Saturday, 2 June 2018

Ankylosing Spondylitis

Ankylosing Spondylitis is disease that causes arthritis of the spine and sacroiliac joints. The sacroiliac joints are located in the low back where the sacrum (the bone directly above the tailbone) meets the iliac bones (bones on either side of the upper buttocks). In a person suffering from AS, joints and ligaments that normally allow the spine to move, get inflamed and stiffen up. As a result the elastic tissue is replaced by bony growth. Continued forming of new bone can lead to fusion of the vertebrae (bone of spine)  thus leading to great reduction in the movement of spine. As also can affect eyes, lungs,  bowel and heart.
Ankylos meaning bent. It has now come to imply something that restricts motion due to stiffness and may ultimately result in fusion. When the joint loses its mobility and becomes stiff it is Said to be ankylosed.
Spondylos (Greek) meaning vertebra
Itis, meaning inflammation
Spondylitis means inflammation of the spinal vertebrae.
As the disease advanced AS can result in gradually progressive stiffness (pseudopsora /Sycosis)  and limitations of spinal mobility and also restricted the expansion of the chest. In some cases besides spine, in particular, the hip and shoulder joints.
As does tend to run in families,
Complications
Osteoporosis
Spinal fracture
Spondylodiscitis
Conjunctivitis
Cardiomegaly
Pericarditis
Aortic incompetence
Cardiac conduction defects
Prostatitis
Diagnosis of AS
Low back pain of at least of 3 months
Limitation of lumber spinal motion in sagittal (sideways)  and frontal (forward and backwards)  planes.
Chest expansion decreased

Blood tests
ESR (sedimentation rate)  and C Reactive protein may be raised
HLA B 27 is frequently associated present
X-ray, CT scan MRI scan
Homoeopathic medicines
Aesculus hip
Important remedy. This is being used when the patient complain of constant heaviness or weight like feeling in back with very sharp pain extending down the hips and thighs pain is aggravated in the morning, doing any motion and while standing and stooping. The patient also complaints of pain in back when he is rising from seat. Pain is better lying on something hard and with rest.
Aurum met
Serious or advanced rheumatism with marked stiffness.. Rheumatism with stiffness or spasm of the chest wall. Severe spasm or tearing pains. Wandering arthritis, moving spot to spot from one week to next. Worse night morning in bed. Hip worse rising from seat or from walking. Chest walls pain. Better motion locations back,  chest and ribs hip
Colchicum
Back and neck pain burning pain in the neck ameliorated by movement. Pain in the renal region pain in the left scapula aggravated on waking, by movement and by lying on left side.
Dichapetalum
Fatigue and rheumatic pains in the limbs and legs feel like rubber heaviness in the calves stiffness at the nape of neck with pain starting at the 7th cervical vertebra spreading up nape and accompanied by right frontal hemicrania. Pain between the shoulders. Pain in the right shoulder spreading towards the neck. Dorsal pain and stiffness like ankylosis. Severe pain and stiffness in the lumber region, ameliorated by urinating or expelling wind, worse when standing.
Causticum
Suffers from back pain along with a paralytic feeling. The back pain radiates to hip and thigh. There is marked stiffness of the back so much that he can hardly move or change the position. Cramps in buttocks and lumber region pain in hips while coughing and pain in spine when swallowing. Aggravation in cold season and after taking sour things better in damp weather and with gentle motion.
Calc phos
It is nutritional tonic for bones it has especial affinity where bone form suture or symphysis with cartilages. The patients feel more back pain in morning on rising from the bed. Can't bend himself backward better lying down
Rhux tox
Pain and stiffness in back and hips is worse when person is at rest. Pains are aggravated after a period of inactivity. Walking helps to relieve the backache and hip pain. There is marked stiffness, lameness and pain in lumbosacral area of back and hips. The pain goes down from back a hips to thighs. Sitting aggravates the pain. Hard pressure and lying on something hard seems helpful in providing relief in the pains. Rest worsen the pain and motion relieves.
Kalmia
Pain and stiffness are marked in lower back and neck area. Pain is accompanied with heat and burning in affected area. Numbness and pricking sensation may appear at painful site, in addition to neck and stiffness. The pain from scapula pain worse in the early part of night.
Kali carb
When back feels extremely weak with pain and stiffness for Kali carb to be used the person may go through the following symptoms. Feeling of paralytic weakness in back and must lie down. While walking back gives out and the patient has to sit down. The pain from lower back may extend down to thighs or ascent to upper back. Changing position while lying aggravates the back pain and the SUFFERER must rise in order to change the position in bed, sharp stitching pain in back shoot into gluteal region or hips. Pain around 3 am.
Cimicifuga
Best homoeopathic medicine for ankylosing Spondylitis when there is stiffness in neck area. Neck worsen in cold air.
Guaiacum
Pain from head to neck aching in nape. Stiff neck and sore shoulders. Stitches between scapulae to occiput, immovable stiffness.

1 comment:

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