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Is back pain along with fused sacroiliac joint, spine, and ribs a sign of ankylosing spondylitis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a lot of back pain in the morning. My CT scan shows my sacroiliac joint is fused, and my spine and other joints are also fused. There is also fusion between my ribs and spine. Could this be due to ankylosing spondylitis? I have had the pain for over 15 years now.
Answered by Dr. Varun Chaudhry

Education:

MBBS

Professional Bio:

Dr. Varun Chaudhry is a skilled Radiologist with specialized expertise in Gastrointestinal and Cancer imaging. Proficient in CT, MRI, USG, and PET scan interpretation, he provides accurate, detailed diagnostic insights to support effective treatment planning. Known for his analytical precision and clear communication, Dr. Chaudhry is dedicated to delivering high-quality imaging services and guiding patients through complex diagnostic processes with care and clarity.

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Hello,

Welcome to icliniq.com.

Thank you for your query.

The attached reports (attachments removed to protect the patient's identity) show some fusion between the spine and the sacroiliac joints. This could also be degeneration. I suggest a serum marker correlating with HLA (Human leukocyte antigen) B27 levels. If that is high, a rheumatologist's opinion can be taken.

Hope this helps.

Patient's Query

Hi,

Thank you doctor for the reply,

What is the probability of ankylosing spondylitis? As my doctors would not look at the CT scan, I need something in writing to show them to change their minds.

Answered by Dr. Varun Chaudhry

Education:

MBBS

Professional Bio:

Dr. Varun Chaudhry is a skilled Radiologist with specialized expertise in Gastrointestinal and Cancer imaging. Proficient in CT, MRI, USG, and PET scan interpretation, he provides accurate, detailed diagnostic insights to support effective treatment planning. Known for his analytical precision and clear communication, Dr. Chaudhry is dedicated to delivering high-quality imaging services and guiding patients through complex diagnostic processes with care and clarity.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I am sorry I cannot give you a probability just on the images provided (attachments removed to protect the patient's identity). As I said before, it needs to be correlated holistically with serum markers and clinical examination.

Medically reviewed by iCliniq medical review team
Published At November 21, 2022
Reviewed At October 8, 2023

Education:

MBBS

Professional Bio:

Dr. Varun Chaudhry is a skilled Radiologist with specialized expertise in Gastrointestinal and Cancer imaging. Proficient in CT, MRI, USG, and PET scan interpretation, he provides accurate, detailed diagnostic insights to support effective treatment planning. Known for his analytical precision and clear communication, Dr. Chaudhry is dedicated to delivering high-quality imaging services and guiding patients through complex diagnostic processes with care and clarity.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Varun Chaudhry

Radiodiagnosis

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Education:

MBBS

Professional Bio:

Dr. Varun Chaudhry is a skilled Radiologist with specialized expertise in Gastrointestinal and Cancer imaging. Proficient in CT, MRI, USG, and PET scan interpretation, he provides accurate, detailed diagnostic insights to support effective treatment planning. Known for his analytical precision and clear communication, Dr. Chaudhry is dedicated to delivering high-quality imaging services and guiding patients through complex diagnostic processes with care and clarity.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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