Ankylosing Spondylitis

Clinic

• AS is a type of arthritis characterized by long-term inflammation of Spine and Pelvic joints
• AS is a systemic rheumatic disease, meaning it affects the entire body.
• Occasionally areas affected may include other joints such as the shoulders or hips, eye and bowel problems may occur as well as back pain.
• Joint mobility in the affected areas generally worsens over time.
• Causation is unknown
• There is no known cure for it

Signs and symptoms	Extra Sign/ Symptoms	Miasms
Signs and symptoms often appear gradually, with peak onset between 20 -30 years of age. Initial symptoms are Chronic dull Pain / Stiffness in the lower back or gluteal region, agg in morning Progressive loss of spinal mobility and chest expansion Weight loss, fever, or fatigue Pain is often severe at rest and improve with physical activity. Hips / Shoulders / Knees / Ankles / Feet / Heel Arthritis Less commonly ectasia of sacral nerve root sheaths.	Anterior uveitis causing eye pain, redness, and blurred vision. (About 30%) Aortic valve inflammation Lung fibrosis	MTB

Top Remedies

Top Remedies	Main Core		Modalities
Aesc	Best remedy Esp in sacrum and hips. Sacral Inflammation/ Pain Marked stiffness in the lower back.	Marked stiffness in the lower back. He has to make repeated efforts for rising from seat. Sensation as if the back would break. Aching pains	Back pain agg rising from a seat and on stooping.
Kalm	Constant pain in the spine. Low back Pain attended with Heat / Burning in spine. Neck pain and stiffness.	Feeling of lameness in the back Sensation as if the back would break. Intense pain in the neck along with stiffness. Neck feels tender to the touch. Cervical spine that radiates to the shoulders.	Early morning agg of neck Pain /Stiffness
Rhus-t	Intense back stiffness Back stiffness agg in morning or due to inactivity and amel by walking.	Sitting agg the stiffness. Back stiffness that agg from taking rest. Pain in the lower back is also severe along with stiffness.	Back pain which amel by hard pressure

Second class Remedies

			Modalities
Marked hip pain	Coloc	Hip pain may be cramping, drawing or tearing in nature. Hip pain extends down to Knee/ Leg / Feet (Maybe) Sensitivity to touch the affected hip (Maybe).	Amel by lying on the affected side. Pressure on the affected hip . Warmth amel Sitting, Standing, Being in motion agg Rest amel
Motion agg	Bry	Stiffness + Backache Intense stiffness, He has to sit and walk in a stooped posture. Maintaining an upright posture while sitting/walking is difficult.	Agg on motion or walking Stooping, standing and sitting agg Only absolute complete rest amel
Touch sensitive	Agar	Burning sensation in the spine Feeling of tightness in the back muscles. Marked stiffness in the back Sensation as if the back would break. Sensation of a cold or hot needle piercing the back.	The sensitivity of the spine is severe in the morning Agg on stooping Agg during daytime exertion
Back weakness	Kali-c	Pain is present in the lower back, hips, and the thighs. Difficulty in turning in bed from a backache Sharp pain in back extending up and down.	Amel by lying down (Kali-c ₳ Nat-m)
Lying on back amel	Nat-m	Difficulty in stooping, A pulsating sensation in the back and Pain in the sacrum He may also need firm support on the back.	Lying down on back , esp on a hard surface.
Cervical/ Back Pain/ Stiffness	Cimic	A contracted sensation in the neck is present Neck is sensitive to touch.	Pressure agg the pain in the neck Any motion of the head and hands agg neck pain Exposure to cold air agg
Osteophytes	Calc-f	Restlessness + Back pain	Back pain agg from rest Pain amel from motion Warm Application amel
Sacral Pain Radiating Down the Thigh	Tell	Back/ Cervical spine is sensitive to pressure and touch. Feeling of weakness in the back Cervical back pain spreading to the shoulder and between the scapulae	Pain amel from touch
Sacral Pain from Walking a Short Distance	Con	Stitching pain in the sacrum when standing, Weakness / Lameness in the small of the back Tightness / Stiffness / Soreness in Nape of the neck / Lower cervical spine Dorsal back between the shoulders and the lumbar region	Standing agg
Stiff Neck	Gauj	Marked stiffness in the neck Pain in the neck and the back, between scapulae Neck pain radiates down the sacrum.