Ankylosing spondylitis refers to a form of arthritis that affects the spinal column. This condition causes the bone vertebrae to fuse together leading to a rigid spine. Depending on the extent of the damage, this could result in mild changes or in a stooped posture. Although the cause of this disease is not known, it is said to be passed down from one generation to another through a gene called the HLA-B27. This gene is also linked to spondylitis.

Ankylosing spondylitis cannot be cured, but with treatment, the pain and stiffness associated with it can be managed. Along with medication, physical and occupational therapy is a must when treating this disease. In some cases where the disease has caused severe deformities, surgery may also be recommended. However, an early diagnosis can also help prevent significant deformity.

A physical exam and an X-ray are the key factors used to confirm a diagnosis of Ankylosing spondylitis. Some of the symptoms associated with this disorder are:

Pain and stiffness: Everyone complains of a backache at some point or the other but a persistent lower back ache could be a sign of something serious. Spondylitis often starts in the sacroiliac joints and hence the lower back, buttocks and hips are the first to be affected. Pain that lasts for more than three months should not be ignored as it could be a sign of Ankylosing spondylitis.
Bony fusion: This condition causes an abnormal growth of bones in the spinal column. This can lead to the fusing of bones in the spine. The bones of the neck, back and hips are most affected by this bone fusion. While this can affect a person s mobility it can also cause complications. For example, the fusing of the ribs to the spinal column or the breastbone can restrict the expansion of the chest while breathing.
Pain in ligaments and tendons: Apart from the bones, this condition also affects a person s tendons and ligaments attached to the bones. For example, pain in and around the heel may be caused by tendonitis.
Other symptoms: The symptoms of ankylosing spondylitis are not restricted only to the joints. Hence, it is also known as a systemic disease. Some of the other symptoms exhibited by people suffering from this condition are fever, fatigue, inflammation of the eyes and a loss of appetite. Some people may also complain of lung and heart problems. 

Ankylosing Spondylitis - How To Know You Are Suffering?

One month, the injury is still healing, two months, just a little bit longer, three months? Well, you, believe it or not, it has probably become a chronic pain and is affecting every aspect of your life. Chronic pain may be a novel notion to accept but is now understood to be a disease and generally defined as pain persisting for longer than 12 weeks. Pain management in such cases is traditionally treated through prescription drugs, the other option being amputation.

This is a major cause of patients having qualms about these pills and a need for an alternative. In response to this, doctors have a new tool to help decrease the perception of pain which is a small implant placed in the back to help patients shake off the pain. This small device that could bring you back to your feet is the spinal cord stimulator.

What is spinal cord stimulation?

Theoretically, the spinal cord stimulation is a type of neurostimulation which produces an effect that interferes with the brain s ability to interpret the signal as pain by using electrical pulses. The brain, instead, experiences it as a pleasant numbing sensation. The implant is placed which takes place in two parts i.e. placing the lead device in the spine and placing the pulse generator in abdomen or buttock.

For test stimulation, the several stimulation settings are tried so that the pulse generator can be programmed using these settings. The procedure typically takes 1-2 hours and post-procedure, patients are given a handy device to control the simulations which they are to use in their day-to-day lives.

It has been observed to reduce the pain by at least 50%. However, this too has its limitations. Typical candidates are people with chronic back and limb pain who may have a failed back or disc procedure. The most common risks associated are device-related, example, unintended movement of the leads. Serious effects include hemorrhage in the epidural space or injury to a spinal cord leading to neural damage, but these are highly uncommon.

Quick facts about it

The best product which works for spinal cord stimulation is a long-lasting solution with a need to change the battery of the lead device every 9 years.
The most recommended device today is the implant because of its compact size and the device costs is quite nominal.
The quality of the product matters a lot as there are ample of cheap products available on the same lines. The same can be fitted within the body via a procedure.
The procedure conducted is also called the pain pacemaker.
Earlier, the procedure was used to conduct only in the international countries, but nowadays the implant can be done in India as well. If you are apprehensive about consuming painkillers for your chronic pain, you can explore this option with your Interventional Pain Specialist.
As it is said, lasting pain can lead to damage, hence don t wait until the damage repair has a complete null chance, rather reach out to your doctor to understand more about the concept of SCS so that you can get treated in no time. Explore the option with your "Interventional Pain Specialist".

Spinal Cord Stimulator - How Is It Beneficial In Pain Management?

Inflammation and resultant pain in the joints are usually the basic tenets of arthritis. This joint disorder can be painful and often, a debilitating one. It can also make the joints stiff. There are many ways of dealing with this problem, but with ayurveda, one can get to the root cause of the ailment and its presence. This helps in taking a well rounded holistic approach towards treating it with ancient know how that revolves around herbs and other natural substances which have great medicinal value, lifestyle changes, diet, exercise and yoga, oil massages, and other methods. Arthritis is known as sandhivata in ayurvedic jargon. Read on to find out how ayurveda can help in dealing with arthritis.

Herbs: one can make use of various herbs that contain linoleic acid to help in providing lubrication to the joints so as to prevent pain and stiffness. These herbs include borage seed oil which is extracted from borage seed, evening primrose oil, blackcurrant seed oil, capsaicin, curcumin, feverfew, flaxseed oil and a standard ayurvedic concoction that combines ashwagandha, gugulla, ginger, cumin and haldi or turmeric. These substances can help in treating the joints that are suffering from the pain of arthritis.

Diet: in ayurveda, to treat ailments like arthritis, it is usually recommended that a patient should start by flushing out the body toxins from within. Diet is one of the ways in which this can be done. A detoxification diet to clean the colon would be one of the foremost ways of doing a cleanse. Further, in one's daily diet, there should be a good dose of vegetables, fruits and other juices. Also, one must have plenty of herbs and spices, which can be used to season the food. Curd should generally be avoided and garlic should be used liberally. The various properties that help in an inside out cleanse that will help the system function in a better manner so that the treatment of ailments is also effectively supported.

Exercise: in ayurveda, a certain amount of daily exercise, which spans at least 45 minutes to one hour, is a must. A pattern of healthy eating, restful sleep and exercise is what usually helps in treating ailments like arthritis. For this ailment specifically, light exercise like walking is recommended. Various yoga asanas that involve sitting, standing, balancing and lying down poses as well as restful poses will also help in treating knee, shoulder and lower back pain specifically. Also, mustard oil massages can help in reducing the pain.
These are the few ways in which ayurveda can help arthritis patients live a more normal life with minimal pain.

Ayurveda For Arthritis

A small piece of bone is known as a fragment and it is very common that an avulsion fracture also tends to damage the protrusions of bone to which the tendons attach. This basically means that the tendon or ligament will come away from the bone and it will take a small piece of bone with it. It is sometimes very hard to find out what type of injury you have and this is why knowing the causes and symptoms of an avulsion fracture are very helpful in determining exactly how severe the injury is. 

Here are the causes of an avulsion fracture:

Explosive landing: Athletes who tend to jump or land with great impact tend to get these most commonly. Therefore, it is crucial for your health that if you participate in such sports, you do follow the correct method of jumping.
Explosive extension: Similar to how an athlete landing ferociously can get an avulsion fracture, someone who is extending the legs very violently and explosively during an exercise can also get an avulsion fracture. This is because the bone getting extended could very well damage the protrusions to which the tendons are attached. 
Symptoms
These are the two main causes of an avulsion fracture. There are not many symptoms of an avulsion fracture. This is because an avulsion fracture can only be determined by an MRI or by an X-ray scan. Therefore it is nearly impossible to diagnose that you have an avulsion fracture without looking at the results of the tests performed on the part of your body. However, the way you got the fracture and especially the details of it are very good indications of whether you have an avulsion fracture or not.

Avulsion Fracture - Common Causes Behind it

The causes and symptoms of chronic lower back pain

Lower back pain is characterized by a feeling of pain around the lumbar region (curve of the back connecting the upper back and glutes- muscles in the buttock that are responsible for thigh movement) caused by muscle or ligament injury. The spinal area is most likely to be affected by lower pain as it may impair routine activities like walking and standing. Any lower back pain that lasts for more than ninety days can be considered as chronic.

Causes of lower back pain

There are plenty of causes for lower back pain. Anything that exposes the lumbar area of the spine to a level of stress beyond its capacity can cause lower back pain. These causes are-

1. Disorders of the discs

The spinal area in the lower back comprises of small bones called the vertebra, which are connected to each other by pieces of cartilage known as discs. These discs act as shock absorbers, and when exposed to excessive shock can cause the disc to bulge, resulting in herniated discs. Wear and tear of the discs can also occur.

2. Spinal stenosis

Spinal stenosis occurs when the area around the spine becomes narrow. It may affect the nerves surrounding the lower back, resulting in pain.

3. Wear and tear of the joints and ligaments

Normal wear and tear of the joints and ligaments cause difficulties in holding the spine in its proper position and this progresses with age. This may cause a vertebra to slide over another and affect the nerve endings, giving rise to pain.

Symptoms of lower back pain

The symptoms of lower back pain are usually a dull or excruciating pain in the lower back. It can also affect other parts of the body such as the hips and the legs. In case of severe pain, simple activities like walking, bending and sitting will be impaired.



The Causes and Symptoms of Chronic Lower Back Pain

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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