Hello,
with the description of the symptoms, I feel she is bothered by left lower limb pain. Since mri is normal for her age, we are ruling out disc and related issues. Ideally a through examination will be needed, for now stretching exercises and muscle strengthening exercises will improve her balance and give her more confidence to mobilize. Non pharmaceutical measures of pain management like ift, tens, ust etc should be tired under physiotherapy supervision.
Sir start with physiotherapy sessions and learn exercise for spine and cervical. 2. Reduce weight. 3. Don't sit on floors. 4. Don't lift heavy things. 5. Take calcium and methylcobalamine supplement with glucosamine for three months minimum. 6 also take omega3 supplement.
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
You have mentioned yourself as hla b27 positive which means that you are suffering from inflammatory arthritis most probably ankylosing spondylitis.
It is a chronic inflammatory joint disease which has a genetic predisposition. Since this is a genetically linked disease hence as of now there is no permanent cure for it, but new intravenous medications are available which help in disease control.
You need a very active lifestyle with intensive regular physical therapy,
take adequate calcium and vitamin d supplementation
you also need to be in touch of a rheumatologist as it needs a long term supervised care. Do not hesitate to contact me if you need any further assistance. Thanks & regards
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
Yes, zoledronic acid is available in form of aclasta from novartis which is very good.
But remember to get all your required investigations done before the injection is administered. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & regards
Don't worry Mem. Have you inyrest naturopathy medecian. Than use bonihill syrup one month. Vitamin b12. Like.newbona plus median. Joint care gulcosamine one months.