Can be ruled out

Patient's question:

Arms felt numb again in July. Lower back pain returned in August. Legs felt numb again in December. Illness improved after hard labor and exposure to cold. Sometimes the lower back feels stiff. It's relatively better now compared to the early stages, but the lower back is still a bit stiff. There was a history of hard labor in the early stages.
HLA-B27 count was 138, which is negative. A positive result is greater than 148. Routine rheumatoid tests were normal. Hip joint CT was normal. Lumbar spine CT was normal.
Treatment history and effectiveness: Only took a few Meloxicam tablets and other pain medications. No other treatments were administered. Most doctors said it was tendinitis, but the rheumatologist said it was ankylosing spondylitis. The doctor told me that tendinitis is also an early stage of ankylosing spondylitis. It's just that at my age, the symptoms reappeared. I'm very anxious. How can ankylosing spondylitis be suspected?

Doctor's answer:

According to your condition, it is not the case. Ankylosing spondylitis is an autoimmune disease, and its main symptoms are relieved after rest and after exercise (worse during the day, better at night). Other pain conditions are exactly the opposite. Did you have a CT or DR scan of the sacroiliac joint? CT cannot show it. This disease is very stubborn and is also known as "incurable cancer." It is recommended to have regular follow-up examinations. Wishing the patient a speedy recovery!

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