Ankiloziruyushtiy spondylitis – Bolezny spondylitis

Description sorrows spondylitis

Bolezny spondylitis – chronic inflammatory disease, that causes arthritis of the spine and hips. It can also affect other joints, such as the knees, and may cause inflammation of the eyes, light, or valvular.

Causes of ankylosing spondylitis

Cause sorrows spondylitis is not known. But, most people with ankylosing spondylitis have a common gene marker called HLA-B27. This indicates, that genes play an important role in the development of the disease.

Risk factors for ankylosing spondylitis

Factors, which increase the risk of ankylosing spondylitis:

• Paul: male;
• Age: adolescents and young adults (aged 15-35 years);
• I have a family member with the disease spondylitis;
• Presence of HLA-B27 gene marker;
• Inflammatory bowel disease:
  • Yazvennыy colitis;
  • Crohn's Disease.

The symptoms of ankylosing spondylitis

The severity of symptoms can vary from mild to very severe.

Common symptoms may include:

• Tension and pain (arthritis) in the following locations:
  • Small of the back;
  • Sacroiliac joint, at the junction of the back and hips;
• Pain, which is often worse at night;
• Voltage, increasing the morning;
• The reduction of symptoms during exercise or physical activity;
• Sometimes the pain and stiffness in other joints:
  • Knee;
  • Upper back;
  • Rib cage;
  • Neck;
  • Shoulders;
  • Legs;
• Chest pain, which can cause cardiac failure, heart valve insufficiency (aortic insufficiency) or lung problems;
• Sore eyes, visual changes, uveitis.

Less common symptoms may include:

• Fatigue;
• Loss of appetite or weight loss;
• Fever;
• Numbness.

Diagnosis sorrows spondylitis

The doctor asks about the symptoms and medical history, and performs a physical exam. Diagnosis is based on common symptoms of ankylosing spondylitis, such as:

• Loss of flexibility of the lower back and spine (limited range of motion the lower back);
• Pain in the lower back;
• Limited expansion of the chest when performing deep breaths;

Tests may include:

• Roentgen – to take a picture of the lower back and hips to check for characteristic changes;
• MRT – test, which uses magnetic waves, to make pictures of the joints;
• CT scan – such as X-rays, wherein the computer is used, to make pictures of the joints;
• Blood tests to check:
  • Маркерного гена HLA-B27;
  • Anemia;
  • Presence of other autoimmune markers.

Treatment sorrows spondylitis

Ankylosing spondylitis can not be cured. Treatment is focused on relief of symptoms.

Treatment may include:

Medication

Treatment may include medication to reduce pain and inflammation, such as:

• Nonsteroidal anti-inflammatory drugs (NSAIDs);
• Corticosteroids;
• Basic drugs in rheumatoid arthritis;
• Inhibitors of TNF (eg, adalimumab (Humira), infliximab (Remicaide)).

Physiotherapy

Methods to prevent progression and worsening of symptoms may include:

• Learning proper posture and the best positions for sleeping;
• Performing daily exercise, such as:
  • Exercises for abdominal and back (to reduce back strain and maintaining posture);
  • Stretching exercises;
  • Exercising in the pool;
  • Breathing exercises (in cases, when there is a disorder of the chest).

Operation

In severe cases, surgery is needed or hip joints, for pain relief and restoration of mobility. In some cases, spinalьnaя necessary surgery, to straighten posture.

Prevention sorrows spondylitis

There are no methods for preventing ankylosing spondylitis, because the cause is unknown.