Sir I have been prescribed for Sazo 500 and indocap SR for ankylosing spondylitis. Last week I got my ESR report as 49. After taking Indocap SR I get relief from pain but after 12 hours again it is very painful. What to do. 6 years back I had been diagnosed AS. HLAB27 is positive.

Dr. Julie Mercy J DavidPhysiotherapist21yrs exp

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Ankylosing spondylitis is a cause of back pain in adolescents and young adults. Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints Chronic inflammation in these areas causes pain and stiffness in and around the spine, including the neck, middle back, lower back, and buttocks. Over time, chronic inflammation of the spine (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis causes loss of mobility of the spine. Pt treatment deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs.  

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