ANKYLOSING SPONDYLITIS (AS): MISSING LINK TO GET RELIEF

ANKYLOSING SPONDYLITIS

Ankylosing Spondylitis (AS) is a chronic form of arthritis primarily affecting the spine, causing pain, stiffness, and potential fusion of the vertebrae. This condition often starts in the lower back and buttocks and can gradually affect the spine's shape and flexibility. The term "ankylosing" refers to the fusing together of bones, while "spondylitis" denotes inflammation of the spine tissues.

Affected Areas:

• Sacroiliac joints: These joints connect the spine's base to the pelvis and are commonly affected.

• Spine and other joints: AS can involve the spine, hips, shoulders, and occasionally other joints.

• Extra-articular Areas: It may also impact the eyes, skin, bowel, lungs and other systems.
  

Symptoms: Symptoms vary widely but may include:

• Pain and stiffness: Particularly in the lower back and buttocks, worsening over weeks or months.

• Morning symptoms: Pain and stiffness are often worse in the morning and at night but may improve with light exercise.

• Systemic symptoms: Mild fever, loss of appetite, fatigue, mild anaemia, and inflammation of the bowel and eyes (iritis or uveitis).

• Joint pain: Tenderness in the ribs, shoulder blades, hips, thighs, and heels.

• All the above symptoms can be periodic in nature and flare up and remission can demonstrate.
  

Diagnosis: Diagnosis typically involves:

• Medical history and physical exam: Assessing symptoms and conducting a physical examination.

• Blood tests: To measure levels of inflammation and other markers.

• Imaging: X-rays of the spine, though early stages may not show significant changes.

• Referral: Consulting a skilled Rheumatologist, a specialist in inflammatory conditions like AS.
  

Causes: The exact cause of AS is not fully understood, but it is believed to involve a combination of genetic and environmental factors. Genetic predisposition, such as the presence of the HLA-B27 gene, plays a significant role.

Treatment: Currently, there is no cure for AS, but various treatments can manage symptoms and improve quality of life. Treatment typically involves:

• Medication:

  • NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): To reduce pain and inflammation.

  • Disease-Modifying Anti-Rheumatic Drugs (DMARDs)

  • Biologics: Newer medications targeting specific inflammatory pathways for more severe cases.
    

• Physiotherapy and Exercise:

  • Musculoskeletal Physiotherapist: An individualized exercise program is crucial. It helps maintain spinal flexibility, improve posture, and manage pain.

  • Exercise Protocol: Regular stretching and strengthening exercises tailored to your specific needs and symptoms and overall well-being.
    

• Lifestyle Adjustments:

  • Posture and Ergonomics: Improving posture and ergonomics at work and home to reduce strain on the spine.

  • Diet and Health: Maintaining a healthy diet and managing overall health to support the body in coping with AS.
    

Professional Support: A comprehensive management plan involves:

• Rheumatologist: For medical treatment and ongoing monitoring.

• Physiotherapist: For developing and overseeing an exercise program.

• Patient Engagement: Actively participating in your treatment and self-management strategies.
  

For personalized guidance and treatment plans, it's important to consult with healthcare professionals specializing in AS.

For more information or specific queries, contacting a Rheumatologist or musculoskeletal Physiotherapist, can provide tailored advice and treatment options.