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Should I be concerned about sudden spinal pain?
#271382 05/17/15 03:18 AM
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Shirley Offline OP
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I had alot of problem with my lumbar spine in my 30's, about 20 years ago, which I now know was AS (xray taken in 2011 showed various changes to the vertebrae and various bits of calcification, as well as mostly-fused sacroiliac joints and I seem to remember that one vertebrae or disc got a particular mention). After the 1990's, the AS beast wandered around my body for about 15 years before it hit with a vengeance nearly everywhere in 2011, but it seemed like the AS might have finished with my lumbar spine. But I've now had sharp pain there for about 24 hours - does anyone know if I should be concerned? I don't have increased referred pain in my legs or anything just muscle spasms in my lower back and focused sharp pain in a particular point of my lumbar spine.

I'm trying to work out whether I should just wait it out or get it checked out...I don't have an appointment to see my rheumy until July.

Last edited by Shirley; 05/17/15 06:31 AM.

Shirley
Peripheral and axial AS diagnosed October 2011 aged 50, more than 15 years after the symptoms started. Also PCOS, GERD/oesophagitis/dysphagia, IBS, asthma,chronic rhinitis. Taking enbrel, methotrexate, folic acid, omeprazole, vitamin D, metformin, steroid inhaler and eating low starch/low GI.
Re: Should I be concerned about sudden spinal pain?
Shirley #271385 05/17/15 11:20 AM
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Shirley, sorry you're having such a time with this. Does anything relieve it??


Joani; 72-year-old with undifferentiated spondylitis and erosive inflammatory osteoarthritis in hands & wrists; taking low-dose prednisone, Vitamin D, use Voltaren gel for hands & wrists; other meds for heart, thyroid, allergies & sinusitis. Blessed with great husband, 5 kids & their spouses, 11 beautiful grandchildren.
Re: Should I be concerned about sudden spinal pain?
Shirley #271387 05/17/15 08:36 PM
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Thank you. Paracetamol and tramadol take the edge off. It feels better when lying down.I emailed my rheumy who suggested waiting a few days to see if it settles down. I'm not sure if I can face going to work today to work on my comp uter and sit at meetings.

Last edited by Shirley; 05/17/15 08:41 PM.

Shirley
Peripheral and axial AS diagnosed October 2011 aged 50, more than 15 years after the symptoms started. Also PCOS, GERD/oesophagitis/dysphagia, IBS, asthma,chronic rhinitis. Taking enbrel, methotrexate, folic acid, omeprazole, vitamin D, metformin, steroid inhaler and eating low starch/low GI.
Re: Should I be concerned about sudden spinal pain?
Shirley #271388 05/17/15 10:16 PM
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If you have osteoporosis, then I am sure I have been told that sudden spinal pain should get checked out in case its a spontaneous fracture. Hope it does settle down though.


Cauda equina type neurogenic bladder problems. Coeliac disease. Sicca syndrome. Ataxic gait and use crutches. Non-specific gut problems. Current treatment: Low dose naltrexone, low starch diet (Guts shredded by NSAIDs. Previously diclofenac worked well, not eligible for anti-tnfs, hypersensitivity to SSZ). Also short bursts of pred for bad flares
Re: Should I be concerned about sudden spinal pain?
Shirley #271391 05/17/15 11:54 PM
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Thanks cemc. I don't have osteoporosis as far as I know, but it is a while since my first bone density scan. I'm conscious of risk due to AS and my mother having it despite being overweight like me. And apparently avulsion fractures like I had are common in osteopaenic bone, so I was planning to ask the shoulder specialist about that when I see him next week (since I still have pain and reduce mobility in that shoulder three and a half months after the fall and scan showed what looks like multiple small bone fragments).


Shirley
Peripheral and axial AS diagnosed October 2011 aged 50, more than 15 years after the symptoms started. Also PCOS, GERD/oesophagitis/dysphagia, IBS, asthma,chronic rhinitis. Taking enbrel, methotrexate, folic acid, omeprazole, vitamin D, metformin, steroid inhaler and eating low starch/low GI.
Re: Should I be concerned about sudden spinal pain?
Shirley #271392 05/18/15 01:41 AM
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Hello, Shirley:

It is possibly a pseudoarthrosis--a break off of some fusion, which can be quite painful.

Regret I had an extensive issue with this problem that required epidurals until got in for fixation. Everyone with AS likely has degree of osteoporosis; we lose height faster than normal as a result of this, and are also subject to similar painful fractures.

HEALTH,
John


Nota Bene: I am not a medical doctor, and my views do not represent the opinions of the SAA
AS Resources
My Long, Boring AS Story
Professor Alan Ebringer Diet and AS

Re: Should I be concerned about sudden spinal pain?
Shirley #271402 05/19/15 08:53 AM
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Thanks John.
I fear something like that, but hope it's not. As far as I know I just have bits and pieces of calcification in my lower back and mostly fused sij's, but it is four years since I had it xrayed. I emailed my rheumatologist, who said to see if it settles down over the next few days. I now have pain elsewhere as well, so maybe it's "just" a flare.


Shirley
Peripheral and axial AS diagnosed October 2011 aged 50, more than 15 years after the symptoms started. Also PCOS, GERD/oesophagitis/dysphagia, IBS, asthma,chronic rhinitis. Taking enbrel, methotrexate, folic acid, omeprazole, vitamin D, metformin, steroid inhaler and eating low starch/low GI.
Re: Should I be concerned about sudden spinal pain?
Shirley #271413 05/20/15 05:57 AM
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Hmmm well the latest is that the back pain shifted to my flanks and I feel generally shivery and yucky so went to see my family doctor. Turns out my urine sample showed white blood cells and blood so I've probably got an infection. He'll send the sample away but has put me on antibiotics in the meantime.

And I'm off to see the shoulder specialist on Monday because I have major loss of rom in my shoulder following my fracture in January despite a few weeks of physiotherapy. Getting a bit sick of medical appointments...

Last edited by Shirley; 05/20/15 08:01 AM.

Shirley
Peripheral and axial AS diagnosed October 2011 aged 50, more than 15 years after the symptoms started. Also PCOS, GERD/oesophagitis/dysphagia, IBS, asthma,chronic rhinitis. Taking enbrel, methotrexate, folic acid, omeprazole, vitamin D, metformin, steroid inhaler and eating low starch/low GI.
Re: Should I be concerned about sudden spinal pain?
Shirley #271441 05/21/15 09:48 PM
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aarrghh. One thing after another. Hope you get some joy with the shoulder specialist, and get over that UTI quickly.


Cauda equina type neurogenic bladder problems. Coeliac disease. Sicca syndrome. Ataxic gait and use crutches. Non-specific gut problems. Current treatment: Low dose naltrexone, low starch diet (Guts shredded by NSAIDs. Previously diclofenac worked well, not eligible for anti-tnfs, hypersensitivity to SSZ). Also short bursts of pred for bad flares
Re: Should I be concerned about sudden spinal pain?
Shirley #271443 05/21/15 10:55 PM
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Shirley Offline OP
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Thanks cemc - it has been quite a year! I'm also seeing the opthamologist next week as one of my eyes has been playing up - not really painful but watering on and off for ages and not responding antihistamine tablets/artificial tears, so assuming not allergies or dry eye.


Shirley
Peripheral and axial AS diagnosed October 2011 aged 50, more than 15 years after the symptoms started. Also PCOS, GERD/oesophagitis/dysphagia, IBS, asthma,chronic rhinitis. Taking enbrel, methotrexate, folic acid, omeprazole, vitamin D, metformin, steroid inhaler and eating low starch/low GI.
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