Ankylosing Spondylitis Treatment

Ankylosing Spondylitis

    * Introduction
    * Pathogenesis
    * Causes
    * Signs and symptoms
    * Evolution and prognosis
    * Treatment

Treatment
There is no cure for this disease, only adjuvant (symptomatic): -Alleviate pain and stiffness -Decrease inflammation -Slow joint destruction -Improved quality of life for patients.
Treatment for ankylosing spondylitis include: Life-style changes -Medication -Surgery -Continuous monitoring.
Lifestyle changes as part of trying to control the disease, includes some activities that help improve a person's ability to work independently and to maintain a positive mental attitude. They are: Specially adapted physical therapy -Exercise Stress-reduction Healthy eating -Move to another climate zone.
Physical therapy is an important part of treatment, demonstrating that it improves the symptoms bolii.In during this therapy, your doctor will personify each patient an exercise program, which aim to: -Reduces pain -To protect joints -To conserve energy. Exercise is important to maintain strong muscles prevents their atrophy, and to maintain flexibility in joints, which include: bicep curls, extensions, stretching and aerobics.
Stress relief: among the events that can increase stress are the emotions that the person lives, caused as the disease itself (fear, anger, frustration). Although it was shown that stress plays a role in triggering the disease, its reduction can make life easier for these patients. Methods to reduce stress: Repeated periods of rest- -Relaxation -Fun. Exercise programs, participation in support groups and emotional good communication with the therapist, there are other ways to reduce stress.
Healthy diet: a nutrition-sufficient but not excessive in calories, protein and calcium is important.
Climate: Some people have noticed worsening of arthritis in sudden changes vremii.Desi there is no evidence that a climate would influence symptoms, movement meet different climatic environment could improve the patient's life.
Medication
Some drugs are used only to decrease pain, while others reduce inflamatia.Exemple of different classes of drugs used in ankylosing spondylitis include: -Analgesics, NSAIDs -Corticosteroids. There are two other classes of drugs also used in an attempt to stop joint damage. The first is called disease-modifying antirheumatic drugs: DMARDs and cealaltaeste known as biological response modifiers. The latter can be used to improve symptoms, stop joint damage and improve redorii.Cei commonly used are: -Etanercept To infliximab -Adalimumab.
NSAIDs are used: -Acetaminophen, aspirin , Ibuprofen, naproxen, ketoprofen -Diclofenac, meloxicam , Indomethacin, etc.
NSAID therapy has significant side effects: -Epigastric pain, abdominal discomfort, diarrhea, dizziness -Headache, indigestion, heartburn, peptic ulcers, vomiting Kidney-and liver lesions.
Most widely used DMARDs are: -Methotrexate -Sulfasalazine.
Surgery
Most people do not need chirurgie.Aceasta can be taken into account when appears: Excessive anterior-flexion -Neurological symptoms (loss of bowel or bladder functions) -Severe pain, weakness in the limbs -Severe hip arthritis. People with severe valvular dysfunction may require its replacement.
Permanent Monitoring
Needed to prevent osteoporosis, and adverse effects of therapy installation.