FROM OUR EXPERTS
Ever had a pain in the butt? No, I am not talking some crazy family member who cannot keep the mouth shut. I am talking about a real pain in the buttock region, possibly confused with low back pain.
A common cause of pain in the area of the tailbone, especially the tailbones in women, is the sacroiliac joint (SIJ). Before we proceed further, let us form a mental picture of the pelvis . The pelvis is a boney ring formed by four bones: two fused sections comprised of the pubis, ischium and ilium, one sacrum, and one coccyx. These four sections of bone are joined by strong ligaments at the pubic symphysis (in front) and the sacroiliac joints (in the back). All three of these joining points for the pelvic ring are potential sources of pain, especially in women and most especially in pregnant women. Thus, women in particular need to understand the risks for having SIJ dysfunction, the ways to diagnosis the problem, and the solutions for this pain in the butt.
By virtue of bein...
Diseases that fall under spondyloarthritis umbrella are ankylosing spondylitis , reactive arthritis (known previously as Reiter's syndrome) psoriatic arthritis and psoriatic spondylitis, and the arthritis or spondylitis associated with the inflammatory bowel diseases, ulcerative colitis and Crohn's disease . Still other patients may develop undifferentiated spondyloarthritis. This means they have symptoms or signs of one of the illnesses above, but don't develop the full blown disease. The disease most frequently begins between ages 20 and 40, but may begin before age 10. It affects more males than females. Risk factors include a family history of ankylosing spondylitis and male gender. Symptoms of Spondyloarthris The disease starts with hip or low back pain that comes and goes and is worse at night, in the morning, or after inactivity. Back pain may begin in the sacroiliac joints (between the pelvis and the spine) and involve all or part of the spine. Pain may go aw...
I've discussed Actemra often in this blog, and once again it
has been in the news: the British medical journal The Lancet earlier this month published two studies that showed its effectiveness in the treatment of
rheumatoid arthritis and juvenile rheumatoid arthritis .
Actemra, for those of you who may not yet know, is a drug
that is currently being considered by the FDA for use in Rheumatoid Arthritis.
The results from the so-called OPTION trial were from a
major Phase III international study. This study found that Actemra improved not
only symptoms but also quality of life when compared to methotrexate.
The OPTION study was designed so that study subjects
received either Actemra plus methotrexate OR placebo plus methotrexate. The
study was conducted in 17 countries outside the United States. More than half the
patients treated with Actemra -- 58.5% --
of achieved a 20% reduction in rheumatoid arthritis symptoms compared to just 26.5%
who were taking the placebo p...
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