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Doctors Lounge - Rheumatology Answers
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| indian
- Sat Sep 19, 2009 6:30 am |
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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?
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| Tom Plamondon PA-C
- Sun Sep 20, 2009 9:39 pm |
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 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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