sacroiliac pain

23 years old male with ho of pain in left side of hip region last one year .having morning stiffness . can not make 4 with his left leg. limping mild from left leg se positive above 60 degree. ho of fall from tree ten years ago.my prov ds is sacroilitis/avn for that x-ray is advised his crp is 26.1 creat 0.67. pls your comments on x-ray of pelvis . hlab27 awaited

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Sacroiliitis It  is a painful condition where either one or both of the sacroiliac joints become inflamed. The sacroiliac joints are found where the spine meets the pelvis. Often misdiagnosed as lower back pain, sacroiliitis is related to diseases that cause inflammatory arthritis in the spine.

sacroiliitis alternating ice and heat to relieve pain and inflammation.physical therapy and exercise.injections of corticosteroids directly into the joint (these can only be done periodically due to side effects from regular use)

Extensive workup is required... there is history of fall from tree 10 years back Unilateral hip pain in a young male... Shenton's line is normal... MRI of left hip joint will reveal much info

Ankylosing spondylitis Physiotherapy & NSAID orally

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Ankylosing spondylitis

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Acute sacroilitis bilateral.Rx-Tab seradic plus1×32-hot fomentation.3-seradic gel locally4-rest5-Tab b complex 1od ×10days

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Ankylosing sondylitis Adv: HLAB27 study to confirm

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Sacroilitis possible Xray thoracolumbar spine needed

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Left sacroileac arthritis . ? Abolishing spondylosis Needs xray of spine, tests to rule out RA, HLA B27

Bilateral SI joint inflammation DD Ankyloising spondylitis Bilateral sacroilits HLA B27 Sulfosalazin Indomethacin

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