Guest guest Posted June 14, 2006 Report Share Posted June 14, 2006 Hi skrewtz , This sounds like me, I have the trouble with chest expansion too. My Rheumy hasn't come out and said this, just PA. I have to stop my Metho due to breaking out. He said that in rare cases it can cause skin irritation. So off now for a month to see what happens. I never broke out before, no skin problems, just the pain, fatigue etc..I wish I had talked to him about the chest expansion thing. I am sure there is a way they can measure that. I see him in a month, talk to him then. Good info, Thanks Jeanette ÈÝìá: [ ] Re: nerve damag e?= Hi : I found some more time. Here is some information about AS from Enbrel (www.enbrel.com) " What is AS? Ankylosing spondylitis (AS) is a chronic inflammatory disorder that can often be progressive. It involves pain and inflammation, primarily of the spine and sacroiliac joints (the area where your spine meets your pelvis). Ankylosing spondylitis is a disease of the immune system, your body's protection against invasion by infections and toxins. In this disease, the immune system attacks the body's own healthy cells, mistaking them for cells that don't belong. This causes inflammation in the joints and tissue around the joints, often resulting in pain, swelling, fatigue, stiffness, and joint damage that can become serious if not treated early and aggressively. Ankylosing spondylitis has a wide range of symptoms. While you may not have all of these symptoms, the most common include: Lower back pain that is worse after you have slept or been inactive, and improves after exercise, a hot bath, or shower Pain and stiffness in your hips Joint pain and inflammation in your shoulders, knees, and ankles Limited range of motion in your spine and hips Restricted expansion of your chest Neck pain Fatigue Inflammation of your eyes, which can lead to permanent damage According to a 2002 survey by the Spondylitis Association, over 60% of AS patients say they have difficulty walking, getting into a car, or sleeping. One in four patients reports that he or she has had to change jobs or careers because of AS. What causes AS? No one knows what causes AS; however, because AS is an inflammatory disease, we do know that tumor necrosis factor (TNF) is involved in causing AS signs and symptoms. There may also be genetic, environmental, or infectious factors involved in the onset of the disease. Elevated TNF levels are found in involved tissues of patients with AS. TNF is a protein that helps regulate the inflammatory process. During normal immune response, TNF attaches to naturally occurring TNF receptors located on cells throughout the body. This " switches on " immune cells, causing them to release chemicals that can contribute to inflammation, which is one of the body's natural defenses. People with AS produce too much TNF, which overwhelms the immune system's ability to control inflammation and causes: Destructive enzyme production in the joints Chronic inflammation in the area of a joint that lubricates and facilitates movement Damage to the joint, cartilage, bone, ligaments, and tendons " You know, , I could go on and on, but if you use your favorite search engines (like google or MSN or ) you may be able to find some good information about both: AS and PA, as they pertain to back pain - and in Greek. I never really know when my back pain is from my PA or my AS, and really, the treatments for the two are about the same. So, I would reseach them both and you will gain better understanding. The most helpful thing for me has been a " Tush Cush " which you can find at: http://healthyback.com/store/sitting/healthybacksacroseatwedge.htm? KNC-SY8541820370 I have used a tush cush for five years. As a matter of fact, I have 4 of them: 1 for work, 2 at home, and 1 that stays in my car. Also, I have just gotten a new vehicle that has adjustable lumbar support in the seat and that has made a difference. Further, my wife and I sleep on a ultra-delux pillow-top mattress set for our bed. The mattress, itself, is about 50cm deep. The box springs that go with it are also very stable. It is also expensive. It is very nice. Well-made shoes are also important, and orthotics can be very helpful. Keep trying to do some exercises that help you stretch your back and keep it flexible, as the ulternative is less flexibility and more pain. Read and learn about the technique. http://www.alexandertechnique.com/ It has also been helpful. Celebrex http://en.wikipedia.org/wiki/Celebrex has been helpful for me. A small dose of amitriptyline http://www.rxlist.com/cgi/generic/amitrip.htm before bed can help some people with chronic pain sleep through the night. Sleep is important for healing. Hope this helps, Brent Quote Link to comment Share on other sites More sharing options...
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