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Forum Name: Rheumatology Topics

Question: i have pain on sl joint,i done mri & the remark was that - 1


 indian - Sat Sep 19, 2009 6:30 am

i have pain on sl joint,i done mri & the remark was that - 1. A BILATERAL EROSIVE SACROILITIS IS SEEN, SUGGESTIVE OF A BILATERAL INFLAMMATORY SACROILITIS,CONSISTENT WITH THE PATTERN SEEN IN SERONEGATIVE SPONDYLOARTHROPATHIES. 2.THE SCREENING STUDY THROUGH THE SPINE SHOWS BILATERAL L5 SPONDYLOLYSIS, WITH GRADE 1 SPONDYLOLISTHESIS OF L5 OVER S1. i want to know what is treatment for it & do i really HLA-B27 positive?
 Tom Plamondon PA-C - Sun Sep 20, 2009 9:39 pm

User avatar Hello,
If you have signs and symptoms indicative of ankylosing spondilitis (morning stiffness greater than 30 minutes, increased pain with inactivity and lying down and decreasing with exercise, definitive x-ray findings), you likely have the condition.

HLA-B27 may not be necessary but I would do acute phase reactants to see how active the condition is (sed rate and crp).

Exercise and NSAIDS are the mainstays of treatment.

Take care.

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