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Ankylosing Spondylitis Tips

Ankylosing Spondylitis - How Homeopathy Can Help?

Dr. Mahesh Kakda 89% (22 ratings)
MD - Homeopathy, MSc COUNSELLING AND PSYCHOTHERAPY, BHMS
Homeopath, Hyderabad
Ankylosing Spondylitis - How Homeopathy Can Help?

The backbone (spine) has smooth movement with smooth intervertebral disks. However, this fluid movement can be limited due to arthritis, which can happen due to many reasons – genetic to age to injury to infection to tumors. The lower back has two sets of spinal disks – sacral and iliac. This sacroiliac region has an elastic vertebral tissue. This could be gradually replaced with hard bone, which can cause fusion between the disks. Such a condition is known as ankylosing spondylitis (fusing disk spaces), which is a type of arthritis.

The typical symptoms of ankylosing spondylitis (AS) are morning pain and stiffness in the low back and upper buttocks, which gradually decrease as the day goes by. The symptoms usually start and continue to gradually worsen over a period of 3 to 6 months. In severe cases, there could be spinal fractures, but in most cases, pain, stiffness and reduced movement are the main complaints.

Why homeopathy for AS (Ankylosing spondylitis)?

Major benefits of homeopathy could be summarized as under:

  1. It addresses altered immune system, treating the roots of this autoimmune disease.

  2. It helps in pain control without side effects.

  3. It aims at disease control.

  4. It is absolutely safe even if used for a long time.

Homeopathic medicines are prescribed on the basis of individual case evaluation by taking into account patient’s genetic, immunological and psychological parameters. It is safe and effective as a long-term therapy. It reduces pain, improves mobility and most importantly, controls the disease. It has no adverse effects.

Homeopathy helps AS patients by acting on the immune system, which is usually overactive in these people. Depending on the presenting symptoms, the doctor will prescribe a customized regimen for the patient.

  1. Rhus Tox: This is the first medicine of choice when the patient experiences sacral/lumbar area pain that is worse at rest, with sitting, or after a period of inactivity. The pain radiates down the legs to the foot. Walking or any other activity/motion provides relief from the pain.

  2. Aesculus: This is indicated in patients who have extremely painful and stiff low back and hips. The pain is a constant ache and there is discomfort with trying to rise from a seat, stooping, and walking, where greater effort is required. There is a feeling that the legs would give way, adding to resistance while walking.

  3. Kalmia: This is used in patients where the back pain and stiffness are accompanied by a warm, numb, and prickly sensation. Low back pain and neck pain is associated with a burning sensation. The pain appears in sudden bursts in the early parts of the night and travels down the arm or up into the scapula.

  4. Kali Carb: This is indicated where there is extreme weakness along with AS symptoms of pain and stiffness in the lumbosacral back area. The patient feels like he is going through a paralytic attack and must lie down to rest. This is a feeling similar to a broken back, and can extend up into the neck or down to the legs. The symptoms are more severe in the early morning hours. Changing positions in the bed worsens the pain.

If you or someone else is suffering from AS symptoms, give homeopathy a try.

4457 people found this helpful

Factors That Can Cause Ankylosing Spondylitis!

Dr. Himanshu Aggarwal 92% (12 ratings)
MBBS, MD - Medicine, DNB - Rheumatology, Fellowship In Rheumatology
Rheumatologist, Delhi
Factors That Can Cause Ankylosing Spondylitis!

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.

2 people found this helpful

How Ayurveda Can Help Manage Ankylosing Spondylitis?

Dr. Vaibhav Godse 86% (71 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Nashik
How Ayurveda Can Help Manage Ankylosing Spondylitis?

Ankylosing spondylitis (AS) is a type of arthritis that affects the spine. This chronic disease is caused due to inflammation of the joints in the spine and usually affects young men. It causes the vertebrae to grow or fuse together, causing a rigid spine. Actually, it affects the discs in between the vertebral column. These discs get swollen, causing a limitation of spine motility. It is an autoimmune disorder and its symptoms are lower back pain and stiffness, which usually moves to the legs.

  • The deformity due to AS can be mild or severe. In extreme cases, the patient gets a stooped spine. 
  • Early diagnosis can prevent significant deformity as well as help in controlling the pain and stiffness.
  • Allopathy doesn’t really know the real reasons for this disease and here is where Ayurveda scores.
  • According to Ayurveda, AS is caused due to aggravated vata or wind, which causes an imbalance in vata dosha.

Ayurvedic treatment
Ayurvedic treatment starts with detoxification and elimination of toxins. It relies heavily on the right diet and lifestyle as well as Ayurvedic herbal preparations. The panchakarma techniques called kati vasti, sarvangadhara and patrapinda svedana are very beneficial too. The basic explanation for the disorder is that AS occurs due to an accumulation of ama or toxins in the body. Where ever ama deposits in the body, pain is caused. Ayurvedic treatments aim at digesting the ama by using herbs as medicine and balancing the aggravated vata.

  1. Herbs used in the treatment of AS are dry ginger (saunth), guggul, turmeric, fenugreek, ashwagandha and giloy. Gugul, curcumin, amlaki, haritaki, and ashwagandha are all very effective in treating AS.
  2. Avoid getting constipated and ensure proper evacuation of bowels.
  3. Include ghee in your diet for lubrication and for lowering the vata dosha.
  4. Apply heat on the affected areas to control the pain and stiffness.
  5. Eat light foods and strictly avoid oily foods and curd which increase ama.
  6. Avoid sleeping during the daytime.
  7. Yoga asanas like pawana muktasana, bhujangasana, dhanurasana, paschimottanasana and vakrasana should be practised regularly.
  8. The practice of pranayamas such as and shodhana, chandrabhedi sheethali and bhramari also helps.
  9. Chewing 2–3 raw garlic buds on an empty stomach in the morning with water helps in alleviating lumbar pain in AS.
  10. Use a powdered preparation of dried ginger root, celery seeds and cumin seeds in equal quantities with rock salt for taste, and have one teaspoon of this mixture with warm water at bedtime to reduce flatulence as well as lumbar stiffness.
3183 people found this helpful

Ankylosing Spondylitis - Homeopathy Can Help Treat It?

Dr. Kanchan Mittal 85% (34 ratings)
BHMS
Homeopath, Ghaziabad
Ankylosing Spondylitis - Homeopathy Can Help Treat It?

The backbone (spine) has smooth movement with smooth intervertebral disks. However, this fluid movement can be limited due to arthritis, which can happen due to many reasons – genetic to age to injury to infection to tumors. The lower back has two sets of spinal disks – sacral and iliac. This sacroiliac region has an elastic vertebral tissue. This could be gradually replaced with hard bone, which can cause fusion between the disks. Such a condition is known as ankylosing spondylitis (fusing disk spaces), which is a type of arthritis.

 

The typical symptoms of ankylosing spondylitis (AS) are morning pain and stiffness in the low back and upper buttocks, which gradually decrease as the day goes by. The symptoms usually start and continue to gradually worsen over a period of 3 to 6 months. In severe cases, there could be spinal fractures, but in most cases, pain, stiffness and reduced movement are the main complaints.

Why homeopathy for AS (Ankylosing spondylitis)?

Major benefits of homeopathy could be summarized as under:

  1. It addresses altered immune system, treating the roots of this autoimmune disease.

  2. It helps in pain control without side effects.

  3. It aims at disease control.

  4. It is absolutely safe even if used for a long time.

Homeopathic medicines are prescribed on the basis of individual case evaluation by taking into account patient’s genetic, immunological and psychological parameters. It is safe and effective as a long-term therapy. It reduces pain, improves mobility and most importantly, controls the disease. It has no adverse effects.

Homeopathy helps AS patients by acting on the immune system, which is usually overactive in these people. Depending on the presenting symptoms, the doctor will prescribe a customized regimen for the patient.

  1. Rhus Tox: This is the first medicine of choice when the patient experiences sacral/lumbar area pain that is worse at rest, with sitting, or after a period of inactivity. The pain radiates down the legs to the foot. Walking or any other activity/motion provides relief from the pain.

  2. Aesculus: This is indicated in patients who have extremely painful and stiff low back and hips. The pain is a constant ache and there is discomfort with trying to rise from a seat, stooping, and walking, where greater effort is required. There is a feeling that the legs would give way, adding to resistance while walking.

  3. Kalmia: This is used in patients where the back pain and stiffness are accompanied by a warm, numb, and prickly sensation. Low back pain and neck pain is associated with a burning sensation. The pain appears in sudden bursts in the early parts of the night and travels down the arm or up into the scapula.

  4. Kali Carb: This is indicated where there is extreme weakness along with AS symptoms of pain and stiffness in the lumbosacral back area. The patient feels like he is going through a paralytic attack and must lie down to rest. This is a feeling similar to a broken back, and can extend up into the neck or down to the legs. The symptoms are more severe in the early morning hours. Changing positions in the bed worsens the pain.

If you or someone else is suffering from AS symptoms, give homeopathy a try. In case you have a concern or query you can always consult an expert & get answers to your questions!

4174 people found this helpful

5 Exercises For Managing Ankylosing Spondylitis!

Dr. Ranjana Arora 87% (217 ratings)
B.P.T, M.P.T(ORTHO), Certification In Gym Instructor & Prenatal & Post Natal
Physiotherapist, Gurgaon
5 Exercises For Managing Ankylosing Spondylitis!

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.
  • YogaYoga 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.

 In case you have a concern or query you can always consult an expert & get answers to your questions!


 

3304 people found this helpful

Ankylosing Spondylitis - Top Homeopathy Remedies For It!

Dr. Vishal Shah 88% (137 ratings)
BHMS
Homeopath, Ahmedabad
Ankylosing Spondylitis - Top Homeopathy Remedies For It!

The backbone (spine) has smooth movement with smooth intervertebral disks. However, this fluid movement can be limited due to arthritis, which can happen due to many reasons – genetic to age to injury to infection to tumors. The lower back has two sets of spinal disks – sacral and iliac. This sacroiliac region has an elastic vertebral tissue. This could be gradually replaced with hard bone, which can cause fusion between the disks. Such a condition is known as ankylosing spondylitis (fusing disk spaces), which is a type of arthritis.

The typical symptoms of ankylosing spondylitis (AS) are morning pain and stiffness in the low back and upper buttocks, which gradually decrease as the day goes by. The symptoms usually start and continue to gradually worsen over a period of 3 to 6 months. In severe cases, there could be spinal fractures, but in most cases, pain, stiffness and reduced movement are the main complaints.

Why homeopathy for AS (Ankylosing spondylitis)?

Major benefits of homeopathy could be summarized as under:

  1. It addresses altered immune system, treating the roots of this autoimmune disease.

  2. It helps in pain control without side effects.

  3. It aims at disease control.

  4. It is absolutely safe even if used for a long time.

Homeopathic medicines are prescribed on the basis of individual case evaluation by taking into account patient’s genetic, immunological and psychological parameters. It is safe and effective as a long-term therapy. It reduces pain, improves mobility and most importantly, controls the disease. It has no adverse effects.

Homeopathy helps AS patients by acting on the immune system, which is usually overactive in these people. Depending on the presenting symptoms, the doctor will prescribe a customized regimen for the patient.

  1. Rhus Tox: This is the first medicine of choice when the patient experiences sacral/lumbar area pain that is worse at rest, with sitting, or after a period of inactivity. The pain radiates down the legs to the foot. Walking or any other activity/motion provides relief from the pain.

  2. Aesculus: This is indicated in patients who have extremely painful and stiff low back and hips. The pain is a constant ache and there is discomfort with trying to rise from a seat, stooping, and walking, where greater effort is required. There is a feeling that the legs would give way, adding to resistance while walking.

  3. Kalmia: This is used in patients where the back pain and stiffness are accompanied by a warm, numb, and prickly sensation. Low back pain and neck pain is associated with a burning sensation. The pain appears in sudden bursts in the early parts of the night and travels down the arm or up into the scapula.

  4. Kali Carb: This is indicated where there is extreme weakness along with AS symptoms of pain and stiffness in the lumbosacral back area. The patient feels like he is going through a paralytic attack and must lie down to rest. This is a feeling similar to a broken back, and can extend up into the neck or down to the legs. The symptoms are more severe in the early morning hours. Changing positions in the bed worsens the pain.

If you or someone else is suffering from AS symptoms, give homeopathy a try.

Spondyloarthritis - Ways It Can Be Diagnosed

MBBS Bachelor of Medicine and Bachelor of Surgery, D.Ortho
Orthopedist, Chennai
Spondyloarthritis - Ways It Can Be Diagnosed

The bones and joints orchestrate very well with each other for smooth movements of the various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby limiting movement.

Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

  1. The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
  2. Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
  3. ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
  4. Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
  5. Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
  6. In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
  7. Exercise plays a very vital role in controlling the issue and improving range of motion.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3891 people found this helpful

What Are The Treatment For Ankylosing Spondylitis (AS)?

Dr. Ankur Kumar 91% (7665 ratings)
B.A.M.S, Diploma In Nutrition & Health Education (DNHE, PG Diploma In Hospital Managment
Ayurveda, Delhi
What Are The Treatment For Ankylosing Spondylitis (AS)?

Ankylosing spondylitis (AS) is a type of arthritis that affects the spine. This chronic disease is caused due to inflammation of the joints in the spine and usually affects young men. It causes the vertebrae to grow or fuse together, causing a rigid spine. Actually, it affects the discs in between the vertebral column. These discs get swollen, causing a limitation of spine motility. It is an autoimmune disorder and its symptoms are lower back pain and stiffness, which usually moves to the legs.

  • The deformity due to AS can be mild or severe. In extreme cases, the patient gets a stooped spine. 
  • Early diagnosis can prevent significant deformity as well as help in controlling the pain and stiffness.
  • Allopathy doesn’t really know the real reasons for this disease and here is where Ayurveda scores.
  • According to Ayurveda, AS is caused due to aggravated vata or wind, which causes an imbalance in vata dosha.

Ayurvedic treatment
Ayurvedic treatment starts with detoxification and elimination of toxins. It relies heavily on the right diet and lifestyle as well as Ayurvedic herbal preparations. The panchakarma techniques called kati vasti, sarvangadhara and patrapinda svedana are very beneficial too. The basic explanation for the disorder is that AS occurs due to an accumulation of ama or toxins in the body. Where ever ama deposits in the body, pain is caused. Ayurvedic treatments aim at digesting the ama by using herbs as medicine and balancing the aggravated vata.

  1. Herbs used in the treatment of AS are dry ginger (saunth), guggul, turmeric, fenugreek, ashwagandha and giloy. Gugul, curcumin, amlaki, haritaki, and ashwagandha are all very effective in treating AS.
  2. Avoid getting constipated and ensure proper evacuation of bowels.
  3. Include ghee in your diet for lubrication and for lowering the vata dosha.
  4. Apply heat on the affected areas to control the pain and stiffness.
  5. Eat light foods and strictly avoid oily foods and curd which increase ama.
  6. Avoid sleeping during the daytime.
  7. Yoga asanas like pawana muktasana, bhujangasana, dhanurasana, paschimottanasana and vakrasana should be practised regularly.
  8. The practice of pranayamas such as and shodhana, chandrabhedi sheethali and bhramari also helps.
  9. Chewing 2–3 raw garlic buds on an empty stomach in the morning with water helps in alleviating lumbar pain in AS.
  10. Use a powdered preparation of dried ginger root, celery seeds and cumin seeds in equal quantities with rock salt for taste, and have one teaspoon of this mixture with warm water at bedtime to reduce flatulence as well as lumbar stiffness.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3334 people found this helpful

Spondyloarthritis - Ways It Can Be Treated!

Dr. Ashwani Maichand 85% (48 ratings)
Fellowship in Joint Replacement , M.Ch , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Spondyloarthritis - Ways It Can Be Treated!

The bones and joints orchestrate very well with each other for smooth movements of various joints and the spine. However, due to various reasons, some identified and others unknown, there could be inflammation of the areas where the bones join the muscles leading to impaired movement. The range of motion could be reduced or it could be painful, thereby, limiting movement. Spondyloarthritis includes a group of inflammatory diseases that involves the bones and joints and enthuses which are areas where the ligaments and tendons attach to the bones. This causes conditions like plantar fasciitis, ankylosing spondylitis, psoriatic arthritis and reactive arthritis. The term spondyloarthritis is a blanket term to describe any of the above-mentioned conditions.

Read on to know a little more in detail about it:

Causes: While the exact etiology is not identified for sure, most patients with spondyloarthritis have an autosomal dominant gene (HLA-B27). Chronic infections could trigger the onset of the disease too.

Symptoms:

1. In all forms of spondyloarthritis, there is always inflammation of the spine, joints and entheses. If the fingers or toes are involved, there could be swelling leading to what are typically known as 'sausage digits'.

2. There is sacroiliitis which is inflammation of the joint between the pelvis and the spine, and spondylitis which is inflammation of the joints between the spines. 3. Family history and autosomal dominant gene.

Diagnosis:

A detailed medical history and physical examination form the cornerstone of a confirmed diagnosis. In addition, radiographic examination and diagnostic blood tests also could be done to confirm the diagnosis. Radiographs, especially, of the spine and the low back show typical changes including sacroilitis in suspected cases of spondyloarthritis. If the spine does not show these changes, but there is a high likelihood of spondyloarthritis, then MRI (magnetic resonance imaging) can be used to confirm the diagnosis.

As a final step, a blood test for the HLA-B27 gene can also be confirmatory. However, it is not true that a person with the gene will definitely develop the disease.

Treatment:

  1. The most important aspect of treatment is the use of pain medications and anti-inflammatory drugs (NSAIDs) which help manage pain and inflammation.
  2. Corticosteroid injections may sometimes be given directly into the joint spaces or the membranes to provide quick relief of these symptoms.
  3. ESWT / RSWT has a definite role to cure enthesopathy. Plantar fasciitis, and achillodynia can be cured with ESWT. Even small joints of hand and feet are amenable to treatment with RSWT. It is nonoperative and noninvasive treatment and has no side effects.
  4. Very rarely, stronger drugs such as methotrexate or sulfasalazine may be used.
  5. Another set of drugs known as TNF-blockers (tumor necrotizing factor blockers) are also shown to be highly effective in controlling the pain of the spine and joints.
  6. In very severe cases, surgery may be required to correct joint damages or correct severe degenerative changes.
  7. Exercise plays a very vital role in controlling the issue and improving range of motion. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3718 people found this helpful

5 Spine Strengthening Exercises for Ankylosing Spondylitis in Water/pool

Dr. Vishwas Virmani 91% (22970 ratings)
MPT, BPT
Physiotherapist, Noida
5 Spine Strengthening Exercises for Ankylosing Spondylitis in Water/pool

 Loss of muscle strength is a feature of AS. Muscles weaken owing to postural deformity and inactivity and the associated pain

Strengthening of the anti-gravity muscle groups and abdominal muscles is important to maintain an erect posture, and it enables everyday activities to be undertaken with greater ease. Example of extensor muscle groups are the cervical, thoracic and lumbar  spine extensors and glutei. 

Exercises can be made harder by extending the lever arm using gravity as a resistance or by adding weights. Strengthening of other important muscle groups such as lumbar side flexors and thoracic rotators should not be omitted. 

These particular muscle groups can be effectively strengthened in the hydrotherapy pool. Strengthening exercises are held for several seconds and repeated at least three times.

 STRENGTHENING EXERCISES

1.SUPINE WITH HANDS HOLDING THE RAIL

Make sure that the neck is supported in a neck float and push the occiput into the water during the exercise. Squeeze a medium-sized ring tightly around the hips or have a woggle or polystyrene floats under the buttocks to keep them elevated. 

 Hold the rail to fix the trunk but not so tight that it aggravates the shoulders and neck.

2.LUMBAR HIP EXTENSORS

A.With straight knees, take both heels down towards the bottom of the pool(hip and lumbar spine extension)

B. Put a float behind the heel of one foot and take that foot down in the water until the foot is just under water. Take the other leg down in the water as far as possible and back up. Keep both knees straight.

3. LUMBAR SIDE-FLEXORSS

Wing the legs as far as possible to each side, side-bending at the waist and keeping knees straight and the pelvis in neutral.

4.HIP ABDUCTORS AND ADDUCTORS 

Take the legs apart into abduction and back together again. Keep knees straight.

5.THORACIC ROTATORS

Bend the knees to 90 degrees, put a float under the soles of the feet and

keep hips in neutral. Keep the knees just under the surface of the water, while

swinging the feet up towards the surface of the water to each side.

1 person found this helpful
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