Male Age- 64 Symptom - pain in back of lumber region for 20 day
Bridging osteophytes spine Partial fusion of sacroiliac joints If it was ankylosing spondylitis,by this age there would have been classical appearance beyond doubt Look more like forestiers disease Check spine flexion Chest expansion Xray thoracolumbar spine CBC esr RA factor Uric acid Crp If in doubt,HLA B27 typing Analgesics Muscle relaxants Gabapentin will help Physiotherapy
Ankylosing spondylitis.. Or severe osteoarthritis considering the age
agree with Dr. Parvathy Nair
Ankylosing spondylitis. Bamboo spine seen .treat conservativly.
Looking at so joint and spine it looks like ankylosing spondylitis .second differential diagnosis is DISH.
Clear picture of degenerative changes whole spine so called severe OA. Need to specify his gait. Physio may include- -Therapeutic US ( on whole spine) -circular massage on spinous processes -Myofascial release for whole dorsal aspect .
seems to b severe osteoporotic.that must b the reason of pain if there is no injury.
It O.A.Spine. It needs some analgesics, local fomentation and applications, back support with brace. As the pain subside start exercises for lasting relief. Of course calcium and vitamin D3 needed.
Osteoarthritic degenerative spine.Patient needs movement analysis and therapy based on Trunk muscle strengthening mainly trunk extensors Core muscle activation and strengthening General mobility excs for spine Pls consider hydrotherapy or aquatics.It really helps a lot for such patients.
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