Posts Tagged ‘inflammation of the spine’
Arthritis literally means “inflammation of a joint.” In some forms of arthritis, such as osteoarthritis, the inflammation arises because the smooth covering (articular cartilage) on the ends of bones wears away. In other forms of arthritis, such as rheumatoid arthritis, the joint lining becomes inflamed as part of a systemic disease. These diseases are considered the inflammatory arthritis.
The three most common types of inflammatory arthritis that affect the hip are:
Rheumatoid Arthritis – a systemic disease of the immune system that usually affects multiple joints on both sides of the body at the same time
Ankylosing Spondylitis – a chronic inflammation of the spine and the sacroiliac joint (the point where the spine meets the pelvic bone) that can also cause inflammation in other joints
Systemic Lupus Erythematosus – an autoimmune disease in which the body harms its own healthy cells and tissues
Signs and Symptoms
The classic sign of arthritis is joint pain. Inflammatory arthritis of the hip is characterized by a dull, aching pain in the groin, outer thigh, or buttocks. Pain is usually worse in the morning and lessens with activity; however, vigorous activity can result in increased pain and stiffness. The pain may limit your movements or make walking difficult.
Treatment depends on the diagnosis.
If you have an infection in the hip joint, it must be eliminated, either through the use of medications or through surgical draining. Nonsurgical treatments may provide some relief with relatively few side effects or complications:
Anti-inflammatory medications, such as aspirin or ibuprofen, may help reduce the inflammation.
Corticosteroids are potent anti-inflammatories, part of a drug category known as symptom-modifying antirheumatic drugs (SMARDs). They can be taken by mouth, by injection, or as creams applied to the skin.
Methotrexate and sulfasalazine may be prescribed to help retard the progression of the disease. These medications are part of a drug category called disease-modifying antirheumatic drugs (DMARDs). For example, tumor necrosis factor is one of the substances that seem to cause inflammation in people with arthritis. Newer drugs that work against this factor seem to have a positive effect on arthritis in some patients as well.
Physical therapy may help you increase the range of motion, and strengthening exercises may help maintain muscle tone. Swimming is a preferred exercise for people with ankylosing spondylitis.
Assistive devices, such as a cane, walker, long shoehorn, or reacher, may make it easier for you to do daily living activities.
If these treatments do not relieve the pain, surgery may be recommended. The type of surgery depends on several factors, including your age, the condition of the hip joint, the type of inflammatory arthritis you have, and the progression of the disease. Your orthopaedic surgeon will discuss the various options with you. Do not hesitate to ask why a specific procedure is being recommended and what outcome you can expect. Although complications are possible in any surgery, your orthopaedic surgeon will take steps to minimize the risks.
The most common surgical procedures performed for inflammatory arthritis of the hip include:
Total hip replacement is often recommended for patients with rheumatoid arthritis or ankylosing spondylitis because it provides pain relief and improves motion.
Bone grafts may help patients with systemic lupus erythematosus to build new bone cells to replace those affected by osteonecrosis. People with systemic lupus erythematosus have a higher incidence of this disease, which causes bone cells to die and weakens bone structure.
Another option for patients with systemic lupus erythematosus and osteonecrosis is core decompression, which reduces bone marrow pressure and encourages blood flow.
Synovectomy (removing part or all of the joint lining) may be effective if the disease is limited to the joint lining and has not affected the cartilage.
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What is Ankylosing Spondylitis?
Ankylosing Spondylitis is a condition which is related to arthritis. Ankylosing Spondylitis affects approximately 1 in every 250 mainly young men so while many may have not heard about it, it is quite common.
The word Ankylosing means inflammation of the spine while Spondylitis means joint which is fixed solid and unable to bend. So, in simple terms, Ankylosing Spondylitis is a condition which involves the spine becoming inflamed and as a consequence becoming fixed and solid. What tends to happen, is that tendons or ligaments attached to the spine become swollen. When the swelling reduces, it is replaced by growths of bone. When this happens a number of times, there becomes more and more bone where there used to be tendons or ligaments until eventually the joint fuses together.
As with many conditions, different people are affected with varying degrees of this condition, with some barely noticing it while others lose their full independence. What is also interesting is that the Ankylosing Spondylitis symptoms can come and go over time.
What are the Symptoms of Ankylosing Spondylitis?
The first time people tend to notice that they have Ankylosing Spondylitis, is when the experience lower back pain and some muscle spasms. This tends to be worse during the night. This pain often spreads to the upper back, neck and buttocks. Also, in the morning, neck pain may be experienced which is relieved during the day through exercise.
Without treatment, it is possible that the symptoms could develop into fever, fatigue and a loss of appetite. There may be some weight loss as well.
As the spine starts to fuse together, you may start to find it more and more difficult and painful to move around. Also, in a number of cases. as the joints start to become more and more affected, it becomes harder to breath as the ribs start to stop moving. This means that breathing is now being conducted using only the muscles of the diaphragm. On top of this, the lungs could be affected by Ankylosing Spondylitis.
Ankylosing Spondylitis in approximately 1 in 3 cases can cause inflammation in one or both eyes.
Causes of Ankylosing Spondylitis
Nobody knows exactly what causes Ankylosing Spondylitis. It is generally thought that the antigen HLA-B27. This may explain why this condition appears to run in families. This is also linked to a condition called Reites Syndrome.
Treatment of Ankylosing Spondylitis
There are no drugs in existence today which can slow or stop the condition. However, there are drugs called Non Steroidal Anti Inflammatory Drugs (NSAIDs) which can help to control the inflammation and reduce the pain.
Also, daily exercise consisting of gentle stretching exercises or swimming can help to improve the movement of the spine and help to create a more positive posture. On top of this, hydrotherapy and physiotherapy can also help to relieve the symptoms.
Unfortunately, there are a small number of people suffering from Ankylosing Spondylitis who will require hip replacements. Thankfully, those cases are few and far between.
Interestingly, the symptoms of Ankylosing Spondylitis can be present for a period of time and then they reduce significantly.
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By: Irene Fowler-Sharpe
It is believed that up to one in one hundred people suffer from Ankylosing Spondylitis; a chronic inflammation of the spine. Recent research suggests that the ratio of men and women suffering from the disease is about equal. AS is mostly a disease of younger people; often beginning before the age of twenty years of age, while rarely affecting people who are over the age of forty.
AS is a type of chronic arthritis that mainly affects the spine. In AS, the inflammation occurs in joints and in areas where tendons and ligaments attach to bones. When the disease becomes more advanced, inflammation of the spine can actually cause the spinal vertebrae to fuse.
As with many types of arthritis, the cause of AS is not known. If someone in your immediate family has the disease;like a parent, or sister or brother; then your risk of getting the disease goes up by twenty percent.
Usually AS starts off gradually. The first symptoms of the disease are usually aches and pains in the lower back;which are caused by inflammation of the sacroiliac joints, located in the lower back on both sides of the spine,just above the buttocks. If you have lower back pain that begins gradually and persists for months could be an indication that you have AS. Sometimes the back ache can be so severe that it can interrupt your sleep.
Although AS usually starts in the lower back, as the disease progresses it can move to other joints as well; especially the neck, shoulders and the hips. The spine will become stiff due to the pain and muscle spasms. In the final stages of AS, chronic inflammation can cause bony ridges to form between the vertabrae, causing the spine to fuse permanently into a bent and inflexible position.
AS is known as a systemic disease, often affecting areas of the body beyond the joints. People with AS can experience weight loss, poor appetite, and fatigue as well as an inflammatory eye condition known as “iritis”.
Diagnosing AS can be a challanage for Doctors.There are several clues which Doctors will look for when they are trying to make a diagnosis of the disease. If a patient has had back pain which has developed gradually, if the person has stiffness in the morning when getting up, if the patient has been troubled continually for more than three months; and also if exercise helps to relieve the pain. The Doctor will also give a physical exam to determine the patients flexibility; he may also press on the patients sacroliac joints to see if they are tender.
Besides the physical examination, the Doctor may order Lab tests and X-rays to determine if the disease is present.
On the brighter side of things; people who have AS usually lead normal lives. They have to take charge of the situation and include exercise in their daily routine. Regular activity enables AS patients to maintain a limber spine and prevents spinal deformity. Daily stretching exercises for the spine are especially recommended. Swimming is another great exercise for people with AS. Maintaining good posture is a prerequisite. Also, sleeping on a firm mattress is recommended.
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Ankylosing Spondylitis is a condition that mostly hits men between the age of 20 and 40 years. Also known as Rheumatoid Spondylitis or Marie-Strumpell Disease, AS is an autoimmune disease which affects one of every 250 men. The severity of the condition may vary. In the worst case a person may lose complete independence.
The word “Ankylosing” implies inflammation while “Spondylitis” implies a joint that is solid and fixed and has no ability to bend. Thus, if described in simple terms, the condition Ankylosing Spondylitis involves the inflammation of the spine due to which it becomes solid and fixed. What generally happens here is that the tendons and ligaments swell and when there is a reduction in the swelling, there is some bone growth as a replacement. This may repeat several times as a result of which the joint completely fuses and the bone replaces all the tendons and ligaments that used to be present at the joint. One interesting fact about this condition is that the symptoms appear and disappear over time.
Causes: Though medical science has discovered no exact cause for Ankylosing Spondilitis, It has been suggested that it is caused by the HLA-B27 antigen which is genetic. This gives an explanation as to why this condition is found to run through the generations of a family. AS is also said to have connections with another condition known as Reites Syndrome.
Symptoms: The very first symptom of AS is muscle spasms and pain in the lower back. The pain, in most cases, spreads to the neck, upper back and even the buttocks. It generally occurs in the night and early in the morning and gets slowly relieved during the day due to exercise. If the condition is left untreated, it is likely to cause symptoms like fatigue, appetite loss and even fever. In some cases, it can also lead to weight loss.
In severe conditions, the spine cones might completely fuse as a result of which it become very painful and difficult to move around. In some cases, it has been found that the person suffering from this condition finds it hard to breathe because the ribs lose the ability to move and the person is depending purely on the diaphragm muscles to conduct the process of breathing. Ankylosing Spondilitis is also known to affect the lungs. In some cases, it also causes inflammation of the eyes.
Treatment: There are no medicines that can cure the condition completely. However, there are drugs to reduce the severity of the symptoms and these are the NSAIDs or Non-Steroidal Anti-Inflammatory Drugs. These are found to be effective in reducing pain and controlling the inflammation.
Exercising can be of great help. Swimming and other exercises that involve stretching can cause better body postures and improve spine movement. Physiotherapy and hydrotherapy are also known to cause relief to the symptoms. In some very rare cases, hip replacements are required. It is known that in a number of cases, the symptoms might be there for sometime and then they suddenly start reducing to a great extent.
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Spondylosis deformans (sometimes called Bone Spurs) is a condition in which bridges are formed along the ventral (bottom) parts of the vertebrae of dogs. Human, domestic cat, bull and even whales have been diagnosed with this condition. The term “spondylitis” literally means “an inflammation of the spine”, especially the bone, and spondylosis is sometimes used as a synonym as well as for describing types of ankylosis. Spondylosis sometimes called Bone Spurs can form around interverterbral discs as a dog gets older. In rare occasions these bone spurs can grow (osteophytes) that press into the spinal canal causing symptoms similar to a ruptured disc. Spondylosis deformas, can restrict the movement of the spinal column causing pain and stiffness. Spondylosis is more common in larger dogs and older dogs.
Symptoms of Spondylosis may include back pain, back stiffness and the dog may whine or cry when touched in the back area. Bone spurs can develop on any bone and without signs or symptoms and may go undetected for years. Many affected dogs live satisfactory lives, though somewhat limited in flexibility and range of motion. Fortunately, by the time spondylosis deformans becomes noticeable in clinical signs, the dog may be considered “retired” from his duties of running around, jumping, and doing the other things expected of a youngster. In some individuals, it will get worse suddenly rather than continue in a gradual worsening. Possibly, trauma may bring fracture of the bridge created in the development of spondylosis, which crack may spread to the arch and body, thus pinching the cord. Some bone spurs form in places where they rub against other bones or push against nerves, causing swelling, pain, tearing and loss of motion in your joints. Common places for bone spurs include the spine, shoulders, hands, hips, knees, and feet.
The genetic transmission of the tendency to develop this disease is obvious to anyone who has watched it appear in offspring of certain dogs, generation after generation. But exactly how (the etiology) is not as sure. Perhaps there is an inherited weakness in how a dog’s vertebrae respond to or withstand repeated microtraumas; perhaps in some lines, the blood vessels that serve the outer layers of the disks regress and disappear faster than the normal or expected three or four years. It seems to be a fairly natural consequence of aging, as 75% of dogs in some breeds are affected to some degree by 9 years, and half by 6 years. On the other hand, some work has indicated that spondylosis deformans is more a disease of middle age.
Most of these dogs never show any clinical signs that can be attributed to the spondylosis, even though their spines look really awful on X-rays. So when a dog does come in with signs that appear to be neurologic and appear to be associated with the spinal cord region in which there is significant spondylosis, it isn’t acceptable to just assume that the signs are due to the spondylosis and treat with anti-inflammatories or corticosteroids. It is necessary to try to figure out if there is a disc herniation, lumbo-sacral instability or degenerative myelopathy. If any of these conditions is suspected, magnetic resonance imaging (MRI) is superior to any other diagnostic test for ruling out disc herniation and lumbosacral instability.
Treatment of Spondylosis may include a treatment with analgesics (pain killers). If this does not work then surgery may be needed to remove the osteophytes to stop the pressure on the spinal cord. Physical therapy, acupuncture, stretching, deep tissue massage and weight loss programs attempting to reduce the stress on the joints involved can also help the dog in some cases.
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celebrex is a relief for those who suffer inflammatory conditions of the bones. Indicated for relief in cases of osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, the drug manages acute pains in adults. It is a non steroidal anti-inflammatory drug (NSAID) and it works by reducing hormones that cause the inflammation and pain. Occasionally it is also used as a pain killer in cases of dysmenorrhoea (Pain during menses) and for polyps in the colon. .
Osteoarthritis is a type of inflammatory condition with severe degeneration of the bones. It is caused by breakdown leading eventually to loss of the cartilage between the joints. Osteoarthritis, also known as degenerative arthritis, commonly affects hands, feet, spine, and large weight-bearing joints, such as the hip joint and knee joint. Osteoarthritis is usually age related, and found in menopausal women where degeneration of the bone is caused due to calcium depletion. Rheumatoid arthritis (RA) is an autoimmune disease, where the presenting symptom is pain and inflammation of the tissue around the joint. In this condition, the body tissue is attacked by antibodies of ones own immune system, since it identifies these tissues as foreign bodes. Hence, it is called auto-immune disease. Rheumatoid arthritis is also a chronic condition with bouts of acute severe attacks of swelling, pain and functional disability. Spondylitis is condition where there is chronic inflammation of the spine and the sacroiliac joints. This causes stiffness, pain, inability to bend etc. If left untreated, it could lead to complete fusion of the vertebrae, which is called as Ankylosis. Ankylosis Spondilytis causes severe stiffness and immobility. Al these conditions can be effectively relieved and treated with celebrex.
Like every drug, celebrex too has to be avoided in certain circumstances and is no advisable in heart and circulatory illnesses, or Gastro intestinal illnesses. It is always advisable that you take a physicians advice and consultation before administering any medication.
celebrex is a well known drug and at the same time it is widely considered as the best option for most of the strange diseases that you might come along. It is always advised to buy these drugs at a reputed Canadian pharmacy, as you can save a lot of time and money. You can click here to buy Generic celebrex.
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Sleep Apnoea is a sleep disorder in which breathing repeatedly stops and starts. We may have sleep apnea if we snore loudly and feel tired even after a full night’s sleep.
There are three types of Sleep apnea:
Obstructive sleep apnea: this type occurs when throat muscles relax
Central sleep apnea: this type occurs when your brain doesn’t send proper signals to the muscles that control breathing
Complex sleep apnea: in this type both the above mechanism play a role
Obstructive sleep apnea occurs when the muscles in the back of throat relax. These muscles support the soft palate, the triangular piece of tissue hanging from the soft palate known as uvula, the tonsils and the tongue. The muscles relax, the airway narrows or closes as we breathe in, and breathing stops for some time. This may lower the level of oxygen in blood. Our brain senses this inability to breathe and briefly rouses us from sleep so that we can reopen airway. This awakening is usually so brief that we don’t remember it. We can awaken with a transient shortness of breath that corrects itself quickly, within one or two deep breaths, although it is rare. We may make a snorting, choking or gasping sound. This pattern can repeat itself 10 to 40 times or more in an hour, during the whole night. These disturbances decrease the levels of necessary deep sleep, restful phases of sleep. Because of this there is sleepy feeling during day time. People may not be aware that their sleep is interrupted. In fact, many people with this type of sleep apnea think they sleep well during night. Central sleep apnea, which is far less common, occurs when the brain fails to transmit signals to breathing muscles. Person may awaken with shortness of breath or have a difficult time staying asleep. Like obstructive sleep apnea, snoring and daytime sleepiness can occur. The most common cause of central sleep apnea is heart disease, and stroke. People with central sleep apnea may be more likely to remember awakening than people with obstructive sleep apnea are.
People with complex sleep apnea have upper airway obstruction just like those with obstructive sleep apnea, but they also have a problem with the rhythm of breathing and occasional lapses of breathing effort.
The most common signs and symptoms of obstructive and central sleep apneas:
Excessive daytime sleepiness
Loud snoring, which is usually more prominent in obstructive sleep apnea
Observed episodes of breathing cessation during sleep
Abrupt awakenings accompanied by shortness of breath, which more likely indicates central sleep apnea
Awakening with a dry mouth or sore throat
Difficulty staying asleep
Following are the leading signs to rule out sleep apnea:
Snoring loud enough to disturb the sleep of others or yourself
Shortness of breath that awakens you from sleep
Intermittent pauses in your breathing during sleep
Excessive daytime drowsiness, which may cause you to fall asleep while you’re working, watching television or even driving
Following factors may be considered as risk factors for sleep apnea:
Neck circumference: A neck circumference greater than 17.5 inches is associated with an increased risk of obstructive sleep apnea.
High blood pressure: people with hypertension may suffer from sleep apnea
A narrowed airway: this may be a congenital defect
Being male: Sleep apnea is more common in male than female.
Being older: Sleep apnea is more common in elderly age group
Family history: Positive family history is an additional risk factor
Heart disorders and stroke or brain tumor: these are related to central sleep apnea
Complications may include:
Cardiovascular problems: The more severe your sleep apnea, the greater the risk of high blood pressure. If there’s underlying heart disease, these multiple episodes of low blood oxygen (hypoxia or hypoxemia) can lead to sudden death from a cardiac event. Obstructive sleep apnea also increases the risk of stroke, regardless of whether you have high blood pressure
Daytime fatigue: severe daytime drowsiness, fatigue and irritability is experienced. Concentration difficulty. Falling asleep at work, while watching TV or even when driving. Irritability, moodiness and depression
Sleep-deprivation of others: Loud snoring can disturb sleep of those around you or those who share same room or bed with you
Mental state: sleep apnea may also complain of memory problems, mood swings or feelings of depression
Urinary and sexual function: a need to get up for urination frequently at night, and impotence
Gastrointestinal problems: Gastroesophageal reflux disease (GERD) may be more common in people with sleep apnea
Role of Homeopathy in Sleep Apnea:
Homeopathy reduces the symptom severity of sleep apnea in cases where the illness is not due to some structural obstructions of airway. Homeopathy also helps in reducing the complications of sleep apnea. Homeopathy is safe and effective without causing any side effects. Homeopathy also helps in treating the underlying cause of sleep apn Ankylosing Spondylitis is a form of chronic inflammation of the spine and the sacroiliac (SI) joints. The SI joints are located in the low back at the junction of spine and hip. Chronic inflammation in these areas causes pain and stiffness in and around the spine. Over the period of time, chronic spinal inflammation (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis leads to loss of mobility of the spine. Ankylosing spondylitis is also a systemic rheumatic disease, meaning it can affect other tissues throughout the body. Accordingly, it can cause inflammation in or injury to other joints away from the spine, as well as other organs, such as the eyes, heart, lungs, and kidneys. Ankylosing spondylitis shares many features with several other arthritis conditions, such as Psoriatic Arthritis, Reactive Arthritis, and arthritis associated With Crohn’s Disease and Ulcerative Colitis. Each of these arthritic conditions can cause disease and inflammation in the spine, other joints, eyes, skin, mouth, and various organs. In view of their similarities and tendency to cause inflammation of the spine, these conditions are collectively referred to as “Spondyloarthropathies.” The tendency to develop ankylosing spondylitis is believed to be genetically inherited, and the majority (nearly 90%) of patients with ankylosing spondylitis is born with the HLA-B27 gene. Blood tests help to detect the HLA-B27 gene marker. The characteristics of the gene marker HLA-B27 are being Homeopathy in Ankylosing Spondylitis:
Homeopathy offers various treatment options depending upon the stage of disease. At an early stage where there is no major damage to the joints Homeopathy can achieve control over the progress of the disease and can actually prevent the expected future damage to the joints. In advance case where there is already lot of damage done to the joints Homeopathy has a better remedies to offer good pain control as well as prevent further damage. Homeopathy is safe and without any side effects. This factor is very vital in deciding the treatment options especially when a person has to take the medications for longer duration. The course of treatment period depends upon the stage of disease.
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Chronic inflammation in these areas causes pain and stiffness in and around the Spine. Over time, chronic spinal inflammation (Spondylitis) can lead to a complete cementing together (Fusion) of the vertebrae, a process referred to as Ankylosis. Ankylosis leads to loss of mobility of the spine.
Ankylosing Spondylitis is also a Systemic Rheumatic disease, meaning it can affect other tissues throughout the body such as the Eyes, Heart, Lungs, and Kidneys. AS is two to three times more common in males than in females. The most common age of onset is in the second and third decades of life.
The Symptoms of AS are related to inflammation of the Spine, Joints, and other Organs. Fatigue is a common symptom associated with active inflammation. Inflammation of the spine causes Pain and Stiffness in the low back, upper buttock area, neck, and the remainder of the Spine. Patients who have chronic, severe inflammation of the spine can develop a complete bony fusion of the Spine. Once fused, the pain in the Spine disappears, but the patient has a complete loss of Spine mobility. These fused spines are particularly brittle and vulnerable to breakage (fracture) when involved in trauma, such as Motor Vehicle Accidents.
Chronic Spondylitis and Ankylosis cause forward curvature of the Thoracic Spine, limiting breathing capacity. Spondylitis can also affect areas where ribs attach to the upper spine, further limiting lung capacity. Ankylosing spondylitis can cause inflammation and scarring of the lungs, causing coughing and shortness of breath.
Ayurveda, the Science and Art of Life, is the oldest system of Indian medicine. It is not only the ancient science of preventative health & healing but also a philosophy of living. Ayurveda mainly cures by removing the root cause of the disease. It has the best answers in Spine care, Joint care and Arthritis Management. Ayurveda deals almost in all branches of Medical Science. ‘Meru Chikitsa’ is one of them, that has been developed thousands of years ago. The term “Meru Chikitsa” (Meru means ‘Spine’, therapy is ‘application’) places chief emphasis upon the Spine and its associated structures thus maintaining proper health of an individual.
Meru Chikitsa-The Ancient Ayurvedic Spinal Care is based on the Vedic Principles & Philosophy.This natural healing therapy deals with Spine proper and its nerves, muscles, joints and blood & lymphatic channels. Authorities in the field believe that the body is co-ordinated by three different humors or energy forces i.e. Vata, Pitta and Kapha. This therapy helps in restoring and balancing the energy forces of the body that regulates the physiological equilibrium to perform better function of the body mind soul & the senses.
Ayurvedic Treatments usually involve a series of ABHYANGAM, SWEDAM, NASYAM, ELAKIZHI, NAVARAKIZHI, KATI VASTHI, KASHAYA VASTHI & ANUVASANA VASTHI etc. Marma Chikitsa along with Vatahara Chikitsa and Brumhana Chikitsa are given utmost importance.
We give the Best Treatments for “Ankylosing Spondilitis” with High Success Rates at Dr. Kranthi’s Institute of Ayurvedic Sciences & Research, The Kerala Ayurvedic Care, Speciality Panchakarma Centre, 3-6-101/1, St no: 19, Basheerbagh, Hyd-29. Contact Dr Kranthi R Vardhan on 9246166636 for Appointments, Evaluation and Treatments. Visit us at www.ayursages.com or write to us at email@example.com.
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ANKYLOSING SPONDYLITIS (AS) is a form of chronic inflammation of the spine and the sacroiliac joints. Chronic inflammation in these areas causes pain and stiffness in and around the spine. Over time, chronic spinal inflammation can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis leads to loss of mobility of the spine and the condition known as bamboo spine.
The most common presenting symptom is low back pain. Usually, pain is centered over the sacrum and may radiate to the groin and buttocks and down the legs. The typical patient is a young man who has repeated episodes of back pain waking him at night and associated with spinal stiffness in the morning. Low back pain persists, even at rest. With time, back pain progresses up the spine and affects the rib cage. Chest expansion becomes restricted with involvement of the costovertebral joints. The cervical spine is ankylosed late in the course of the disease, leading to restriction in neck movement and head rotation. Eventually, the spine is completely rigid, with loss of the normal curvatures and movement.
Men are affected more than women by a ratio about of 3:1. AS can also be associated with ulcerative colitis, Crohn’s disease, psoriasis, and Reiter’s disease.
Ayurveda offers excellent therapies for treating Ankylosing spondylitis. The strength of Ayurveda in the area of spine and joint treatments is globally appreciated. Since it addresses the root cause of the issue the results are fantastic.
CHARAKA offer a very effective treatment methodology based on the classical texts of Ayurveda. The treatment comprises of Detoxification, rejuvenation through Ayurvedic Panchakarma therapy along with the administration of researched medicines internally.
Initial treatment requires around 45 – 60 days of Panchakarma therapy along with diet and life style modification. After this phase only internal medicines are continued.
If patient can come for the treatment in early stages, even total cure is also possible.
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- Ankylosing Spondylitis Pain Management
Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints. The sacroiliac joints are located in the low back where the sacrum (the bone directly above the tailbone) meets the iliac bones (bones on either side of the upper buttocks). Chronic inflammation in these areas causes pain and stiffness in and around the spine. Over time, chronic spinal inflammation (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis leads to loss of mobility of the spine.
Ankylosing spondylitis is also a systemic disease, meaning it can affect other tissues throughout the body. Accordingly, it can cause inflammation in or injury to other joints away from the spine, as well as to other organs, such as the eyes, heart, lungs, and kidneys. Ankylosing spondylitis shares many features with several other arthritis conditions, such as psoriatic arthritis, reactive arthritis, and arthritis associated with Crohn’s disease and ulcerative colitis. Each of these arthritic conditions can cause disease and inflammation in the spine, other joints, eyes, skin, mouth, and various organs. In view of their similarities and tendency to cause inflammation of the spine, these conditions are collectively referred to as “spondyloarthropathies.” Ankylosing spondylitis is considered one of the many rheumatic diseases because it can cause symptoms involving muscles and joints…
What causes ankylosing spondylitis ?
The tendency to develop ankylosing spondylitis is believed to be genetically inherited, and the majority (nearly 90%) of patients with ankylosing spondylitis are born with the HLA-B27 gene. Blood tests have been developed to detect the HLA-B27 gene marker and have furthered our understanding of the relationship between HLA-B27 and ankylosing spondylitis. The HLA-B27 gene appears only to increase the tendency of developing ankylosing spondylitis, while some additional factor(s), perhaps environmental, are necessary for the disease to appear or become expressed. For example, while 7% of the United States population have the HLA-B27 gene, only 1% of the population actually have the disease ankylosing spondylitis…
What are the symptoms of ankylosing spondylitis ?
The symptoms of ankylosing spondylitis are related to inflammation of the spine, joints, and other organs. Fatigue is a common symptom associated with active inflammation. Inflammation of the spine causes pain and stiffness in the low back, upper buttock area, neck, and the remainder of the spine. The onset of pain and stiffness is usually gradual and progressively worsens over months. Occasionally, the onset is rapid and intense. The symptoms of pain and stiffness are often worse in the morning or after prolonged periods of inactivity. The pain and stiffness are often eased by motion, heat, and a warm shower in the morning. Because ankylosing spondylitis often affects adolescents, the onset of low back pain is sometimes incorrectly attributed to athletic injuries in younger patients…
How is ankylosing spondylitis diagnosed ?
The diagnosis of ankylosing spondylitis is based on evaluating the patient’s symptoms, a physical examination, X-ray findings, and blood tests. Stiffness, pain, and decreased range of motion of the spine are characteristic of the inflammatory back pain of ankylosing spondylitis. Symptoms include pain and morning stiffness of the spine and sacral areas with or without accompanying inflammation in other joints, tendons, and organs. Early symptoms of ankylosing spondylitis can be very deceptive, as stiffness and pain in the low back can be seen in many other conditions. It can be particularly subtle in women, who tend to (though not always) have more mild spine involvement. Years can pass before the diagnosis of ankylosing spondylitis is even considered…
What are treatment options for ankylosing spondylitis ?
The treatment of ankylosing spondylitis involves the use of medications to reduce inflammation and/or suppress immunity to stop progression of the disease, physical therapy, and exercise. Medications decrease inflammation in the spine and other joints and organs. Physical therapy and exercise help improve posture, spine mobility, and lung capacity.
Aspirin and other nonsteroidal antiinflammatory drugs (NSAIDs) are commonly used to decrease pain and stiffness of the spine and other joints. Commonly used NSAIDs include indomethacin (Indocin), tolmetin (Tolectin), sulindac (Clinoril), naproxen (Naprosyn), and diclofenac (Voltaren). Their common side effects include stomach upset, nausea, abdominal pain, diarrhea, and even bleeding ulcers. These medicines are frequently taken with food in order to minimize side effects.
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Dr. Gary Vilke discusses the areas of inflammation in ankylosing spondylitis as well as kyphosis. 3D animation contained. For more information on ankylosing spondylitis and related diseases, visit us at: www.spondylitis.org
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