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Overview

Spondylitis - Symptom, Treatment And Causes

What is Spondylitis?

Arthritis of the spine is called Spondylitis. Pain and stiffness that starts from the neck and continues up to the lower back is called spondylitis. It may also result in deformity of the spine leading to a stooped posture. Spondylitis is a condition that is debilitating and prevents one from performing the normal day to day activities.

Spondylitis affects a number of people irrespective of age or gender. Besides the pain, stiffness, bony growths on the spine, pain in ligament and tendons, a person may suffer from other conditions like fatigue, fever, loss of appetite, redness of eyes.

Compliactions :

Complications that arise out of spondylitis include uvetis, compression fractures and heart problems. Uvetis is a condition where there is eye pain due to spondylitis, along with decreased vision, blurring, redness and light sensitivity. Compression fractures happen in the vertebrae and they crumble causing difficulty breathing. Heart problems are caused due to spondylitis affecting the aorta or the largest artery in the body and this can affect the aortic valve in the heart.

The cause of spondylitis has not yet been discovered. Yet there is a strong genetic link with the gene HLA – B27. People who have defect in this gene suffer from spondylitis. However, people without any malfunction in the gene also suffer from this condition.

Persons who are suffering from spondylitis can visit an orthopaedic for relief from this condition. Doctors will perform various tests to diagnose the condition. Some of the tests conducted are lab tests, measurement of chest, x-ray of chest and physical examination.

Treatment

Treatment for spondylitis does not exist, it can only be managed. Patients are prescribed medicines to relieve the pain in the joints and the spine. They are also provided treatment to avoid deformity of the spine, stiffness, and maintain the ability to do day to day activities.

Physical and occupational therapy is provided to patients in the early stages of spondylitis. Exercise is also recommended for patients to remove the stiffness and strengthen the muscles. Swimming is the best form of exercise for spondylitis patients.

In advanced stages surgery is the only option. People who have spondylitis can be treated with knee or hip replacement surgery. These surgeries provide permanent relief to spondylitis patients.

Spondylitis is a disabling condition that needs advanced treatment and medications. Proper diagnosis is necessary to identify the condition and provide relief to the patient as he suffers from pain day in and day out.

Can't be cured Usually self diagnosable Lab test not required Chronic: can last for years or be lifelong Non communicable
Symptoms
Pain in the affected areas Muscle spasms

Popular Health Tips

Ankylosing Spondylitis - What Are The Causes?

MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Ankylosing Spondylitis - What Are The Causes?

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.

3524 people found this helpful

Spondylitis - Can Non Surgical Methods Help You?

FIPP ( UK ), DA, MBBS
Pain Management Specialist, Navi Mumbai
Spondylitis - Can Non Surgical Methods Help You?

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

  1. Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
  2. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
    1. Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
    2. Opiates, for example, hydrocodone, for pain relief
    3. Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
    4. Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  3. Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
    1. Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
    2. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
    3. Exercise routinely to help you recover quickly.
    4. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  4. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  5. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
  6. Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  7. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age. If you wish to discuss about any specific problem, you can consult a pain management specialist.
4110 people found this helpful

Causes of Spondylitis - How Can it Be Treated?

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Causes of Spondylitis - How Can it Be Treated?

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. If you wish to discuss any specific problem, you can consult an orthopedist.

4090 people found this helpful

Arthritis - 6 Foods You Must Avoid!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Arthritis - 6 Foods You Must Avoid!

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.

  1. Fried food: Fried and processed food is packed with too much of salt in order to better preserve it so that it has longer shelf life. Also, the use of oil in order to deep fry can have a detrimental effect on the inflammation that is already causing problems for your joints. Therefore, it is best to avoid fried, fatty and processed or packaged food that has been frozen for too long.
  2. AGEs: When we speak of AGEs, we are not talking about the number of birthdays that you have celebrated. AGEs are actually Advanced Glycation End products that are a toxin released by food when it is heated, grilled, fried or pasteurised. These toxins can render damage to the proteins in your body. Once this process starts, the body retaliates by sending forth cytokines which are basically inflammatory messengers. This can lead to inflammation and arthritis.
  3. Sugar: Sugar and other refined carbs also have a large amount of AGEs as discussed above. These types of food should also be avoided by patients suffering from arthritis. Also, artificially sweetened drinks and too many baked goodies should be avoided by these patients.
  4. Dairy products: Owing to a certain kind of protein that most dairy products contain, these kinds of food are considered harmful for patients of arthritis. These proteins can encourage inflammation and irritation of the tissue that surrounds your joints. Switching to a vegan diet is considered helpful for arthritis patients.
  5. Alcohol: Excessive drinking is a major problem that can aggravate your arthritis situation. Smoking and drug abuse also leads to such problems. Drinking excessively can lead to the development of gout.
  6. Corn oil: This kind of oil is a part of most packaged, processed and fried food. It also leads to inflammation. Arthritis patients should switch to omega fatty three oils which can be found in fish.

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.

4487 people found this helpful

Dislocated Kneecap Symptoms and Treatment

M. Ch. (Orthopedic), MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Gurgaon
Dislocated Kneecap   Symptoms and Treatment

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.

Symptoms:

The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:

  1. Buckling of the knee, where your legs cannot support your body weight

  2. Sliding of the kneecap to a side

  3. Catching of the knee in the groove when trying to move it

  4. Pain in the front of the kneecap with any activity

  5. Painful while sitting

  6. Swelling and/or stiffness of the knee joint

  7. Crackling/creaking sound when trying to move the knee joint

  8. Inability to straighten the leg

Treatment:

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:

  1. Immobilizing the knee with splint by keeping the leg in a straightened position.

  2. 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.

  3. 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.

  4. Surgical correction may not be required, if there is a damage to the ligament.

  5. Flat femur and/or tissue laxity can cause repeated dislocations, where physiotherapy and strengthening exercises are useful. If you wish to discuss about any specific problem, you can consult a physiotherapist.
2725 people found this helpful

Popular Questions & Answers

Hi, I have been suffering from cervical spondylitis for past 2-3 years. Please advise that what is cause of this and what treatment will be best for me-physiotherapy, chiropractic or any other treatment available?

MBBS, AFRCSI, FRCS - Trauma & Orthopedic
Orthopedist, Chennai
Would suggest physio in the first intance for neck strengthening exercises. If symptoms persist consult an orthopaedic surgeon.

Hello sir, I want to know does ozone therapy is legal or having any side effect. Can spondylitis is curable with this?

M.S. Orthopedic
Orthopedist, Allahabad
Don't go for it, it is out dated and having potential complications now no good doctor perform it but it is not illegal.

My father aged 65 is suffering from L5 lumbar spondylosis pain. The doctor we consulted only gave a belt to wear. Although he has been wearing the belt for about a month there is no improvement. We also have to be cautious of using painkillers and exercise as he has hypertension as well as only one functioning kidney. Please advice.

Clinical Fellowship in Spine Surgery, DNB (Orthopedics), MS Orthopedics, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Pune
Hello If there is no response to conservative treatment, we need to evaluate your father with a detail clinical evaluation. I agree that use of pain killers may be risky in case of having a single functioning kidney. Don't worry, we can take care of your father's spine problem.

Table of Content

What is Spondylitis?

Compliactions :

Treatment

Play video
Causes and Treatments of Cervical Spondylitis
Here are some treatments and causes of cervical spondylitisCauses and Treatments of Cervical Spondylitis

Hi friends! I m Dr. Sumit Dhawan, MD in Homeopathy. I m here to help you to get rid of all your problems with the goodness of Homeopathy and in the most natural and effective way of healing. The topic of today is cervical spondylitis. Cervical spondylitis, back pain and shoulder pain, is a very common problem today.Thousands of people are suffering from it today and, they are not getting a proper cure especially after the age of 30s and 40s. You generally develop a pain in your shoulder, in your back and you are helpless as you are not getting permanent relief from this problem. If this problem is acute, it can be managed within two three days but if it becomes chronic, then it can result into various problems like spondylosis.

Spondylosis is change in your spine, bone changes in your spine and when they occur we call it spondylosis and it can also lead to vertigo. If these muscles are stiff and 99% of the vertigo which is happening today, the cause, for that is, cervical spondylitis only. I would like to tell you homeopathy has a very good role in treating this problem and in a very simple way, in a most natural way. You ll be getting relief from this problem with a goodness of Homeopathy.

I would like to tell you the basic causes of cervical spondylitis. Stress in people which they are having today, i.e, stress at their workplace, the stress at the schools, the stress is everywhere the person is working. You are working at the laptops, at the computers, and without realizing that you are giving strain to your muscles of your neck and shoulder. You have been working continuously and you don t realize that you are injuring your muscles directly and as a result of continuous injury, repetitive injury, you develop a pain in your shoulder and neck.

If you want to get rid of this problem, there are basic ways on your part as well as on my part which I have got to help you. On your part, you must do some basic exercises like butterflies excercise, yoga, pranayama, and that is on your part which will just increase your circulation and help you get healing your injured muscles. The inflammation which is there but if the inflammation is more you need to a have medical intervention. In modern science, you get pain killers and the things which have got side effects but still you are not able to get relief permanently, they might help you temporarily but on a longer run, they will never help you on a longer run because they just help you temporarily. Till the time you are taking the painkiller , you are going to get relief and once you stop taking the pain killer, you ll get the pain back again and the role of homeopathy comes here when you are getting the pain repetitively and you are not getting cured of your problem, homeopathy helps you.

Homeopathy is there to help you always. And I m there to guide you how you can take homeopathy and this. When these muscles are fatigue, when these muscles are injured, homeopathy helps you to give your body enough strength to recover, basically. And when we use homeopathic medicines basically the pain also gets reduced. How? Because the inflammation which is there we give enough strength to our body to recover. If your body has enough strength to recover, it will definitely help to reduce down the pain, reduce down the inflammation. Once the inflammation is lesser, the pain automatically goes away.

There are various homeopathic medicines which are available, which you can take under the guidance of a Doctor and you can always ask me as well, how to take them and how to have a healthier lifestyle, and a problem free neck and shoulder. I m always there to help you. I do sign off for today. I would like to tell you we have been treating cervical spondylitis patients and spondylosis patients as well with vertigo and without vertigo and permanently getting relief from vertigo which is a very big thing in today s scenario with the help of Homeopathic medicines only . The patients recover within a week, within two three days if the pain is acute, patients with chronic problem also get relief within a week that s a very good thing for our health industry and people should take benefit out of this and I m always there to help you.

I m available at my clinic in Malviya Nagar and as well as online and we are working with Lybrate. Platform like this is a boon for the patients and they can take benefit from us. All the best guys! If you need any help, just let me know.


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