What is Ankylosing spondylitis ?
Ankylosing spondylitis is a form of arthritis which affects the spine. It is characterized by stiffness and pain from the lower back to the neck. The vertebrae(spinal bone) fuse together resulting in a rigid bone. Early treatment and diagnoses helps to control stiffness and pain. It can also prevent or reduce significant deformity. Ankylosing spondylitis can have signs such as pain, stiffness, bony fusion and pain in the tendons & ligaments. Yet as such the symptoms of the condition is not limited to the joints.
Causes of Ankylosing Spondylitis
The cause of Ankylosing Spondylitis have not been determined yet. Despite such, some researchers say that there is a strong hereditary link. The HLA-B27 gene is said to be particularly responsible for this condition. But then again statistics found that 10 % people who have this condition also show no symptoms of the condition.
Diagnosing the condition
It is difficult to diagnose the condition with general diagnostic testing such as physical and symptomatic testing. Other diagnostic procedures such as X-rays of the pelvis and the back, measuring the chest while the patient breathes, lab tests infer comparably more confirmative results. A general physician should be initially approached if one experiences or entertains suspicions of the condition’s symptoms. He/she would direct you to a concerned specialist when required.
How is the condition treated?
Unfortunately there is yet no cure for Ankylosing Spondylitis, yet clinical research is in progress. Despite such symptomatic treatments have been observed to reduce discomfort and improve functional abilities. Such treatments aim to abate pain, rigidity, persisting stiffness, regain posture and stance and many cases prevent deformity. Many patients, after such treatments have reportedly been able to resume normal activities with relative ease. Generally a team of physicians comprising of doctors, physical and occupational therapist tend to the patients.
Physical and occupational therapy is found to be very helpful and important to maintain functional abilities of the body and minimize severe deformities. Therapists also suggest customized exercised regimes. Breathing techniques and swimming are the most advised form of exercises.
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. If you wish to discuss about any specific problem, you can consult a Rheumatologist.
Arthritis is a painful joint condition that leads to pain and stiffness as well as lack of proper mobility due to inflammation and swelling. Usually, an orthopaedic specialist will prescribe anti-inflammatory and pain relieving medication for this condition, but there are various things that you can do to ensure that this condition does not become a debilitating one in the long run. One of the best ways of doing this is by limiting your diet in certain ways when it comes to inflammation producing food.
Here are a few types of food to avoid if you are suffering from arthritis.
Taking care of your body is a matter of maintaining a good diet with lots of activity that will be congenial for your condition. This will also help in keeping the painful symptoms of arthritis away. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Whether you are an athlete or a ballet dancer, you will appreciate the importance of having a stable kneecap. Medically known as the patella, the kneecap is a triangular bone that connects the upper thigh to the lower half of the leg. It sits in a groove in the bottom of the femur (thigh bone). When the leg is bent, it stays within the groove. When the leg is extended, it provides support to the quadriceps muscles.
That being the case, a dislocation of the kneecap is a very common injury. Subluxation is a state where there is partial movement of the kneecap out of its position, thereby making the patient’s kneecap unstable. When it completely moves out of its place, it is known as dislocation. Whether you fall on your knees during a sport or have a fall from a bike or get injured during dance or aerobics, it is common to have a dislocated kneecap. Some people are prone to repeated dislocations.
The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:
Buckling of the knee, where your legs cannot support your body weight
Sliding of the kneecap to a side
Catching of the knee in the groove when trying to move it
Pain in the front of the kneecap with any activity
Painful while sitting
Swelling and/or stiffness of the knee joint
Crackling/creaking sound when trying to move the knee joint
Inability to straighten the leg
Though these sound scary, the good news is that in 90% of the cases, the knee returns to its position spontaneously. However, putting it back into its place is a simple and safe procedure and can be done by almost any seasoned medical practitioner. The first step is to confirm that the kneecap is indeed dislocated. This can be done by a combination of physical exercise and x-ray. If required, MRI can be used, but it is not required in most cases. Initial treatment would include the following steps in sequence:
Immobilizing the knee with splint by keeping the leg in a straightened position.
Calling for medical assistance immediately. They can replace the knee back in its position carefully (reduction). An injured kneecap can cause what is known as foot drop by putting pressure on the peroneal nerve. The toes drag on the ground, making it difficult for you to walk.
Use ice in the affected area for 15 to 20 minutes, and repeat after three to four hours throughout the day to reduce pain and swelling.
Surgical correction may not be required, if there is a damage to the ligament.
Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:
Help the hip joint work better
Improve walking and other movements.
Who Should Have Hip Replacement Surgery?
The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:
Osteonecrosis (a disease that causes the bone in joints to die)
Injury of the hip joint
Bone tumors that break down the hip joint.
Your doctor will likely suggest other treatments first, including:
Walking aids, such as a cane
An exercise program
These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x-ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.
Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.
An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.
An equipment is then used to remove the ball socket of the joint by cutting the thighbone.
The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.
Once the joint is fixed, the ball of the thighbone is then put in the hip socket.
The fluids from the incision area are then allowed to drain.
The hip muscles are then put in place and the incision is closed.
After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.
It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support. If you wish to discuss about any specific problem, you can consult a orthopedist.
The problem of morning back and neck pain may be due to the position of sleeping or it may be related to inflammatory arthritis which can be familial. Morning back pain is largely related to wrong sleeping posture and less commonly due to arthritic conditions like Ankylosing Spondylitis or Rheumatoid Arthritis. Whatever be the cause- this condition requires attention by an Orthopedic doctor as it may worsen in due course of time and should not be taken lightly.
Some common factors causing this are:
Remedies for Morning Back Pain:
Fortunately, there are some home remedies to cure the morning back pain.
What is Ankylosing spondylitis ?
Causes of Ankylosing Spondylitis
How is the condition treated?