10/03/2024
Ankylosing spondylitis (AS) is a type of arthritis that primarily affects the spine, causing inflammation and stiffness. Over time, it can lead to fusion of the vertebrae and a rigid spine. It can also affect other joints and organs.
Symptoms : Symptoms of ankylosing spondylitis typically include:
1. **Pain and stiffness**: Especially in the lower back and buttocks, which may worsen over time.
2. **Reduced flexibility**: Difficulty bending or moving the spine.
3. **Fatigue**: Feeling tired or exhausted, often due to inflammation and pain.
4. **Joint pain**: Inflammation can affect other joints, such as hips, knees, and shoulders.
5. **Difficulty breathing**: Rarely, severe cases can lead to breathing difficulties due to spinal fusion affecting the ribcage.
Causes : The exact cause of ankylosing spondylitis is unknown, but it is believed to involve a combination of genetic, environmental, and immune system factors. A specific gene called HLA-B27 is strongly associated with the condition, but not everyone with this gene develops AS.
Physiotherapy Treatment :
1.Exercise: A structured exercise program can help maintain flexibility, strength, and posture. Exercises may include stretching, strengthening, and range-of-motion exercises targeting the spine and other affected joints.
2. Posture correction: Learning proper posture techniques can help alleviate pain and reduce the risk of spinal deformities. This may involve education on ergonomic principles and exercises to improve posture awareness.
3. Manual therapy: Hands-on techniques such as mobilization and manipulation can help improve joint mobility and reduce stiffness. These techniques are typically performed by a qualified physiotherapist.
4.Breathing exercises: Deep breathing exercises can help maintain chest expansion and prevent respiratory complications associated with spinal fusion.
5.Pain management: Physiotherapists may employ modalities such as heat, cold therapy, ultrasound, or electrical stimulation to help alleviate pain and reduce inflammation.
6.Education and self-management: Physiotherapists provide education on the condition, proper body mechanics, and strategies for managing symptoms in daily life. This empowers individuals to take an active role in their treatment and prevent exacerbations.
7. Assistive devices: Depending on individual needs, physiotherapists may recommend assistive devices such as braces, orthotics, or mobility aids to support posture and mobility.