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