Treatment of spondylitis, how is spondylitis treated?

Hello, there are many ankylosis, long course of disease, complex and changeable conditions, it is far from enough to use a single drug**, and it is necessary to take corresponding, effective, and comprehensive combination of traditional Chinese and Western medicine for different conditions**; In the process of ankylosis, the drug is very important, not only to relieve pain, but also to play a part of the anti-inflammatory effect, and the general drug will have ***, but there will be a difference in size, it is recommended to take the drug under the guidance of a doctor, to avoid the wrong symptoms, but aggravate the development of the disease. Ankylosis lies in early detection and early detection in order to control the development of the disease and improve the prognosis.

OVERVIEW: This disease is caused by a disorder of the immune system.

First of all, you have to be confident. As long as they stick to the norm**, the vast majority of patients can relieve their symptoms well. Secondly, it is necessary to use anti-inflammatory analgesics in combination with immunosuppressants, and long-term adherence to routine ** can fundamentally control the disease.

If the economic conditions are good, you can use biologics**, the efficacy is better, and when the condition improves, you cannot stop the drug yourself. An evaluation of the drug from a rheumatologist and a drug reduction plan and review plan are required and strictly followed in order to successfully reduce or discontinue the use of the drug.

If disease activity (based on symptoms, signs, inflammatory index), slow-acting drugs (eg, sulfasalazine, methotrexate, etc.) are sufficient to control the disease** and may be used in combination with analgesics.

Clinical remission is achieved through systemic**. If the condition is stable, symptomatic (painkillers, physicals, etc.) may be used to relieve symptoms. You can take Chinese medicine at the same time to enhance functional exercises.

Symptoms of spondylitis: The disease is affected by different people, different genders, different physical conditions, and different symptoms, patients should go to the hospital in time after discovering the following symptoms**, do not delay, and finally lead to the aggravation of the condition.

Spondylitis low back pain is usually the earliest manifestation and is characterised by insidious onset of pain for more than three months. It worsens after rest and exercise, and patients often have morning stiffness, or even wake up in the middle of the night with stiff pain.

It usually begins at the ankle. The pain can radiate to the buttocks and back of the thighs, and sometimes to the outside or front of the thighs. It usually doesn't reach below the knee. As the disease progresses, inflammation gradually enters the lumbar spine, progresses to the thoracic spine, and finally can affect the cervical spine.

The range of motion of the spine is poor, the initial curvature is limited in the posterior curve, and the anterior curvature is also limited in the later stages. Patients often have pain in or near the rib joint, mainly tendon enheritis, the pain is similar to that of the pleura, the pain is exacerbated during inspiration, local tenderness, and needs to be distinguished from pleurisy, this diagnostic inflammation can eventually lead to a decrease in the ability of the chest to expand, so that the patient's breathing is mainly done by lifting the diaphragm.

Some patients have peripheral arthritis, of which the hip joint is the most common, and the other common is the shoulder joint, knee joint, ankle joint, etc., the patient has hip arthritis, severe joint movement restriction, difficulty in squatting, lameness, feet and other symptoms.

Other ** for spondylitis: 1Traditional Chinese medicine ** spondylitis, the traditional theory believes that "wind and cold thoughts fight damp heat, meridians and phlegm obstruction, resulting in meridian blockage", so ** Chinese medicine generally uses hurricanes to drive away colds, channels, and blood circulation.

2.Generally, heat therapy, such as hot baths, sitz baths, etc., can be used to increase local blood circulation, relax muscles, relieve pain, help joint movement, and maintain normal function.

1.There are many causes of ankylosing spondylitis, such as autoimmune reasons, family heredity, wind and dampness, long-term infection, liver and kidney insufficiency, and endocrine reasons.

2.Usually be cautious of wind, cold and dampness, pay attention to keeping warm, and appropriately strengthen physical exercise; active prevention of intestinal diseases and infections of the genitourinary system; Exercise well and maintain a healthy body; Pay attention to personal hygiene and daily routine, do not rinse with cool water and blow electric fans immediately after sweating, and do appropriate activities after sitting for a long time; Enhance nutrition and eat more protein-rich foods and easy-to-digest hot foods.

3.**Based on traditional Chinese medicine, it regulates the body's immunity, promotes joint synovial fluid, repairs joint cartilage, and has good efficacy. Don't use Western medicine, *** is too big. Don't drink, don't get tired, and take a break.

This disease cannot be cured with the current level of medical care, and can only be controlled with medication, coupled with proper exercise, the disease can be well controlled. If the family background is better, you can play biological agents, at present, this is the best method, not only small, but also the effect is better, but people can not be thorough, ** every year has to send sixty or seventy thousand, the average person can not afford it, I also have this disease, it is currently controlled with drugs, the effect is not bad, if it can't be controlled, even if there is no money, I have to borrow money to play biological agents, otherwise it may be disabled in the future. So I hope that you can find a good way to control the disease as soon as possible, and if you still have any questions, you will be very happy to help.

"Severe spondylitis" is ankylosing spondylitis, which mainly invades the axial bones, especially the sacroiliac joint, and is a not uncommon chronic inflammatory disease, more men than women, and the course of the disease is prolonged. This disease is often caused by untimely or improper methods, especially the failure to adhere to reasonable functional exercises, resulting in impaired body activities. Such as:

Inflammation of the axial joints, pain, gradual stiffening of the spine, difficulty in bending over, and limited head movement not only affect the quality of life, but may also be complicated by cardiopulmonary dysfunction.

Ankyitis is difficult, in fact, only medications and functional exercises are acceptable to most patients. However, practice has shown that rational functional exercise is more important and effective than drugs**, because the former is a symptomatic treatment and the latter is a root cause. If you can take medicine and exercise, the effect is the best.

The main effect of the drug ** is to relieve pain. When the disease occurs, the patient is very painful and has difficulty in moving, so some anti-inflammatory analgesics are appropriately selected to reduce the pain of the patient and create conditions for limb movement and functional exercise. If the general anti-inflammatory analgesic is not effective, or cannot be used due to allergies, low-dose glucocorticoids such as sulfasalazine and methotrexate (MTX) can be used under the guidance of a doctor, which can have certain benefits for controlling the disease.

Painkillers only provide temporary pain relief and do not stop the disease from progressing. The pathological changes of spondylitis are still developing slowly, which suggests that patients should carry out reasonable exercises in the early stage of the lesion, which may delay or prevent the deterioration of the lesion and avoid joint deformation to the greatest extent.

The functional exercise methods are as follows: the patient should insist on walking upright, and often perform back extension exercises, chest expansion exercises, appropriate neck rotation exercises, and hip rotation exercises. These exercises are at least twice a day for 15 minutes; If the condition is mild and the conditions allow the lack of carrying, swimming exercise can be considered.

Patients should sleep on a hard bed and try to keep pillows low or non-existent; Lie on your back or with your back extended, avoiding lying on your side.

In short, in the face of this disease that is difficult to complete, only by being determined, persisting in fighting, focusing on functional exercise, supplemented by drugs, can we avoid disability, control the condition, and improve the quality of life.

Intervention with the sacroiliac joint**.

1.The purpose of controlling AS**.

It is to control inflammation, reduce or alleviate symptoms, maintain normal posture and optimal functional position, and prevent deformities. The key to achieving this goal is early diagnosis, early development, and a comprehensive approach, including patient and family education, physiotherapy, physiotherapy, medication, and surgery**.

1) The disease begins with educating the patient and his family to understand the nature of the disease, the approximate course of the disease, the possible measures to be taken and the future prognosis, so as to enhance their confidence and patience in fighting the disease, and obtain their understanding and close cooperation.

2) Pay attention to maintaining normal posture and mobility in daily life, such as walking, sitting and standing with the chest and abdomen straightened, sleeping without pillows or thin pillows, sleeping on a hardwood plank bed, taking a supine or prone position, and lying prone for half an hour every morning and evening. Participate in labor and sports activities within your ability. Pay attention to posture when working, prevent spinal curvature and deformity, etc.

3) Maintain optimism and eliminate tension, anxiety, depression and fear; Quit smoking and drinking; Work and rest on time, participate in medical and physical exercises.

4) Understand the effect of the drug and learn to adjust the dosage of the drug and handle the drug by yourself, so as to facilitate the cooperation and achieve better results.

2.Body therapy. Sports** are beneficial for all chronic diseases and are even more important for AS. It maintains the physiological curvature of the spine and prevents deformity. Maintain thoracic mobility and maintain normal respiratory function.

Maintain bone density and strength, prevent osteoporosis and limb disuse muscle atrophy, etc. Patients can adopt appropriate exercise methods and amounts according to their individual conditions. If the new pain persists for more than 2 hours and does not recover, it indicates that the exercise is excessive, and the amount of exercise should be appropriately reduced or the exercise mode should be adjusted.

3.Physics**.

Physiotherapy can generally be used with heat therapy, such as hot baths, water tubs or showers, mineral hot spring baths, etc., to increase local blood circulation, relax muscles, reduce pain, facilitate joint movement, maintain normal function, and prevent deformity.

4.Drugs**.

1) Non-steroidal anti-inflammatory drugs have anti-inflammatory and pain-relieving effects, reducing stiffness and muscle spasms. It is a gastrointestinal reaction, kidney damage, prolonged bleeding time, etc. Pregnant and lactating women should pay special attention.

2) Sulfasalazine SSZ is an azo complex of 5-aminosalicylic acid (5-ASA) and sulfapyridine (SP), which began to be used in **AS in the 80s. It mainly causes gastrointestinal symptoms, rash, blood picture and liver function changes, but they are all rare. During the medication, it is advisable to check the blood picture and liver and kidney function regularly.

3) Methotrexate has been reported to be similar in efficacy to SSZ. Oral and intravenous medications are similarly effective. There are gastrointestinal reactions, bone marrow suppression, stomatitis, hair loss, etc., and the liver function and blood picture should be checked regularly during the medication, and alcohol should be avoided.

4) Adrenocorticotropic hormone Adrenocorticotropic hormone **AS is generally not used, but when NSAIDS** are ineffective in acute iritis or peripheral arthritis, CS can be injected locally or orally.