Clinical Treatment of Ankylosing Spondylitis
Most of ankylosing spondylitis begins gradually, little by little. In typical cases at an early stage of the disease the patient complains of the appearance and gradual increase in the dull pain in the lumbosacral spine, radiating to the buttocks and posterior thighs.
The separate injury joints pain localized in the buttocks or sacrum. Initially, the pain from sciatica can be unstable, sometimes radiculitis concerned only with one hand, or alternately, the right, then left. In some cases, the disease debut pain crises, resembling sciatica or sciatica. Over time, the pain of sciatica is bilateral, constant concern both in motion and at rest. It’s characterized by increasing pain in the second half of the night: the patient wakes up with pain.
There have been at radiculitis as morning stiffness, which disappears during the day, and restriction of mobility in the lumbar spine. An objective study in the lumbar region is determined by the smoothness of the physiological lordosis, paraspinal muscle tension and soreness by palpation. Patient radiculitis has difficulty in bending at the waist and torso to the side.
With the time is going on the involvement of the thoracic. The patient radiculitis feels, pain, morning stiffness in the lower thoracic spine. Typical irradiation of pain along with the intercostal space, as with intercostal neuralgia. The examination in the thoracic spine marked enhancement of physiological kyphosis, palpation pain and stress of long back muscles. When torso toward the side bending muscles do not relax - a symptom of "string". In addition, limited rotation, and with the defeat of edge-vertebral joints are reduced respiratory excursions of the chest.
The defeat of the cervical spine occurs at the later stages of the disease, it is characterized by the appearance of pain, morning stiffness, and presence of palpable tenderness, limitation of motion (flexion, leg extension, tilt, and rotation). If the infringement of the nerve roots may have symptoms of cervical radiculitis. Sometimes there is a compression of the vertebral artery passing through the holes in the transverse processes of cervical vertebrae, resulting in growing vertebral failure, which manifests itself headaches, dizziness and nausea. Some patients radiculitis pronounced signs of breast lesions and (or) cervical spine, as well as the simultaneous involvement of the entire spinal column are observed already in the debut of Ankylosing spondylitis.
Combined treatment of Ankylosing spondylitis include:
* Use of anti-inflammatory drugs, vitamins, analgesics, funds, circulation;
* Physiotherapy procedures, physiotherapy, prevent the development of sciatica;
* Massage;
* Gymnastics;
* Acupuncture.
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