fell from a window onto my buttocks on July 11. Two hours later, I experienced swelling in my cervical spine, and that night I had severe pain in my coccyx and lumbar spine. A week later, I started to feel numbness in my right b...
Dr. Wang Shouji Reply:
Jia-Yun: Aside from the localized sexual numbness mentioned in your text, there should be no symptoms of pain or weakness. It is likely caused by a localized bruise. I recommend applying heat at least twice a day. If symptoms persist for more than a month, it is advisable to visi...[Read More] Persistent Right Back Numbness After Fall: Possible Causes and Solutions
Understanding Mid-Back Pain: Causes and Solutions for Spine Discomfort
Spinal column of the back Hello, I have been experiencing pain in the middle of my back, specifically along the spine, which only hurts when I press on it. Could this be caused by poor posture, or is there another reason? Additionally, sometimes during the day, I feel stiffness i...
Dr. Shi Qiming Reply:
Hello: Regarding your lower back pain, considering your age, if there is no severe trauma, treatment should focus on potential causes such as improper use and poor posture. Additionally, if you are experiencing stiffness in your back, the possibility of ankylosing spondylitis sho...[Read More] Understanding Mid-Back Pain: Causes and Solutions for Spine Discomfort