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    Ankylosing spondylitis

    Overview

    Ankylosing spondylitis is an inflammatory disease that, over time, can cause some of the bones in the spine to fuse. This fusing makes the spine less flexible and can result in a hunched posture. It presents inflammatory back pain and sacrum and iliac joint inflammation. Impaired spinal mobility, postural abnormalities, buttock pain, hip pain, peripheral arthritis, enthesitis, and dactylitis are all commonly associated with ankylosing spondylitis. World wide it is affected by a male-to-female ratio of 3:1. 

    Ankylosing spondylitis is typically diagnosed in people younger than 40 years, and about 80% of patients develop their first symptoms when they are younger than 30 years. Less than 5% of patients present when they are older than 45 years. Ankylosing spondylitis is more common among men than women. There is an increased risk in relatives of affected patients. 

    In Ayurveda, Ankylosing Spondylitis falls under the broader perspective of ‘Ama Vata’ (Inflammatory or Rheumatic disorders). It is primarily because of the imbalance of Vata and Kapha Doshas but sometimes can be because of the imbalance of the three Doshas as well.

    Ankylosing spondylitis - 1Veda Ayurveda

    Back Pain criteria for diagnosis Ankylosing Spondylitis

    1. The age of onset is more significant than 45 years. 
    2. Insidious onset. 
    3. Improvement of back pain with exercise. 
    4. No improvement of back pain with rest. 
    5. Pain at night with improvement in getting up. 

    The presence of four of the five criteria suggests ankylosing spondylitis with 80% sensitivity. All criteria have high sensitivity.

    What causes Ankylosing Spondylitis?

    1. The exact causes of Ankylosing Spondylitis are not known.
    2. However, it is understood that vulnerability to the disease is usually inherited by virtue of genes.
    3. Persons who are positive for HLAB27 are particularly at risk.
    4. Other environmental triggers are also known to trigger the condition. Not everyone with a positive HLAB27 develops the disease.
    5. Ayurveda describes excessive exertion, ingestion of spicy and incompatible foods, stress, lack of adequate rest and leading a very sedentary life, as factors responsible for triggering the condition.

    The clinical features of an ankylosing spondylitis

    • Back Pain with episodic inflammation of the sacroiliac joints in the late teenage years or early twenties. 
    • Pain in one or both buttocks and low back pain and stiffness are typically worse in the morning and relieved by exercise.

    Management of Ankylosing spondylitis

    Home remedies:

    According to Modern Medicine, the key to effective management of ankylosing spondylitis is early diagnosis so that a regimen of preventive exercises is started before  syndesmophytes have formed. Morning exercises aim to maintain spinal mobility, posture and chest expansion; regular NSAIDs improve symptoms and signs. 

    When the inflammation is active and the morning stiffness and pain are too severe to permit effective exercise, an evening dose of NSAID suppository improves sleep, pain control and exercise compliance. 

    Ayurveda, an Indian System of Medicine offers excellent guidelines, medicines and 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. If a patient comes for treatment in the early stages, even a total cure is also possible.

    Ayurveda has in-depth knowledge of causative factors of Ankylosing spondylitis and clearly explained the pathogenesis and line of treatment to be followed. We at www.1veda.com treat it with the help of medicines and Panchakarma procedures. Ankylosing spondylitis may take 3 to 6 months of time to get the full effect of medicines with panchakarma. 

    Prevention and management of Ankylosing spondylitis:

    A. Dietary Regimen:

    1.Stop Alcohol: alcohol can weaken the bones ,if you are a daily drinker it can react with the medications as well,it also risks osteoporosis when taken in excess. 

    2.Avoid smoking: don’t smoke because smoking also weakens the bones and leads to degeneration of bones and causes osteoporosis,also increases the inflammation and reacts with the medication as well as slows down the healing process. 

    3.Vit D and Calcium: diet rich in vitamin D and calcium must be included in daily meals and supplements of calcium and vitD3 must also be added because it helps in bone regeneration and maintaining the integrity of bones.

    B. Dietary Regimen:

    1.Exercise: exercise,particularly weight training and stretching exercise can prevent the joint damage.It can help to prevent the stiffness caused by ankylosing spondylitis 

    2.Good shoes: Good shoes must be opted to avoid the risk of falling,always choose a shoe with a good cushion ,better support and which protects the foot and ankle joints.It may also help to reduce the chances of plantar fasciitis, a common heel pain due to ankylosing spondylitis. 

    3.Good posture: focus on alignment of the spine to alleviate pain and avoid spinal damage,try to stress yourself several times a day ,also focus on stretching the neck,upper back,shoulders can help to maintain the flexion. 

    4.Sleep: fatigue is the common cause of development of ankylosing spondylitis ,a restful sleep cures both physical and mental sleep.Sleep on a firm mattress on back or stomach,avoid tea ,coffee before sleep,take chamomile tea before sleeping. 

    When to see a doctor??

    Ankylosing spondylitis is a painful and discomfort condition,do not ignore or try any therapy at home without the doctor's consultation,visit our clinic or contact us online at our official website www.1veda.com for expert advice and best treatment.

    FAQ's

    What is ankylosing spondylitis?

    Ankylosing spondylitis belongs to a group of arthritis that tends to cause inflammation in the spine. It is a systemic disease that means blood borne so it can affect other tissues of the body as well. 

    What is the serious complication of ankylosing spondylitis?

    Reduced ability to expand the chest is the serious complication of ankylosing spondylitis ,it can lead to difficulty oin breathing.

    Can ankylosing spondylitis be treated without surgery?

    Yes,it can be treated with proper medication and therapeutic procedures of ayurveda such as panchkarma.