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Male Female
< 5 years
5-10 years
11-20 years
>20 years
Multi-specialty hospital
Clinic/ nursing home
Government hospital/ medical college
Mixed
Tier 1 city
Tier 2 city
Tier 3 city
Rural area
20-30
30-40
>40
Other
Male
Female
Urban
Rural
Suburban
Yes
No
More than 20%
10 to 20%
05 to 10%
Less than 5%
Stage 0: Normal sacroiliac joint width, sharp joint margins
Stage I: Suspicious
Stage II: Sclerosis, some erosions
Stage III: Severe erosions, pseudo dilation of the joint space, partial ankylosis
Stage IV: Complete ankylosis
Low back pain & stiffness
Neck pain along with stiffness
Difficulty in taking deep breaths
Fatigue
Any other
Imaging tests like X-ray/MRI/USG etc are enough
Specific lab tests e.g., Genetic test for HLA, ESR, CRP
Physical examination like spine movement etc
Diclofenac
Aceclofenac
Etoricoxib
Piroxicam
Ibuprofen
Mechanical low back pain
Lumbar spinal stenosis
Rheumatoid arthritis
Diffuse idiopathic skeletal hyperostosis
No, NSAIDs alone are sufficient
Yes, a combination of MR & NSAID
Muscle Relaxant
NSAID
Combination
Chlorzoxazone combination
Thiocolchicoside combination
Tizanidine Combination
Metaxalone combination
I use the same combination in all patients
Depends on the pain level & frequency of usage
Patient population
<10%
>20%
Once a week
Once a month
Once fortnightly
Once in 3 months
2 weeks
4 weeks
Any Other
Spinal deformities & Fusion
Joint & ligament damages
Uveitis, IBD, CVD etc
All of the above
Early stage
Later stage patients with refractory AS
I don’t prefer biologics
Adalimumab
Certolizumab
Entanercept
Golimumab
Infliximab
Reminder & calls to the patient
Educating the patients well about the disease
Awareness building through patient education camps
Osteoporosis & fractures
Cardiac risk profile
GI Complications
Training the physicians
Education to primary healthcare in rural areas
Online educational platform for patients
Physiotherapy
Yoga & Exercises
Chiropractic, acupuncture, massage therapy, etc.
Hydrotherapy