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Ankylosing
Spondylitis
by Dr. Rajesh Shah
Introduction:
Ankylosing Spondylitis (AS) is one of many
forms of chronic inflammatory arthritis which affects the
joints between the vertebrae of the spine and the joints
between the spine and the pelvis (sacro-iliac joints); it
may also affect other joints of the body. The joints are
initially inflamed and this may be followed by progressive
stiffness and inflexibility. This condition is more common
in males as compared to females and usually occurs in
individuals between 16 - 40 years of age.
Causes: The specific
cause why Ankylosing spondylitis develops has not been
clearly understood though genetic factors are likely to be
involved. The majority of people with Ankylosing
spondylitis have a gene called HLA-B27. There are theories
on its link with some bacterial infection as a triggering
factor.
Symptoms:
These include: painful stiffness of the lower
back and hips which is often worse in the morning or after
periods of inactivity. Over a period of time, the pain and
stiffness may progress up the spine and to other joints
such as hips, shoulders, knees and feet. Reduced mobility
may be noted by the patient and gradually he may notice
difficulty in bending the spine. In advanced stages of the
condition patient may notice chronic stooping, stiff and
inflexible spine, restricted expansion of the chest.
Features such as loss of appetite, fatigue, weight-loss,
inflammation of the eyes (iritis) and of the bowels may
also be seen.
Homeopathic treatment:
Ankylosing Spondylitis (AS) being a constitutional
disorder calls for a constitutional approach to its
treatment. Homoeopathic approach incorporates detailed
study of the cases of AS inclusive of the genetic trend of
the patients. The remedy prescribed after such detailed
evaluation offers effective pain control as well as helps
in controlling the progress of this condition. Early cases
of AS can be treated with good success with homoeopathy.
Cases that have advanced to a moderate extent can also be
helped, especially in preventing the further progress of
the disease and limiting the pain. However, severe cases
can only be relieved symptomatically with Homoeopathic
treatment. Homeopathy is definitely suggested for
Ankylosing Spondylitis, especially in the early and mid
stages.
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