Pain in the right hip, lower back and right side buttock especially in morning time, unable to sleep properly because of the pain. HLA B27 is positive. Kindly explain and what to do further.
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There is a high likely possibility of axial spondyloarthritis as per your reports. Usually seen in young males. All your spine bones develop inflammation at joints leading to pain at 2nd half of night or early morning associated with stiffness in the back. Usually to confirm; we perform HLAB27 testing and also MRI of pelvis to look for sacroilitis. One test is positive. Likely to be spondyloarthritis.
Next Steps
Kindly do MRI SI joints ( pelvis) STIR sequence
CBC/ ESR/ CRP / LFT / RFT
Health Tips
May start to take painkillers and physiotherapy temporarily; you will need to be started on arthritis treatment as early as possible.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Rheumatology
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