Understanding Ankylosing Spondylitis

Ankylosing spondylitis (AS) is a long-term (chronic) condition in which the spine and other areas of the body become inflamed.

The symptoms of AS can vary but usually involve:
  • back pain and stiffness that improves with exercise and isn’t relieved by rest
  • pain and swelling in other parts of the body, such as the hips, knees, and ribs
  • fatigue (extreme tiredness)
These symptoms tend to develop gradually, usually over several months or years and may come and go over time.
In some people, the condition gets better with time, but for others, it can get slowly worse.
What Causes Ankylosing Spondylitis?
In AS, various areas of the spine and other joints become inflamed.
As well as causing pain, stiffness, and swelling, this inflammation can damage affected areas of the body over time, and in some cases can lead to some of the individual bones of the spine fusing (joining together). This fusing of the spine is known as ankylosis.
It is not known what causes the condition, but there is thought to be a link with a particular gene known as HLA-B27.
Who Is Affected?
AS tends to first develop in teenagers and young adults. Most cases first start in people aged 20–30, with only a minority of cases first affecting adults over 45. Ankylosing spondylitis treatment in Delhi is around three times more common in men than in women.
How Ankylosing Spondylitis Is Treated?
There is no cure for AS and it is not possible to reverse the damage caused by the condition. However, treatment is available at the best spine specialist in India to relieve the symptoms and help prevent or delay its progression.
In most cases, treatment will involve a combination of:
  • Exercises carried out individually or in groups to reduce pain and stiffness
  • Conservative Healing — where physical methods, such as massage and manipulation, are used to improve comfort and spinal flexibility
  • Medication to help relieve pain and reduce inflammation– such as painkillers and a type of medicine called anti-TNF medication
Surgery is sometimes needed to repair significantly damaged joints or correct severe bends in the spine, but this is uncommon.
For some people, the condition improves after an initial period of inflammation, whereas for others the condition can get progressively worse over time.
Around 70–90% of people with AS remain fully independent or minimally disabled in the long term. However, some people eventually become severely disabled due to the bones in their spine fusing in a fixed position and damage to other joints, such as the hips or knees.
With modern treatments, AS doesn’t normally affect life expectancy significantly, although the condition is associated with an increased risk of other potentially life-threatening problems.
Location: New Delhi, Delhi, India

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