I am a patient of ankylosing spondylitis. Hlab positive. Now my crp-70. Dr. Suggest me to take biologic injection. I feel so much pain in my feet and also in shoulder. But I scared that if I take once the injection I can't stop. Oral medicine will not fruitful in future. Biologic are costly also. So I confused. How can I control my crp. If I take oral medicine long time it has sidekick also. So what to do. Please help me.

Dr. Julie Mercy J DavidPhysiotherapist22yrs exp

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Ankylosing spondylitis (pronounced ank-kih-low-sing spon-dill-eye-tiss), or as, is a form of arthritis that primarily affects the spine, although other joints can become involved. It causes inflammation of the spinal joints (vertebrae) that can lead to severe, chronic pain and discomfort. Symptoms of ankylosing spondylitis ?pain and stiffness. You may have constant pain and stiffness in the low back, buttocks, and hips that continues for more than 3 months. Ankylosing spondylitis often starts around the sacroiliac joints, where the sacrum (the lowest major part of the spine) joins the ilium bone of the pelvis in the lower back region. It might hurt more at night and get better when you wake up. You might also feel pain in other joints such as your knees, shoulders, and jaw. ?bony fusion. Ankylosing spondylitis can cause an overgrowth of the bones, which may lead to abnormal joining of bones, called "bony fusion. Fusion affecting bones of the neck, back, or hips may affect your ability to perform everyday things. Fusion of the ribs to the spine or breastbone may limit your ability to expand your chest when taking a deep breath. ?pain in ligaments and tendons. Spondylitis also may affect some of the ligaments and tendons that attach to bones. Tendinitis (inflammation of the tendon) may cause pain and stiffness in the area behind or beneath the heel, such as the achilles tendon. ?bent posture. If as has gone undiagnosed and untreated, you might have a stooped posture from changes to your vertebrae. ?breathing problems. Changes in posture can lead to changes in your lungsthat make it hard to breathe. ?heart trouble. The inflammation can also affect your heart. ?eye problems. As is linked to uveitis, a condition that causes inflammation in your eyes. Symptoms include pain, light sensitivity, and blurry vision. ?inflammatory bowel disease. The inflammation can also affect your digestive system. You might notice diarrhea, belly pain and cramps, bloody poop, less appetite, and weight loss without trying. ?psoriasis. About 10% of people with as have this immune system disease that causes scaly, itchy red patches on their skin. ?fatigue. You could feel run down because of lack of sleep due to pain or as a part of the disease process itself. ?dactylitis. You may get swollen toes or fingers. ?fever. You might have a mild fever. Over many years, as can cause new bone to grow on your spine, fusing the vertebrae and making it harder to move. This can cause severe stiffness. About half the people who have as get osteoporosis, or brittle bones. Exercises for the back, neck and.  

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