If you suffer from persistent backaches and neck pain, you may be diagnosed with spondylitis. Spondylitis refers to degenerative changes of the spine, such as the formation of bone spurs and degeneration of spinal discs. This condition can affect the neck, upper or mid back and lower back. Of these, spondylitis of the neck- cervical spondylitis and lower back- lumbar spondylitis are most common.

Spondylitis is considered to be triggered by age. As a person grows older, the wear and tear of the bones and ligaments of the spinal column can lead to the development of bone spurs and osteoarthritis. Age can also cause the discs between vertebrae to weaken and degenerate leading to bulging discs and herniating spinal discs. Most people experience the first symptoms of spondylitis between the age of 20 and 50. A family history of spondylitis and being prone to injuries also increases a person s risk of suffering from spondylitis.

Since spondylitis is a degenerative disease, there is no cure for this condition. However, the pain associated with it can be managed. Thus, treatment for spondylitis is very similar to treatment for neck or back pain. This treatment can be in the form of pain medication, exercise, physical therapy and minimally invasive surgery. Depending on the extent of spinal damage the doctor may prescribe steroids that need to be injected directly into the intervertebral spaces. This is also known as epidural injections.

Spondylitis patients are often advised to follow their normal schedule and refrain from bed rest as this can prolong recovery. However, at the same time, you should not undertake any activity that puts additional pressure or stress on the spinal column. Alternating between warm and cold compresses can help relieve the pain associated with spondylitis. Additionally, try sleeping with a pillow between your legs to relieve low back pain. 

Special pillows that offer cervical support can help relieve spondylitis of the neck.

Surgery may be considered in cases where this condition causes or worsens nerve damage. Spinal decompression surgery involves relieving pressure on the nerves in the spinal column that may be caused by a herniated disc, spinal stenosis or foraminal stenosis. This surgery can be performed through a laminectomy, discectomy or foraminotomy. Bone spurs in the spinal column or a vertebral disc can also be removed surgically. However, these surgeries are rarely performed as most patients respond well to non-surgical treatments.

Causes of Spondylitis - How Can it Be Treated?

Cervical spondylosis is an age related disorder affecting the discs and joints in your neck. The overuse of the bone and cartilage in the cervical spine of your neck leads to cervical spondylosis. While it is mostly caused by age, it can also be caused by other factors. Stiffness and severe, chronic pain are the most common problems with patients afflicted with cervical spondylosis. While in others, it might not cause problems and they can go about their daily activities.

Physiotherapy for Cervical Spondylosis
There is no cure for cervical spondylosis, but its symptoms can be treated with physiotherapy. If you have chronic pain in your neck, shoulder blades or arms, a physiotherapist can provide effective pain relief by strengthening your vertebrae and neck. This will improve your posture and prevent any relapse of the pain.

Firstly, the physiotherapist will evaluate your condition; check your reflexes and strength. Then, the physiotherapist will move on to the following treatments:

Stretching, strengthening and straightening exercises: Before beginning these exercises, your physiotherapist will first apply cold or heat to the affected area and then proceed with a deep tissue massage or electric stimulation. When your muscles are relaxed, the exercises will begin only then. These exercises are performed to strengthen the muscles in your neck. Through these, you will learn how to improve your range of movement and posture.
Neck traction: Pulling your head to stretch out your spine is called neck traction. This technique is used to improve movement and ease the pain. Traction is used to open the spaces between the vertebras gently in order to ease pressure on the distressed discs. Traction is done continuously or sporadically, with short periods of rest in between. If you cannot find the right physiotherapist to do this for you, there are devices to help you stretch your spine.
Cervical collars and pillows: Neck pillows or cervical pillows, are made to keep your neck steady while you sleep. Cervical collars are also called neck braces which are used to support the neck. While cervical collars have been proven to be quite beneficial, there isn t much evidence to support cervical pillows in treating cervical spondylosis. You can always consult your physiotherapist before purchasing a cervical pillow.

Cervical Spondylosis - How Physiotherapy Can Help Treat it?

The human spine has 33 vertebrae. However, some conditions can fuse these vertebrae. Ankylosing Spondylitis is one such condition. This disease may also be known as AS or Bechterew's disease. It is an inflammatory disease that can make the spine less flexible by fusing the vertebrae of the lower back together. In some cases, it can also affect the rib cage and make it difficult to breathe. This disease typically affects more men as compared to women. Most patients begin showing symptoms in early adulthood.

Ankylosing Spondylitis affects the sacroiliac joints. These joints are located just above the tailbone. It causes inflammation of the spinal bones that in turn cause pain and stiffness. With time, this inflammation spreads to the entire spine and the vertebrae begin fusing together. This can make movement difficult and painful. In severe cases, it can also lead to the development of a hunchback. This disease also affects the other tissues of the body. For example, it can affect other joints and aggravate arthritis or affect organs such as the kidney, heart, lungs, and eyes.

A specific cause has not yet been identified for Ankylosing Spondylitis. However, studies show that genetic factors can be a trigger. In particular, the presence of the HLA-B27 gene increases a person s risk of developing symptoms pertaining to this condition. However, it is important to note that merely the presence of this gene does not make Ankylosing Spondylitis inevitable. Other genes that are associated with this disease are ARTS1 and IL23R. These genes influence the functioning of the immune system. While it can affect people of all ages, adults are at a higher risk of suffering from this condition.

In many cases, the initial inflammation of the spine is due to a bacterial infection of microbial infection. Though the infection itself may be treated and cured, it may cause the immune system to react and trigger inflammation. Once activated, if the immune system cannot be turned off, this inflammation will continue and can trigger Ankylosing Spondylitis. In each case, the disease presents a unique pattern of progression.

There is presently no cure for this condition, but with an early diagnosis and treatment, the symptoms can be managed and progression can be slowed. This treatment usually takes the form of medication to relieve pain, inflammation and discomfort and physical therapy. Surgery cannot be used to treat Ankylosing Spondylitis but in cases where it has caused severe joint damage, surgery may be advised to replace the damaged joint.

Ankylosing Spondylitis - What Are The Causes?

Most of the arthritic conditions don t have any cures. Ankylosing Spondylitis is also a type of arthritis that does not have a cure. It is a kind of arthritis of the spine; it affects the vertebrae. It primarily affects the spine, but it may also affect other areas such as shoulders, hills, hips, ribs, small joints of the feet and hands etc. In very advanced stages, it may also affect eyes, lungs and heart. 

However, what really makes it scary is Ankylosis. When Ankylosis takes place, there is formation of new bony structures in the spine. These structures cause some sections of the spine to fuse and make the spine immobile. 

Symptoms of Ankylosing Spondylitis 

  Pain and Stiffness 

One may feel a constant pain coupled with stiffness in areas like buttocks, lower back, hips etc. These symptoms may go on for months. It often starts at the sacroiliac joint. 

  Bony Fusion 

The formation of bony structures in the spine in advanced stages may affect movement of the back, neck, hips etc., and may also impair the ability to perform daily activities. The formation of bony structures may go to the extent of fusing the ribs in the rib cage to the breastbone or spine. This may limit the ability to expand the chest while taking deep breaths. 

  Pain in Ligaments and Tendons 

Ankylosing Spondylitis may also affect the tendons and ligaments that attach the muscles to the bones. This may precipitate pain and stiffness beneath or behind the heels. 

Cause of Ankylosing Spondylitis 

The cause of this disorder is not yet known, yet a genetic link cannot be ruled out. It has been observed that most of the people affected with Ankylosing Spondylitis carry a specific gene in them. People carrying this gene are susceptible to spondylitis. However, there are about 10% people who carry this gene, but don t have any sign of Ankylosing Spondylitis. So, a sure determinant of cause of this disease is not completely known. 

Diagnosis of Ankylosing Spondylitis 

To diagnosis Ankylosing Spondylitis, the physician has to look at several factors. 

These include: 

  Symptoms exhibited by the patient 

  Physical Findings 

  X-Rays of pelvis and back regions 

  Taking chest measurements while taking deep breaths 

  Laboratory tests Based upon the complete diagnosis, physician can positively determine if the condition is indeed Ankylosing Spondylitis. 

Treatment 

While a cure for Ankylosing Spondylitis is still not on the horizon, there are some treatments which can reduce pain and discomfort and thereby improve daily activities. Goals of treatment Since the disease can t be cured, the goal is to reduce pain and stiffness, prevent deformity, maintain a good posture, and help perform daily activities. In fact, if treatment is proper, the patient may lead to a semblance of a normal life. However, it calls for a team approach. The team must include a physical therapist and an occupational therapist, apart from a rheumatologist. If the patient is suffering from bony growth, the doctor may go for an osteotomy.

Ankylosing Spondylitis - How To Handle It?

Ankylosing spondylitis is typically associated with inflammatory back pain that can impair movements and reduce the quality of the patient s life. Here are 5 exercises that can be used to treat ankylosing Spondylitis.

Walking: Walking is a low impact workout that can be very beneficial for ankylosing spondylitis patients. This is the ideal way to ease the body into exercising. Start with a short 5-10 minute walk and gradually increase the duration of your walks to half an hour at a stretch. Try and keep your spine as straight as possible and hold your head high while you walk. Walking can help relieve pain and increase the range of movements.
Swimming: Swimming is another low-intensity workout that can help. This type of exercising helps strengthen the muscles and heart while minimizing joint pain. Swimming puts no pressure on the joints and hence is ideal for ankylosing spondylitis patients. The breaststroke can help build chest expansion and make your neck and shoulders more flexible. For a little extra pampering, you could go for a swim in a heated pool.
Lightweight Training: Look for lightweight training exercises that help strengthen your muscles without putting pressure on the joints. Plank exercises are great as they work many muscle groups simultaneously. You could also try lifting light weights or household canned goods to strengthen your limbs. Exercise machines can be helpful but must be used with caution. The key to exercising is to start slowly and gradually increase the duration of time you hold a position and the number of repetitions.
Yoga: Yoga is very beneficial for patients with musculoskeletal conditions. It reduces pain, increases flexibility and helps open out the joints to make them more mobile. Yoga also helps boost mental health and reduces stress and anxiety. When practising yoga, start by stretching the muscles and gradually work your way through the asanas. Do not be in a hurry to move from one position to another. You should ideally aim to fit in half an hour yoga into every morning.
Dance: Dancing is the most fun way to exercise. This helps burn calories that in turn helps with weight management. The lower your weight, the lower the pressure on your joints. Pick a tempo that you are comfortable with and limit repetitive motions to avoid straining any part of your body. If you like you could even join a dance class.

5 Exercises For Managing Ankylosing Spondylitis!

As you age, your body and bones start to grow weaker. You may experience a number of health disorders that you did not suffer from before. These are known as degenerative diseases. Such conditions also affect the spinal region of a person. The degenerative diseases that affect the spine are termed as lumbar spondylosis.

What causes spondylosis?

Here are some known causes and risk factors for spondylosis-

  The bone, ligaments and other connective tissues in the spine wear down with age. Additionally, the intervertebral discs also undergo degeneration. This can lead to bulging discs and even herniation.
  Apart from your age, your genes also play a role in spondylosis. People who have a family history of the condition are more likely to suffer from the disorder.
  Lastly, if you have suffered from an injury to the spine, spondylosis is much more likely. It does not develop as soon as the spine is injured, but may gradually appear over a period of years.

Common symptoms of spondylosis:

Symptoms differ from one patient to the next and some people may not experience any effect of the disease. However, symptoms are present if the herniation or slipped disc leads to excessive pressure on the nerves.

  The most common symptoms of lumbar spondylosis are back and neck pain
  In case the spondylosis results in a pinched nerve, the pain may radiate into the legs and arms
  Other minor symptoms of spondylosis include tingling, weakness and numbness

Treatments for spondylosis:

Spondylosis cannot be cured. However, symptoms can be managed using medications and therapies.

  Pain medications - Non-steroidal anti-inflammatory drugs are prescribed to deal with the pain and discomfort from the degenerative disorder.

  Antidepressants - Some antidepressants are useful in treating the pain associated with spondylosis. However, these medications have side effects. This is why it is wise to consult a doctor before consuming them.

  Topical medication - In some cases, topical medication applied directly at the site of the pain is more effective than oral pain medications.

  Physical therapy - Your doctor may recommend physical therapy for you as well if the spondylosis is severe and is interfering with daily life.

Acupuncture and chiropractic practices can also help deal with the discomfort to some extent. Furthermore, exercise relieves some pressure on pinched nerves, reducing the pain.

Lumbar Spondylosis - Common Symptoms & Treatment Of It!

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