إسأل طبيب الآن
دكتور عبد الكريم السلقاوي
طبيب
الأسئلة المجابة 22777 | نسبة الرضا 98%
Doctor
I'm having a painful back when I wake up
I'm having a painful back when I wake up
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
No
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
No
إطرح سؤالك
إجابة الخبير: دكتور عبد الكريم السلقاوي
دكتور عبد الكريم السلقاوي
طبيب
الأسئلة المجابة 22777 | نسبة الرضا 98%
treatment :
- The symptoms mentioned indicate more than one possibility of the problem, and one of these possibilities is ankylosing spondylitis, an inflammation in the joints between the vertebrae that leads to the displacement of the vertebrae and then merging them with each other over time, which results in a less flexible spine, the disease affects ages between 20-40 years old, the causes of the disease are still unknown. In some cases, the cause may be genetic or as a result of some environmental factors. symptoms can be alleviated and the disease progression slowed down by taking some medications such as nonsteroidal anti-inflammatory drugs Such as Celecoxib 200mg two tablets daily or Naproxen 500mg twice a day with a muscle relaxant such as Sirdalud 2mg three times a day with adherence to the physical therapy of the lower back on a daily basis and avoid smoking, and the use of warm and cold water compresses frequently, sometimes sulfasalazine or Methotrexate is used to relieve the severe Inflammation, and in severe cases, interleukin inhibitors such as secukinumab or TNF inhibitors such as Humira or Infliximab can be used to reduce inflammation.
How is the diagnosis made?
- In diagnosing ankylosing spondylitis, the doctor relies on taking the history, studying the symptoms that the patient suffers from, a clinical examination of the back and joints, and then running some tests and radiographs such as X-rays and magnetic resonance rays to evaluate the joints between the vertebrae, and running some tests such as checking the sedimentation rate ESR, C-reactive protein CRP, rheumatic factor RF, and a blood test to check for the presence of the HLA-B27 gene.
Symptoms of ankylosing spondylitis:
- Back pain that is most severe upon awakening and relieves with movement
- Stiff back in the early morning
- Extreme fatigue
- lack of appetite
- Eye infection in advanced cases
Other possible causes:
- disc bulge
- Inflammation of the sciatic nerve
- bony protrusion in the spine
- Spinal canal stenosis
- Rheumatoid Arthritis
- Muscle spasm
What is recommended:
- Follow the advice above and consult a rheumatologist
إسأل طبيب
دكتور عبد الكريم السلقاوي
طبيب
الأسئلة المجابة 22777 | نسبة الرضا 98%
- 100% ضمان الرضا
- انضم الى 8 مليون من العملاء الراضين
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