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No diagnosis yet. Recent mri. Thoracic and lumbar Scoliosis. Multiple level centrally herniated discs. Multi level nerve compressions. Crowded Cauda equina. Confused. Could this be Ax... used to be relieved by exercise.

February 4
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Could your symptoms indicate axial spondyloarthritis?

Your MRI findings showing sclerosis in the pelvis, SI joint narrowing, and partial ankylosis (fusion) at L5/S1 are significant red flags that could suggest axial spondyloarthritis. The fact that your back pain used to improve with exercise is a classic sign of Show Full Answer

Could your symptoms indicate axial spondyloarthritis?

Your MRI findings showing sclerosis in the pelvis, SI joint narrowing, and partial ankylosis (fusion) at L5/S1 are significant red flags that could suggest axial spondyloarthritis. The fact that your back pain used to improve with exercise is a classic sign of inflammatory back pain, which is the hallmark of axial spondyloarthritis.

Key indicators pointing toward axial spondyloarthritis include:

- SI joint involvement with narrowing and sclerosis
- Partial fusion (ankylosis) in your lower spine
- Pain that improves with movement (inflammatory pattern)
- Onset before age 45

The multiple herniated discs, nerve compressions, and crowded cauda equina you're experiencing could be related to the progressive nature of spondyloarthritis. As the condition advances, inflammation can lead to structural changes in the spine that affect surrounding tissues and nerves. What should you do next?

It's crucial to see a rheumatologist if you haven't already. Diagnosing axial spondyloarthritis can be challenging and often requires a specialist who can interpret your imaging alongside your symptoms and medical history. Early diagnosis and treatment are important to prevent further progression and manage your symptoms effectively.

A MySpondylitisTeam member shared: "My rheumatologist ordered more MRIs to look at different joints, and lots of things are showing up. Just needed to find the right doctor—after 35 years of pain."

Don't lose hope. Getting the right diagnosis can open doors to treatments that may significantly improve your quality of life.

February 4

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