Ankylosing Spondylitis

  • WHAT IS ANKYLOSING SPONDYLITIS

-It is a form of chronic inflammation of the spine and sacroiliac joint.

-The sacroiliac joints are located in the low back where the sacrum meets the iliac bones.

-Over time,chronic inflammation of the spine can lead to a complete fusion of the vertebrae,a process referred to as ankylosis.

-Ankylosis leads to loss of mobility of the spine.

-It is also a systemic disease.It can affect other tissues throughout the body.

-It is more common in men than in women.

-When it affects the children it is called Juvenile Spondylitis.

-It has been reffered to as Bechterew Disease.

  • CAUSES OF ANKYLOSING SPONDYLITIS:-

It is considered to be a genetic disorder in which the HLA-B27 gene in particular has an important role to play.There are some additional factors ,environmental ,that are involved in the development of this condition.

It also runs in families.

  • SYMPTOMS OF ANKYLOSING SPONDYLITIS:-

-There is inflammation of spine,joints,and other organs.

-Fatigue is a common symptom associated with active inflammation.

-Inflammation of spine causes pain and stiffness in the lower back ,upper buttock area ,neck and the remainder of the spine.

-The onset of pain and stiffness is usually gradual.

-The pain and stiffness are often worsen in the morning and after periods of inactivity.

-Motion,heat and a warm shower often eases pain and stiffness in the morning.

-Once the bone is fused,the pain in the spine disappears ,but the affected individual has a complete loss of spine mobility.

These are very brittle and can cause fracture during trauma.The lower neck is the more common area for fracture.

-Chronic condition causes forward curvature of the thoracic spine which limits breathing capacity,causing inflammation and scarring of the lungs,leading cough and shortness of breath.

-People can also have arthritis in joints other than the spine.This is more common in women.Patient can notice pain,stiffness ,heat,swelling,warmth and redness in joints.

-Some people with this disease develop Achills tendinitis,causing pain and stiffness in the nack of the heel while walking upstairs.

-Other area may also affected such as eyes,heart,kidneys.

  • DIAGNOSIS OF ANKYLOSING SPODYLITIS:-

Imaging Test-

  • X-rays: to check changes in joints and bones.
  • CT: It provides more details and more radiation exposure than plain X-ray.
  • MRI: It better visualizes soft tissues such as cartilage.

Lab test- Blood test is done for HLA-B27 gene.

  • TREATMENT OF ANKYLOSING SPODYLITIS:-

Allopathic Treatment-

-Aspirin and other nonsteroidal anti-inflammatory drugs such as Indomethacin,Tolmetin,Declofenac are more commonly used to decrease pain and stiffness of the spine and other joints.

-For inflammation of other joints Sufasalazine or Methotrexate is given.

-Oral and injectable corticosteroids are also effective.

Homeopathic Treatment-

-Homeopathic medicines control disease process and causes significant relief in pain and stiffness.

-It is a constitutional disease so after taking full case history of patient a constitutional medicine is given.

Homeopathic Medicines-

Aes-hip.,Aur.met.,Calc.-carb.,Caust.,Colchi.,Eupat.,Fluor-ac.,Kali-i.,Phos.,Rhus-t.,Vis-alb.