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Medical Forum / Diseases and Disorders / Arthritis / September 2004

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Anyone with Ankylosing Spondylitis????

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Laura@Shawn - 19 Sep 2004 03:56 GMT
Anyone with this disease out there?  I would be interested in hearing from
you, condition,medication etc.. I am 30 and I have had a hip replacement 2
years ago.  I still have pain in the replaced hip.  Is there hope out there
for pain free days??

I would love to get some feedback.

Thanks to all.

S.
Char - 19 Sep 2004 11:52 GMT
Hello S-We have several people with AS and several people with other
spondylarthrapies, myself included (psoriatic arthritis).  But I dont have any
answers for you.  But there will be folks along who CAN answer questions for
you.
Char

"Remember, I'm pulling for ya'. We're all in this together." Red Green
Aim - 20 Sep 2004 03:25 GMT
>Anyone with this disease out there?  I would be interested in hearing from
>you, condition,medication etc.. I am 30 and I have had a hip replacement 2
[quoted text clipped - 6 lines]
>
>S.

Hi there,
I'm here, sortof. I'm bad about checking in, and even worse at keeping in
touch. But I am 31, female, have fairly severe AS, live in Seattle. I'm
on:

enbrel
synthroid
cytomel
wellbutrin
topamax
spironolactone
percocet
sometimes xanax
occasional medical MJ when needed.

I think that's all of it. Seems like more as I sit down each week and fill
up that stupid pill box...

Oh, and lately, because I am groggy in the morning after taking the perc
and sometimes xanax at night, I've been drinking Diet Rockstar* on the way
to work. Upper and downers to keep functioning. I feel like Elvis.

I do pretty well pain-wise since the Enbrel. It's definitely helped a LOT.
If there is anything specific I can answer, let me know. If I space and
don't come around for a few days or don't see the post, just drop me an
email at dnayma  at  hotmail   dot  com.

Aim

*Diet Rockstar isn't a true "upper" in the Elvis sense. It is one of those
energy drinks. Its main ingredients are:  guarana, milk thistle, inositol
(a glucose isomer that according to a google search is proven as an
antidepressant),  eleutherococcus senticosus (siberian ginseng), B
Complex,  Ginkgo, Carnitine, Taurine, Splenda.



Aim

respond to me at: aimnews at comcastdotnet
Norman Lampert - 20 Sep 2004 05:58 GMT
Hi, ho, Kermit the groaner here...

I was diagnosed with AS about 12 (?) years ago. One thing a good
Rheumatologist will tell you is that no two people are the same,
or will respond to the same treatment the same way. What works
well for one person will have no effect on another, and will have
bad side effects on a third.

That being said, I am currently on Bextra and sulfadine for
inflammation and Ultram for pain. Unfortunately, I get acclimated
to whatever med I'm on after a while and my RD has to switch me
to another. I think it's about time to get switched again as the
meds are losing effectiveness and I've been having a lot of pain
for a few weeks now.

Some things which do help me are stretching for "range-of-motion"
(when I remember) and keeping WARM. Whenever I have a flare-up, I
bundle up when I go to bed, even to the point of being too warm
and sweating. I find that keeping warm in bed helps keep me from
locking up overnight. I may be a bit damp when I get up, but I
can usually get up without groaning too much.

Another thing to remember is that your emotional state WILL
effect your health. Most of us can tell you about having a flare
after being under a lot of stress. I advocate listening to music
(preferably with good friends) and spending a lot of time with a
cat or dog. Petting a "fur person" can help relax the body
(unless you have allergies.

Also, make sure that you have a rheumatologist who listens to you
and makes you "part of the team". A doctor who actually listens
to what you are saying has a much better chance of getting you
some help.

I hope that this helps, and I wish you good luck and better
health...

Signature

"One of the most striking differences between a cat
and a lie is that a cat only has nine lives."
Puddinhead Wilson's Calendar
(Mark Twain)
-----
mr(dot)bones(at)att(dot)net

firechief - 20 Sep 2004 20:08 GMT
> Anyone with this disease out there?  I would be interested in
> hearing from you, condition,medication etc.. I am 30 and I
> have had a hip replacement 2 years ago.  I still have pain in
> the replaced hip.  Is there hope out there for pain free days??

I was diagnosed in 1977 by an ortho surgeion who Rx'd
Indocine, told me to start using a cane (later crutches) and
never once advised about exercise.   I did some reading and
learned some exercises myself.  Began square dancing again
in 1983 after a 23-year break (my ex- didn't dance and I
stopped in 1960).

Didn't even hear the word "rheumatologist" until sent to one by
a GP in 1991, and she only continued me on Indocine another
8 years before I switched doctors.

I had to stop driving in 1996 because the neck was fused by AS
- I couldn't turn my head to watch out for other cars.

The new RD immediately arranged a THR (July 2000) which now
allows me to sleep through the night 6-9 hrs instead of 90 minute
periods.  He also discontinued Indocine and tried all the new
medicines, none of which really did any good.  I have been on
Remicade about 18 months and it appears to be holding things
in check better than anything else, but I take Tyelnol #3 for some
tenderness and some soreness.

Occassionally I sense some "tenderness" in the area around the
new hip, but it's not "soreness."  The RD is concentrating on the
right hip and knee and the ribs, which do seem to be deteriorating.

I exercise - square dance 2, 3, 4 nights a week - and occassionly
swim in our condo's pool.

The best therapy I've found is HUMOR.  Friendships are right up
there - probably tied with humor.  The 3 furry felines in the
household also act as therapy - either letting me laugh at their
antics, or jumping up onto my lap and purring their hearts out.

Now I need to answer your question with a question.
Have you followed through on the exercises given you before and
after your THR?  While I was in the transitional care unit of the
hospital, I drove the staff nuts, strolling up and down the halls with
a walker 110-12 hours a day.  They wanted me out of bed ONLY
when the PT or OT  was instructing me, and that was less than 30
minutes a day.  But I was determined to avoid the boob tube and
strenghten my hip and legs as much as possible before returning
home.

I was finally "kicked out" of rehab and was home12 days after
surgery, instead of the 6+ weeks my doc had forecast.
Laura@Shawn - 21 Sep 2004 15:46 GMT
Thank You to all who have replied.

After my surgery, I was back to work in 4 weeks on crutches.  A year later I
was jogging and working out.  I felt great.  Lately however, my feet hurt,
hip, my neck is the same extremely painful some days, I have a hard time
looking up and down, left to right.  I have been getting headaches in my
head, which feels like where my spine goes into my head, very painful.  I am
on indomethacin, an antinflammatory and percocet's.  I have been on this
same medication for many years now.   I am just hoping there is some other
med out there that has made someone feel great. ( without that narcotic side
effect )
Working out does help, however my feet get so sore some days I can hardly
put my shoes on.  Mornings are bad for me, very sore and if I sit too long,
forget moving.

Well, I will keep reading this reply and hope it grows with more replies or
assistance.

Thanks Everyone : )

S.

> > Anyone with this disease out there?  I would be interested in
> > hearing from you, condition,medication etc.. I am 30 and I
[quoted text clipped - 47 lines]
>  I was finally "kicked out" of rehab and was home12 days after
>  surgery, instead of the 6+ weeks my doc had forecast.
Allan in Norcal - 22 Sep 2004 01:31 GMT
"firechief" <firechief@jjfpd.gov> wrote in message

>  I had to stop driving in 1996 because the neck was fused by AS
>  - I couldn't turn my head to watch out for other cars.

I've been totally fused (neck and back) for about 5 years now due to AS.

I'm 53 and was originally dx'ed in 1998.
I still drive, changed cars from a Chevy Cavalier to a full sized ford van.
I can see better with the van  and can better swing my body left and right
enoug to see fairly well. I also use a small mirror, 4" X 5" when I come up
to intersections and need to see left before pulling  out and making a right
turn. I don't make any left turns unless there is a directional light.  I
don't drive as much but I refused to let AS take me out of the driver seat.
Of course I am careful as to the time and where I drive and limit my driving
to only when necessary.
donnah - 22 Sep 2004 15:59 GMT
that's a good plan, Allan...sometimes we do have to make these types
of adjustments for quality of life issues and it seems you have done a
good job!
donnah

> "firechief" <firechief@jjfpd.gov> wrote in message
> >
[quoted text clipped - 12 lines]
> Of course I am careful as to the time and where I drive and limit my driving
> to only when necessary.
Allan in Norcal - 22 Sep 2004 17:07 GMT
"donnah" <inferna9@bellsouth.net> wrote in message

> that's a good plan, Allan...sometimes we do have to make these types
> of adjustments for quality of life issues and it seems you have done a
> good job!
> donnah

Thanks Donnah,

I don't have the choice to give up driving, being single and basically
living alone does not afford me the luxury to ask someone else to take me to
the doctor, the store or anywhere else for that matter. There are many
things that AS has taken away from me but driving is not one of them. I know
that if the day ever comes that I am involved in a accident no matter how
trival, I may lose my license forever. I know that my doctor must report to
the Department of Motor Vehicles (in Kalifornia anyway) if he or she feels
that my ability to operate a motor vehicle safely is impaired. In this state
(California) failure to report a patient who's ability to operate a vehicle
in a safe matter can result in revocation of the doctor's license to
practice. Everytime I visit the doc I have to " play up " my condition. It
really sucks that I cannot be totally honest with my doctor but without a
vehicle I might as well be dead. I can barely walk and there are no buses or
even affordable taxi service in the town I live in.

Anyway, that's the way it is with me but I don't live in pity. I look
forward to each day and get out and do stuff even if it does hurt.

Remember, Adapt, improvise and overcome!

Allan
53 AS
Enbrel
Ultram (tramadol)
Vicodin
Amyrl (Diabetes T2)
Neurontin
Elanapril
Hydrochlorathiazide ( I gotta go pee!)

---------------------------------------------------

"There's no place like 127.0.0.1
donnah - 23 Sep 2004 00:17 GMT
Allan, I admire your attitude...and I know the effort it takes in
keeping a good one.
There are days when I have to take things a minute at a time...
And my neurologist has already told me that he will not hesitate to
have my license pulled if things get worse so I am also very careful
<g>
But in all honesty, I would stop driving first! I do not want to take
the chance of hurting an innocent person. So I am enjoying my freedom
now and am very grateful for it.
donnah
too lazy to list her meds...lol

> "donnah" <inferna9@bellsouth.net> wrote in message
>
[quoted text clipped - 38 lines]
>
>  "There's no place like 127.0.0.1
d'huit - 23 Sep 2004 05:20 GMT
> Allan, I admire your attitude...and I know the effort it takes in
> keeping a good one.
[quoted text clipped - 7 lines]
> donnah
> too lazy to list her meds...lol

geesh, talk about good attitudes!  i sure appreciate yours!  ('course i'd
lubs ya anyway, even if you had a rotten one.<g>)

kate

>> "donnah" <inferna9@bellsouth.net> wrote in message
>>
[quoted text clipped - 53 lines]
>>
>>  "There's no place like 127.0.0.1
Caroline Marold - 28 Sep 2004 18:16 GMT
Hey Allan. My father had AS and drove well into his
70's by adapting his cars himself. He had two car side
mirrors installed on the left front - top - fender so
that he could pull into any intersection at a 90 degree
 T and see cars coming in both directions - they were
like \/. He also had another mirror on the top right
front fender so he could see cars on the right side.
Yes the car had one on the right side but nearer the
door. That was useless to him because his neck had been
completely fused since his early 20's hence the need
for one further up.
He ordered those mirrors from Europe long before any
outside mirrors were on cars; drilled holes in the
fenders and installed them himself. He also ordered
seatbelts from the same place and pulled the car seats
from the car and bolted those into place. I have worn a
car seatbelt since I was 3 and that is well over 50
years. It was many years later that the USA finally
required cars to have them.
I have looked and looked for pictures of any of my
father's cars so I can show this group what they looked
like but have not found any. Not even one caught in the
background of some other shot. Pretty sure I am not
making all this up. lol
I have some handicapped adaptations to my car because
of my hands but I paid to have mine done unlike my
resourceful father. :)
You go Allan
Duckie

> I'm 53 and was originally dx'ed in 1998.
> I still drive, changed cars from a Chevy Cavalier to a full sized ford van.
[quoted text clipped - 5 lines]
> Of course I am careful as to the time and where I drive and limit my driving
> to only when necessary.

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Allan in Norcal - 30 Sep 2004 02:32 GMT
"Caroline Marold" > wrote in message

> Hey Allan. My father had AS and drove well into his
> 70's by adapting his cars himself. He had two car side
[quoted text clipped - 3 lines]
> like \/. He also had another mirror on the top right
> front fender so he could see cars on the right side.

My Dad also had a " stiff neck " but was never diganosed with AS. He died in
1972 at 78 years of age. Drove right up to the day of his death. His 1963
Buick LeSabre had two mirrors installed on both the fenders half way between
the windshield and the front. My mother said he complained about having a
stiff neck but he thought it was from being kicked off a horse earlier in
his life. I now believe it was AS but he still had some movement in his neck
right up to his final day. I became completely fused at 50 and my brother
who is a few years younger then I, is also complaining of a stiff neck and
back.

I remember the old Buick's side mirrors very well to this day but never
fully understood why he installed them until I became a full member of the
Ankylosying Spondylitis Club.

I am planning on putting a additional mirror on the right front fender of
the Ford van. I have a large parabolic stick-on mirror stuck to the right
side mirror at the moment but I need one that sticks further out on the
fender that can be seen easily thru the windshield as well. It will end up
looking more like a small school bus or USPS mail truck when I am done!
Caroline Marold - 30 Sep 2004 05:40 GMT
Hey as long as you can safely see and can be
comfortable driving. My father drove hour to and then
from each day to work with those mirrors and had two
accidents that I knew about. I caused the first one
when I got out of the car and ran back into the house
to get something and since he couldn't see that I left
the door open, backed up and stuck said open door
through the wall of the garage. opps  The second one
was his fault. He was using the car to flatten the snow
in the driveway [don't ask] and it fell off the bank of
snow into the garage wall.
I wouldn't recommend the mirror thing to someone who
had been fused for a long while but once you get used
to using yours mirrors to drive, it is really safer in
the long run that being without. You check so much more
carefully since you have the handicap than you might
without the handicap. My dad finally quit driving
because of the Parkinson's. The AS didn't stop him.
What is that rule about the three disease limit...
Duckie

> My Dad also had a " stiff neck " but was never diganosed with AS. He died in
> 1972 at 78 years of age. Drove right up to the day of his death. His 1963
[quoted text clipped - 15 lines]
> fender that can be seen easily thru the windshield as well. It will end up
> looking more like a small school bus or USPS mail truck when I am done!

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