Symptoms Of Spondylitis

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Ankylosing spondylitis ankylosing spondylitis is a cause of back pain in adolescents and young adults. Ankylosing spondylitis 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, including the neck, middle back, lower back, and buttocks. Over time, chronic inflammation of the spine (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis causes loss of mobility of the spine. Pt treatment deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs. Home remedies physical therapy for ankylosing spondylitis includes instructions and exercises to maintain proper posture. This includes deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Since ankylosis of the spine tends to cause forward curvature (kyphosis), patients are instructed to maintain erect posture as much as possible and to perform back-extension exercises. Patients are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Ankylosing spondylitis can involve the areas where the ribs attach to the upper spine as well as the vertebral joints, thus limiting breathing capacity. Patients are instructed to maximally expand their chest frequently throughout each day to minimize this limitation. Physical therapists customize exercise programs for each individual. Swimming often can be a very beneficial form of exercise, as it avoids jarring impact of the spine. Ankylosing spondylitis need not limit an individual's involvement in athletics. People can participate in carefully chosen aerobic sports when their disease is inactive. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs. Cigarette smoking is strongly discouraged in people with ankylosing spondylitis, as it can accelerate lung scarring and seriously aggravate breathing difficulties. Occasionally, those with severe lung disease related to ankylosing spondylitis may require oxygen supplementation and medications to improve breathing. People with ankylosing spondylitis may need to modify their activities of daily living and adjust features of the workplace. For example, workers can adjust chairs and desks for proper postures. Drivers can use wide rearview mirrors and prism glasses to compensate for the limited motion in the spine. You should check with your doctor before using compression socks for your swelling. These special socks should be properly fitted for you and your needs. Also, be sure to wear them during the day and remove them before you go to bed. Leg elevation if you stand a lot during the day, try propping your feet up or soaking them in water when you get home to help prevent swelling. Muscle relaxant: reduces muscle tension and helps relieve muscle pain and discomfort. Transcutaneous electrical nerve stimulation (also known as tens) is something which helps ease muscle pain and spasms. You can strengthen the muscles by doing tonificationie. Improving the tone of the muscles by adding either weight cuffs / sand bags which will help you to improve the strength of the muscle. 

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Dr. Sirish PhysiotherapistBPTh/BPTPhysiotherapist

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Ankylosing spondylitis (as) is a chronic inflammatory disease that primarily affects the spine, causing inflammation, pain, stiffness, and potentially leading to fusion of the vertebrae. While there is currently no cure for as, treatment aims to manage symptoms, prevent complications, and improve quality of life. Ayurvedic medicine is a traditional system of medicine that originated in india and has been practiced for thousands of years. It utilizes a holistic approach, incorporating various therapies, including herbal remedies, dietary changes, yoga, meditation, and lifestyle modifications, to promote health and well-being. Some people with as may explore ayurvedic treatments as complementary or alternative therapies to help manage their symptoms. Ayurvedic practitioners may recommend specific herbal formulations, dietary modifications, and lifestyle practices tailored to the individual's constitution and condition. It's important to approach ayurvedic treatment for as with caution and under the guidance of a qualified ayurvedic practitioner who has experience in treating inflammatory conditions like as. While some individuals may find relief from certain ayurvedic remedies or practices, it's essential to ensure that these treatments are safe, appropriate, and do not interfere with any conventional medications or treatments prescribed by a rheumatologist or healthcare provider. It's crucial to maintain open communication with both your rheumatologist or healthcare provider and your ayurvedic practitioner to ensure that all treatments are coordinated and aligned with your overall healthcare plan. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Psoriatic spondylitis psoriatic spondylitis is the medical term for a type of psoriatic arthritis that affects the spine and the joints in the pelvis. The symptoms may develop anywhere between the pelvis and the neck. People with psoriatic spondylitis may experience pain, inflammation, and stiffness in their neck and lower back. Symptoms •back pain. •pain and swelling in other joints (including hips, knees, shoulders, ankles, feet, elbows, hands, and wrists) •dactylitis (the sausage-like swelling of the toes and fingers) •reduced range of motion of the low back, spine, and pelvis. •psoriasis. •chronic fatigue. •osteoporosis. The most common medications for psa are often also used to treat ankylosing spondylitis, including nonsteroidal anti-inflammatory drugs (nsaids), disease-modifying antirheumatic drugs (dmards), sulfasalazine (azulfidine), immunosuppressants, and biologic medications, such as tnf inhibitors. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Psoriatic spondylitis psoriatic spondylitis is the medical term for a type of psoriatic arthritis that affects the spine and the joints in the pelvis. The symptoms may develop anywhere between the pelvis and the neck. People with psoriatic spondylitis may experience pain, inflammation, and stiffness in their neck and lower back. Symptoms •back pain. •pain and swelling in other joints (including hips, knees, shoulders, ankles, feet, elbows, hands, and wrists) •dactylitis (the sausage-like swelling of the toes and fingers) •reduced range of motion of the low back, spine, and pelvis. •psoriasis. •chronic fatigue. •osteoporosis. The most common medications for psa are often also used to treat ankylosing spondylitis, including nonsteroidal anti-inflammatory drugs (nsaids), disease-modifying antirheumatic drugs (dmards), sulfasalazine (azulfidine), immunosuppressants, and biologic medications, such as tnf inhibitors. 

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All oral painkillers will have side effects, especially in your age. Paracetamol is preferred for this reason. If one class of pain killers is not privity adequate relief, then we can combine multiple type of pain killers to avoid side effects. Also you can apply dynapar qps spray (diclofenac aqueous solution) for quick relief as it will be minimally absorbed in body and cause minimal side effect. 

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Dr. G.R. AgrawalDHMS (Hons.)Homeopathy Doctor

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Hi, lybrate user, •You immunity is weak, experiencing present symptoms along with low level of vit D ,Vit B12 and cervical spondylitis you are suffering from. •Consult, privetly for a faster recovery, till, then take ,Homoeopathic medicines, underlying: @ Five Phos 3x-4 granules x3. •Avoid , junk food, alcohol, sour and spicy intake. Tk, care. 

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Dr. Anuj NigamDNB (Orthopedics), MBBSOrthopedic Doctor

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Hello Mr. lybrate-user. Rheumatoid arthritis and ankylosing spondylitis belong to inflammatory arthritis diseases and are usually presented later in life. These are diseases going into generations. Rf or ra factor can be normal in these diseases as it is not a specific test. Your rf can be normal and yet you can have severe disease. These diseases are progressive, once started they will progress and not be healed. However latest treatments provide an opportunity to slow down the progress of these type of arthritis. (the treatment you are taking) what you are experiencing is initial stages of such disease as per details provided by you. I would recommend to visit a rheumatologist for change or rather updated treatment. Being at young age it is the right time to start accurate treatments. A change in routine lifestyle with involvement of excercises and diet modification will help betterment of your joints and the symptoms and sounds you are getting in joints will heal up. Do connect for more details. Please do give a feedback. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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U can do the following exercises url/watch? V=ostw2ucg1qu a person can ease the symptoms with a few simple exercises. 1. Neck stretchkeep your body straight. Push your chin forward in a way that stretches the throat. Softly tense the neck muscles. Hold this for 5 seconds.Return your head to its center position. Push your head back with the chin held high, and hold for 5 seconds. Carry out 5 repetitions. 2. Neck tilttilt your head forward so that the chin touches the chest. Softly tense the neck muscles. Hold this for 5 seconds. Return the head to a neutral position. Carry out 5 repetitions. 3. Neck tilt (side-to-side) lean your head down towards either shoulder, leading with the ear. Softly tense the neck muscles. Hold this for 5 seconds. Return your head to the center and repeat on the other shoulder. Carry out 5 repetitions. 4. Neck turn turn your head to one side as far as it remains comfortable, being sure to keep your chin at a level height. Tense your neck muscles for 5 seconds. Return the head to a central position. Repeat on the opposite side. Repeat this exercise 5 times on each side. For this homeopathic treatment is very effective for more details you can consult me. 

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Dr. B NandaGeneral Physician

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Dear these could be signs of onset of cervical spondylitis due to bad posture involved in too much reading or working on the computer. Some neck exercises my help you. It might be a good idea to check your blood pressure also. You can take an appointment with me for exercises, if you wish. Take care. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Back pain can affect people of any age, for different reasonsas people get older, the chance of developing lower back pain increases, due to factors such as previous occupation and degenerative disk disease. Lower back pain may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdominal and pelvic internal organs, and the skin around the lumbar area. •acute pain starts suddenly and lasts for up to 6 weeks. •chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems. Home advise: •resting from strenuous activity can help, but moving around will ease stiffness, reduce pain, and prevent muscles from weakening. •applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain. •as the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles. Techniques for improving posture may also help. •the patient will be encouraged to practice the techniques regularly, even after the pain has gone, to prevent back pain recurrence. Regular exercise helps build strength and control body weight. Guided, low-impact aerobic activities can boost heart health without straining or jerking the back. Before starting any exercise program, talk to a health care professional. There are two main types of exercise that people can do to reduce the risk of back pain: •core-strengthening exercises work the abdominal and back muscles, helping to strengthen muscles that protect the back. •flexibility training aims at improving core flexibility, including the spine, hips, and upper legs. We suggest you to wear lumbosacral corset (belt) which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Uses of lumbosacral corset (belt) a lumbosacral corset adds pressure to the intra-abdominal area. This adds stability to the spine. It is prescribed to people suffering from moderate to severe pain. Other benefits of using a lumbar spine belt are: 1.helps in a certain degree of immobilization of facet joints. 2.reduces pain to allow continuation of normal activities. 3.speeds up the healing process. 4.the pressure exerted by a lumbar spine belt helps in stretching the erector spine muscles. 5.this belt can also be used to support the lower back while exercising. Ohelps prevent rolling oprovides stability to lumbar and sacral regions of the back ocan be used when performing actions like lifting and handling heavy items ocan also be used when playing sports orestricts back movement to aid treatment of back problems do’s and don’ts sitting do: • sit as little as possible and then only for short periods. • place a supportive towel roll at the belt line of the back especially when sitting in a car. • when getting up from sitting, keep the normal curves in your back. Move to the front of the seat and stand up by straightening your legs. Avoid bending forward at the waist. • try to keep the normal curves in your back at all times. Don’t: • do not sit on a low soft couch with a deep seat. It will force you to sit with your hips lower than your knees and will round your back. You will loose the normal curve in your back. • do not place your legs straight out in front of you while sitting (e.g. Sitting in the bath tub). Standingdo: • if you must stand for a long period of time, keep one leg up on a foot stool. • adapt work heights. Don’t: • avoid half bent positions. Lifting avoid lifting if you can. Do: • use the correct lifting technique. Keep your back straight when lifting. Never stoop or bend forward. Stand close to the load, have a firm footing and wide stance. Kneel on one knee, keeping the back straight. Have a secure grip on the load and lift by straightening your knees. Do a steady lift. Shift your feet to turn and do not twist your back. Don’t: • do not jerk when you lift. • do not bend over the object you are lifting. Lying do: • sleep on a good firm surface. • if your bed sags, use slats or plywood supports between the mattress and base to firm it. You also can place the mattress on the floor, a simple but temporary solution. • you may be more comfortable at night when you use a pillow for support. Don’t: • do not sleep on your stomach unless advised to do so by your doctor or physical therapist. Bending forward do: • keep the natural curves of your back when doing these and other activities: making a bed, vacuuming, sweeping or mopping the floor, weeding the garden or raking leaves. Coughing and sneezing do: • bend backwards to increase the curve of your back while you cough or sneeze. Driving a car do: • drive the car as little as possible. It is better to be a passenger than to drive yourself. • move the seat forward to the steering wheel. Your seat must be close enough to the wheel to keep the natural curves of your back. If your hips are lower than your knees in this position, raise yourself by sitting on a pillow. Exercises for low back pain safety guidelines • an increase in your low back pain can be expected with these exercises. This is acceptable as long as your leg symptoms are not increasing. • if while doing these exercises, your pain worsens or you have new pain or symptoms, stop the exercises and discuss your symptoms with your doctor or physical therapist. • stop exercising and let your doctor or physical therapist know right away if you have any change in your bowel or bladder control or any increase in weakness in your leg or foot. Exercises ‰ •press-ups: keep your back and buttocks relaxed and use your arms to press up. Concentrate on keeping your hips down and push up your upper body as high as possible. •double knee to chest: grasp both your knees with your hands and pull toward your shoulders. Hold the stretch for 1 second. Let your knees return, but keep them bent at arms length. ‰ •lumbar spine stretches: lie on your back. Bring your knees towards your chest. Rotate your knees towards the pain. •side-lying position: lie on your side and face forward. Have both arms straight in front and bend your knees. Turn your head as you move your top arm across your body as far as you can. Keep your arm in place and turn your head back to the starting position. Look back again and turn your head farther if you can. Bring your head and arm back to the starting position. Relax and repeat 10 times on each side. •hamstring stretch: lie on your back with your legs out straight. Raise your leg up and put your hands around the upper leg for support. Slowly straighten the raised knee until you feel a stretch in the back of the upper leg. Hold, then relax and repeat 10 times on each leg. •standing arch: stand with your feet apart and hands on the small of your back with fingers pointing backwards. Bend backwards at the waist, supporting the trunk with your hands. Keep your knees straight. Hold for 5 seconds. Repeat 3 to 5 times. Side glides: stand at a right angle to the wall about 2 feet o eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly. posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep angle. 

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