Patient with flat feet and having knee and back joint pain, also diagonosed as Reiterssundrome and ankolysing spondylitis. What should be the management? Pt main complaints is knee pain and ankle pain some times

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As AS is an autoinflammatory and progressive disorder, physiotherapy can maintain n help the patient in being mobile. Foot muscle strength asessment along with ankle ranges. Get the information about the mechanical cause of ankle pain and correlate with knee postural alignment and muscles of knee and ankle. For ankle, training tib post specifically may help in flat feet. Medial insole for flat feet. To continue allopathy treatment. Activity pacing.

Correction of flat foot by insertion of insole at medial arch of foot in foot wear

Need X-ray Medial arch should recommend for the arch correction.

If person is diagnosed case of AS,then can consider Sazo in addition to nsaids. Physiotherapy ,exercise is advised to prevent progression of disease. Orthotics treatment for flat feet( usually happens because of plantar fascia this in ankylosing spondylitis).

Ankylosing spondylitis has no known specific cause, though genetic factors seem to be involved. In particular, people who have a gene called HLA-B27 are at a greatly increased risk of developing ankylosing spondylitis. However, only some people with the gene develop the condition.. NSAID.

Look like a rigid flat foot secondary to ankylosing spondylitis Need xrays Hips: knee: spine also need xray evaluation to assess how far the disease has progressed

All are normal.. I think need correction of flat foot
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? REACTIVE ARTHRITIS..

Tnx Dr Farhan Ahmed
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Reiters syndrome with ankylosing spondylitis Check urine rt ra test anti ccp Steriod in tappering doses Inj humira