Apply Hot Fomentation twice daily.
Avoid bending in front.
Postural Correction- Sit Tall, Walk Tall.
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
A prescribed physical therapy program of stretching, strengthening and low impact aerobic conditioning is usually a part of most sacroiliitis or sacroiliac joint dysfunction treatment regimens. The therapy may be done by a physical therapist, chiropractor or other appropriately trained health specialist.
If you have any neuro problem like numbness, weakness or itinerary better to do surgery.
If only pain is there you can undergo a course of physio including traction and heat modalities
medications are ok but please add vitamin b12 also.
You may have urine infection, or some other kind, report you have get done are not enough to come to knee what exactly causing this you need few more other reports like s. Ua, urine reports, crp, x ray of knee.
Well yes if you are symptomatically better , graded exercises van be started . No more complete bed rest. For residual numbness and tingling pregabid can be continued for few more weeks .
Regards
Orthopedic spine surgeon like is the best judge for your spine condition. But the surgical decision has to be always patients. If there is 60% improvement in symptoms, you should try a selective nerve root block and start physiotherapy in the form of back exercise and core strengthening. you can always choose surgery at a later date if you cannot tolerate the symptoms.
Hello. Please check your hemoglobin as anemia can cause weakness. Also regularly check esr & crp to monitor the disease, as you may need higher doses of methotrexate. The need to take painkiller on regular basis means your disease is not under control and modification of medicine dosage is warranted.
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I need to see: 1) detailed neurological charting i. E both motor and sensory done by a physiotherapist of your lower limbs
2) mri ls spine
3) x ray ls spine ap & lateral ( flexion and extension ) views once I have them, I can see and advise you in a better manner do not hesitate to contact me if you need any further assistance.
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