Ankylosing Spondylosis - potential diagnosis?

cmutter

Hi guys, (apologies for the long post)

I hope you are all well and looking forward to the festive break.

I have an appointment with a specialist in the morning and whilst I'm looking forward to potentially being able to be offered treatment for my symptoms, I'm keen to understand what I may be walking into.

I was diagnosed with fibromyalgia 5 years ago and since them every ache or pain I have had has been put down to that and the GP has simply increased my meds.

Since early October the pain in my lower back has become unbearable, mostly at night time and it wakes me up numerous times. Pain and stiffness in the morning leaves me being unable to do very little for the first hour or so. I pushed for an MRI (results below) and have since had a second one on my SI joints for further investigation - the results from this will be discussed with me tomorrow.

Do the results below ring any bells with anyone who has knowledge on AS? I've researched the condition in depth and I keep coming back to the same conclusion that there is a strong possibility this is AS.

Medication - prolonged release oxycodone hydrochloride 15 mg (recently increased from 10mg), 350mg pregabalin and amitriptyline.

MRI -
• Mild left-convex lumbar scoliosis with rotational component
• Mild straightening of the normal lumbar lordosis
• Bone marrow oedema in the anterosuperior corners of T12 - L2
• Mild hypertrophy of the ligamenta flava and facet joints L1/L2, L3/L4, L4/L5, L5, S1
• Subtle disc bulging L3/L4
• Mild disc bulging & small foraminol annual fissures L4/L5
• Subtle disc bulging L5/S1

Really appreciate any advice you may be able to provide.

Take care