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- Опубліковано 28 тра 2024
- In this video, we're going to discuss why ankylosing spondylitis (AS) is often missed by doctors, and how to treat it. AS is a common inflammatory disease of the spine that causes severe pain and loss of function. It's often missed by doctors because it often doesn't show symptoms until later in the disease process, and can be difficult to diagnose.
If you're living with AS and you're looking for information on how to diagnose and treat the disease, then this video is for you! We'll discuss the causes of AS, the symptoms, and the treatments available. By the end of this video, you'll have all the information you need to start taking care of your health!
Check this link to buy the book 8 STEPS TO CONQUER CHRONIC PAIN
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Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life.
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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call an ambulance. CLOSED CAPTIONS in this video have not been professionally verified.
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Suffering with this since 36. Finally diagnosed at 53.
Thank you Doctor! 👍🏾👍🏾👍🏾
53...Im going for a diagnosis tomorrow. Im 47. Been in pain since -08 off and on in periods.
I'm 54. I was diagnosed a few years ago. Started having back pain since my teens but just thought it was normal back pain. The pain would just come and go so I never thought anything about it. As the years went by it gradually got worse with the stiffness. Been on NSAIDs for several years but had MRIs which confirmed AS. To add insult to injury, I also have osteoarthritis of the lumbar spine and SI joints as well. Currently waitng for adalimumab. Hope it helps because the stiffness is driving me crazy.
I got a very fast diagnosis, 1 month from seeing a doctor and the initial blood tests, to full amount of tests and consultant diagnosis.
Thank you for your channel. I just got diagnosed in 2021. I've dealing with symptoms since i was a kid. I got diagnosed at 52 years old and misdiagnosed at age 28 with fibromyalgia.
I started having symptoms when I was 19, I was having back and neck pains like I was a middle aged woman. I figured it was because I did full contact martial arts + bmx biking + climbing on buildings and jumping off from way too high. When I was 30 I got in an accident and was bedbound for a while. Instead of feeling better, I felt worse! Doctors still didn't see it, sent me to a weightloss course instead. Fast forward to when I was 36 and I got iritis 6 times in a span of 1.5y, which made my opthalmologist send me to a rheumatologist, who suspected AS, I was HLA-B27 positive but nothing was clealy visible on x-rays but she did start me on meds. I got my official diagnosis at age 44, after my x-rays showed something and I had a good enough insurance to be able to afford the MRI. I am very grateful to my opthalmologist, without him I would still not have known. Thanks for the info, it's a weird one.
I have been waiting 8 years for a confirmed diagnosis. Have been told it'd nerve/disc as often as I've been told it's ankylosing spondylitis. It impacts the days I work/work I can do, which results in workplace treating me like a liar - because it's invisible pain. It is frustrating not knowing for sure.
It’s more frustrating when the doctors don’t want to help and diagnose it properly
It took me 20 years to get an AS diagnosis. Was diagnosed November 2022.
Now I am in pain 24/7.
Good luck.
I delt with it for 20 years before diagnosed.lifting weighs and doing construction.always in terrible pain
@@ItsJustMe-nq1dgsame here in constant pain and tired all the time still trying to work construction
@@ryangulley2051avoid starchy foods
had such a weird case with my si joints. I don't have AS but for some reason my si joints flare up all the time, after lifting heavy weights, I did everything to manage it but ultimately had to stop lifting. I 100% don't have it but there was a time in my life that I believe a had so im super greatfull.
@mikemeier7228 I have the same issue with having pain in my SI joint area. Strangely, upper body workouts irritate me and most lower body workouts don't.
Excellent video. I have ankylosing spondylitis, been diagnosed since 2017.
It's painful, but there are some great exercises & stretches to help.
Glad it was helpful!
What type of medical professional can diagnose this condition?
@@jacquihoy4021 Rheumatologist
@@jacquihoy4021 l was referred to a rumatoligest 1986
I'm calling it, you're the best medical channel on yt.
Many thanks. Please share my videos with your friends.
Hmmm didn’t know about AS and that it’s an autoimmune disease, but only spondylitis. Will definitely ask the Rheumatologist and Neurosurgeon about it during my next appointments. Thank you Dr Andrea!
Beautifully explained ❤
I have AS. Symptoms started when I was about 17 and got diagnosed at 33 by a rheumatologist
Me also brother.. very painfull brother
I started getting neck spine and hip pain in my early 20s took doctors 15 years to diagnose from age 37 to 56 I’ve had 2 hip replacement’s and on anti TNF therapy 😂😂😂
Thank you for the video Dr Furlan.
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel ua-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
And please remember, I do not give individual medical advice via social media or email.
Thank you for all your presentations.
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel ua-cam.com/users/DrAndreaFurlan
And don't forget to turn on the notifications 🔔 on youTube. so you get notified when I post new videos.
And please remember, I do not give individual medical advice via social media or email.
Thx for sharing this. So educational and valuable for ourselves but also for our relatives. You don’t speak (if I’m not mistaken) about the correlations between inflammation and the weather ( pressure, rain, etc). Any chance of a video about that? :-) I’d like to know more about this topic. Thx again. I do your exercises everyday and it makes a huge difference in my daily life.
Hi, I don't have a video about weather changes. I'm glad you are doing the exercises and getting better. Thank you for sharing with me.
Thank you Dr Andrea.
Thanks
Nice video Dr Andrea Furlan and see you next week as well
Thanks
@@DrAndreaFurlan you welcome see you sunday
Thank you Dr Andrea! Nagyon hasznosak a tanacsaid! 👍💖
You are welcome.
I had a failed fusion surgery at L-5 S-1, failed back surgery syndrome is what they call it, no feeling in left thigh, very stressful, very well video, very informitive. Thank You.
I had back pain since I was 14, and was diagnosed 2 years ago. I’m 69, and can hardly do anything that requires spine movement, standing, sitting, or coking.
Similar story. Pain since a young teen. Finally diagnosed in my 50's
Thank you Dr. Excellent explantion of AS. I am 57 male and my sacrillac joints are fused and whole spine is fused along with shoulder replacements. I currently take Zeljanz it helps. Thank you again Dr.
Superb video very informative Thanxx
Most welcome
Thank you Dr
I have been to the clinic severally, rheumatoid factor and uric acid is negative but still having triggered fingers, so I will talk to my doctor again with this advice.
Thank you
I really needed to hear this and thank you for sharing this with us
You are welcome.
Marvelous video doc diet also play major role in this condition
Thanks!
I am currently experiencing pain from AS and am not able to do any exercises because then it hurts even more. When the inflammation is in progress, it dont't hurts only when I lie in a specific position so that I don't press on the source of the pain. All the time, I take ketoprofen 100 mg 3 times a day. When I don't take it, it hurts excruciatingly. They left me with a suspicious AS diagnosis forever. I had my first pain when I was 24, and now I'm 57. In the meantime, I also got type 2 diabetes. What saddens me the most is that I love working in the garden, but everything in the garden has to be done in a bent position, which causes a new series of pains. This series that is going on now is the worst so far because it has been going on for a month. I wait for it to pass completely, and then I throw myself into the exercises, I hope they will help me.
Nice video 👍🙏🌹💕
Thank you
A very informative video thank you. I have this condition and have never been given any information on how to manage it, aside from being given the medication Celebrex. The greatest fear for any patient is the long term progression of AS and related spinal issues.
I am on Cosentyx which helps somewhat.
This disease makes life very difficult doesn’t it?
🙏 Namaste/Hello
Respected Dr. Andrea Furlan.
About a year ago I requested you to make a vlog on ankylosing spondylitis and keeping that request in mind, you made a vlog on the subject and released it today. I really appreciate your memory.
You are a Great !
God_Bless_You ever⚘⚘
Regards,
Sameer Ghogale
From
India, Maharashtra State.
You are welcome.
Hi Doctor, Great information & Thanks for the Video!
I ve been diagnosed with AS recently, had to go through bilateral hips replacement surgeries as my both joints were stiffed. Now the pain is getting worse on my back, im 25yo hunched back disable guy.
I been taking ADALIMUMAB EXEMPTIA Injection before this i was taking ADALIPCA, already taken 30-35 injections. Nothing happened
Video molto interessante 👍❤️🤗🙋🏼
Obrigada
Excellent video on AS ( bamboo spine) ..well said dr andrea actually once the problem becomes chronic like formation of gibbus deformity ( angular kyphosis) then only our drs suggested blood test hlab27 ....and mri si joint to confirm ....here patients 2 to 3 percent approximately in India ...doing trying all therapy including dmd ....swimming mostly advised ....yoga therapy ...like ...as you said mind body therapy and exercises plays a key role .awaiting for that 12 exercises demo from yours ...madam ....great
The next video will be the exercises!
@@DrAndreaFurlan great
@@DrAndreaFurlanCongratulations for 564 k Subscribers . Soon 1 millions 🙏🙏🙏....One Question madam . . I have Weak muscles and Weak bone... Weak Spine \ Backbone.. 🙏🙏 spinal cord \. The waist bends After Some time ....there is difficulty in keeping the spine \Backbone straight.. 🙏🙏🙏any yoga Asana or Excercise or food Suggestions 🙏🙏
Autoimmune disease can be turn into remission by changing lifestyle . Simply healing gut ,optimise mitrocondral health ,proper nutrition , detoxifiying body . Whats your comment about this ? Finally found any allopathic doctor who atleast say food can play role.Most of the doctor in the allopathic world say food can do nothing in these condition .
You are right .. This disease can be reveresed with proper lifestyle & yoga exercises..
@@RohitKumar-mb1jsis it really true??
Pls guide me.
My 20year old son recently diagnosed the AS with negative hla 27b
Dear docter can we do exercises at acute stage of the disease
I thought the pain came from my urinary tract so went for UVI's but there was no bacteria in it. Now I know what it was and that it isnt normal to always be in pain..
Beautiful as your skills ❤❤
Congratulations for 564 k Subscribers . Soon 1 millions 🙏🙏🙏....One Question madam . . I have Weak muscles and Weak bone... Weak Spine \ Backbone.. 🙏🙏 spinal cord \. The waist bends After Some time ....there is difficulty in keeping the spine \Backbone straight.. 🙏🙏🙏any yoga Asana or Excercise or food Suggestions 🙏🙏
Thank you!
❤💕you 💕 look so beautiful take care of yourself Dr❤❤
Thanks
What happens if you have both AS and hypermobility? Stretching isn't great for hypermobility. 😢
Appropriate stretching IS helpful for people with hypermobility. We have to be cautious not to hyperextend our joints, but ironically we often end up with extremely tight muscles because our connective tissue is faulty. We need to be able to stretch out our muscles carefully and intentionally.
I have read that dynamic stretching is preferred to static stretches in that case
Hello 👋
I have too much pain this both side back
Oh, sorry to hear that.
Mam, Hip pain (if I press my hip) both side
Ok
madam 🙏for Spine or Backbone 🙏 Please make Video on Excercise or Suggest Please Some Excercise in comment . ...
Already uploaded
@@DrAndreaFurlan please tell name of Video or please send the link 🙏🙏🙏🙏
Bending exercises are vital to overcome the issue, apart from a body massage.
That is great to hear. Please share this video with your friends. I have lots of videos about chronic pain on my channel ua-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Did you know that I have a website where all of my videos are organized by topics, and you can download all my handouts, worksheets and booklets for FREE.
Visit www.doctorandreafurlan.com
Who would be the specialist I would see to diagnose or rule out AS? I have the majority of the symptoms you mentioned and have just been seen by a rheumatologist because of a very serious and unexplained case of uveitis that nearly costed my vision but they only seemed to be concerned in ruling out RA. What can I do to make sure that it’s not being missed if I do have it? Thank you.
Please talk to a rheumatologist.
Are you in the US?
Check Dr. Diana Girnita, she does video consults. @rheumatologistoncall
@@DrAndreaFurlan thank you. I’m in Burlington Ontario. I just saw a rheumatologist because I had a very serious case of uveitis that almost costed my vision and they couldn’t find out what caused it. So the rheumatologist was ruling out auto immune diseases. I haven’t done all of the tests she ordered yet but she never mentioned AS, the focus was more on RA. I fit with most of the other symptoms you mentioned. BTW, I’m Brazilian too.
@@tt_looking_glasshave you had an mri?
My father had AS which caused uveitis.
@@tt_looking_glasswith uveitis you should really go see a rheumatologist. MR of spine, x ray of pelvis, Hla b27 dna test, and inflammation blood tests.
It is taking some time to be able to get in for an MRI. I just hope they ordered the right one and actually put in the notes what to look for.
X-rays are getting worse quickly. My neck looks like I'm 90 years old. In my 20s, they say 80 years old. 😂
My moms been complaining to her pcp about back pain and he does X-rays and that’s it doesn’t want to get to the bottom of why she’s having this pain and i feel bad she’s always complaining about it
Please ask her doctor.
She needs to get an mri.
Look up Non-radiographic ankylosing spondylitis !
Can you help me.
It will take 14 years to diagnose, then wrong treatment then corona 2 years then another 2 years block because of office politics ( not getting leaves ) ...
My life is destroyed .. being born super talented and thinker which i am not now , now i am dumb ..
I also had to fights against narcissist environment ..
Both kill my nervous system ....
Delay of treatment and narcissist atmosphere and chain incidents finished me ... Last bullet came from soulmate ( i thought ) , injustice ... And when i am going towards death, i saw my close peoples .. like they wanted to fall me down ... I never thought people envy me so much, jealous people doesn't like those happy people who never out of smile even in bad situation ..
So they want me to see in that situation ...
Unfortunately ... I can't broke 100 bones my own people ... But some people will get punishment who either block or create problems in my treatment ...
Ankylosing spondylitis is pain .. along with heart pain ... And now i lost my super brain and cool happy naive attitude ... Already spend near million rupees ... Even i had a good job .. but no money .. no time ... And might be had to lose job ....
Just desease give everry opportunity to destroy you ...
Can you provide medical evidence as to why someone with AS should reduce their intake of saturated fats. Many people with AS have had great success removing starch from their diet and therefore eating more meat and animal products with saturated fat. Are there any randomized controlled trials demonstrating that a reduction in saturated fat improved the symptoms of AS? I'm not aware of any.
pubmed.ncbi.nlm.nih.gov/36433679/ I was able to find one study on rats showing that consumption of lard (rich in saturated fat) was beneficial for arthritis recovery.
Can Spinal fusion, SI joint fusion and knee fusion decrease our body height if it does how would we know what is our actual height without Ankylosing Spondylitis is there any way available please reply.
Yes
True story: I had some back issue from a fall on my hip, and I developed a painful spinal arthritis that was causing locking, and other things...I was told the type of arthritis I had would only get worse and my pain was only going to get worse, and one surgeon told me I better start taking pills, I am going to have a hard time doing anything. Never did, the side effects of these pills were early death. I just quit grains 7 (?) weeks ago for weight loss, and within days my pain, and "seized up morning-sunshine-spine" was totally Gone! I feel like a 30 year old, pain wise. 🤸🏼♀️🤸🏼♀️🤸🏼♀️
That’s awesome. There’s the starch free diet for AS if you haven’t heard of it yet.
What is grains
You don’t have ankylosing spondylitis-there is no cure. But I’m glad you’re feeling so good.
Does Mild posterior disc bulge can cause lBS doctor?
No, disc bulge does not cause irritable bowel syndrome
@@DrAndreaFurlan Thankyou so much doctor for the timely reply❤
31 years for me to get AS diagnosis. Record?
Wow, that is really a record breaking.
Can u help me sir for my son?
@2:25 it can't be detected with a blood test 🤷 l was diagnosed after having blood tests and x-rays, l was told l was carrying a certain gene that was found in the blood and that was way back in 1986.
yeah but 20% with this gene from blood test have it so it's just a clue
Suffering from 2005 (age14) ... Finally diagnosed 2023 ☹️
🙏
Thanks
Can DDD be this disease you are talking about.
No, they are different conditions
Dr.Furlan what is ankylosing spondylitis?
I am 40 male. Hbb27 is positive and I have mild symptom of A S . How long should I take medicine to overcome this disease ? Is it possible to cure only by strechting exercise ?
Hi Dr Furlan, I am a Follower of your Channel. I'm 71 YO, male, suffering with Chronic Pain and stiffness for Decades. I have a 1.15" shorter right leg sustained after fracturing my right Femur in 1966 playing HS Football. It was left Unaddressed by the Doctor at that time, as they knew Nothing of Bone Growth plates back then. After about 15 years or so, without a prescribed adjusted shoe, the lower back pains started. Over the years, they gravitated to the the neck (even to the top of my head. Finally, after suffering progressivley, I went to see an Othorpedic Dr. in 2011. he detected that i had a Dextroscoliosis of 22 degrees (now 25 degrees), prescribed a shoe adjustment which wa done to my business dress shoes. But, interestingly, it was a little shy of the total height needed. Why? Because as he said, if we push that adjustment, similar to fixiing a crooked house beam, many other settled in areas can be affected. I was directed to Pain Management Dr. he took a series of my first MRIs: Cerrvical, and Lumbar (and much later Thoracic). The Cervical MRI showed that I had a More Narrow than Normal Spinal Canal (which i only learned of 8 months ago). I have numerous Disc issues of Bulges, Hernaitians, Spondyliosis throughout the spine, facet joint arthritis , OA in the Cervical Spne C2-C7 affected with spurs , etc. And as one doctor said .....I have Mighty Thin Spinal Discs... so DDD througout. In 2018, I went to see a Rheumatologist who examined me and was assessing whether I had AS or RA. The gene test HB-27b (?) was negative. her exam revealed that I did Not have AS in her opinion. She did detect that I had SI joint inflammation : Sacroiliitis. She told me that the SI Joints are Ground Zero for all Spinal Ailments! I am Bone on Bone in the right Knee (Fractured Femur) , deteriorating left knee, and OA in my left Hip. The OA is encroaching in my fingers too. L2 and L3 Discs are Bulging into the front (into the stomach area) and into the rear (into the spinal canal), L5 -S1 has Spondyloethesis of about 25%. The one thing I feel you Don't point out is.....The compression of the spine greatly affects the Central and Peripheral Nervous systems. I have lost all reflexes, the peripheral and central nervous sytems are "Merging" as my Neurologist told me (in practice for over 50 years at Co;umbia Pres in NY). And I experience neuropathy pains in my legs and feet. There is No surgery to help - went to 6 different spinal & Neruo Surgeons for opinions. I do not take Meds (I stopped the Gabapentin a year ago) only occassional Advil or Alleve. Last point, a working carpenter told me that to deal with his arthritis pains, he took 1 or 2 Advil in combo with 1 Extra Strength Tylenol and it worked very well. I tried that and he was Right. Each med deals with the pains in different manners. I continue to watch your channel and that of others for all tghe Info I can Get !! THX
@chiroman527 I3m gonna try that Advil/Tyleno combo.
I have every symptom and the HLA marker but its early and nothing showing up in scans. Frustrated my GP says it sounds like it, the rheumatologist says no it will show up in the scans. It doesn't unless you're advanced. Get a second or third opinion people.
👍🏾
That is great to hear. Please share this video with your friends. I have lots of videos about chronic pain on my channel ua-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Did you know that I have a website where all of my videos are organized by topics, and you can download all my handouts, worksheets and booklets for FREE.
Visit www.doctorandreafurlan.com
10 years With this, and Im feeling like a zombii.....😢
What about when eyes are attacked ? Bowels ? Not just the pain its a degenerative disease
Hlw mam my fiance suffering in this deases... please help me 😢
.Congratulations for 564 k Subscribers . Soon 1 millions 🙏🙏🙏....One Question madam . . I have Weak muscles and Weak bone... Weak Spine \ Backbone.. 🙏🙏 spinal cord \. The waist bends After Some time ....there is difficulty in keeping the spine \Backbone straight.. 🙏🙏🙏any yoga Asana or Excercise or food Suggestions 🙏🙏
Thanks
@@DrAndreaFurlan madam 🙏🙏 Please make Video on Excercise or Suggest Please Some Excercise in comment . ...