Ankylosing Spondylitis: Difference between revisions

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=== Clinic ===
=== Clinic ===


* AS is a type of arthritis characterized by long-term inflammation of the joints of the spine typically where the spine joins the pelvis.
* 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.  
* 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.  
* Occasionally areas affected may include other joints such as the shoulders or hips, eye and bowel problems may occur as well as back pain.  
Line 8: Line 17:
* There is no known cure for it
* There is no known cure for it


 
{| class="wikitable"
|+
!
=== Signs and symptoms ===
=== Signs and symptoms ===
 
!
* Signs and symptoms often appear gradually, with peak onset between 20 -30 years of age.
* Initial symptoms are usually a chronic dull pain in the lower back or gluteal region combined with stiffness of the lower back.
* Pain and stiffness awakens them in the early morning hours.
* As the disease progresses, loss of spinal mobility and chest expansion, with a limitation of anterior flexion, lateral flexion, and extension of the lumbar spine are seen.
* Systemic features are common with weight loss, fever, or fatigue often present.
* Pain is often severe at rest but may improve with physical activity.
* Inflammation and pain may recur to varying degrees regardless of rest and movement.
* AS can occur in any part of the spine or the entire spine, often with pain localized to either buttock or the back of the thigh from the sacroiliac joint.
* Arthritis in the hips and shoulders may also occur.
* When the condition presents before the age of 18, AS is more likely to cause pain and swelling of large lower limb joints, such as the knees.
* In prepubescent cases, pain and swelling may also manifest in the ankles and feet where heel pain and enthesopathy commonly develop. Less common occurrences include ectasia of the sacral nerve root sheaths.
 
 
=== Extra Sign/ Symptoms ===
=== Extra Sign/ Symptoms ===
!
=== [[Viral miasms|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, Mycobacterium tuberculosis|MTB]]
|}


* About 30% of people with AS will also experience anterior [[Uveitis remedies|uveitis]] causing eye pain, redness, and blurred vision.
== Top Remedies ==
* Cardiovascular involvement may include inflammation of the aorta, aortic valve insufficiency or disturbances of the heart's electrical conduction system.  
{| class="wikitable"
* [[Lung fibrosis]]  
|+
!Top Remedies
!Main Core
!
!Modalities
|-
|
=== [[Aesc , Aesculus hippocastanum|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
|
* [[Low back pain|Back pain]] agg rising from a seat and on stooping.
|-
|
=== [[Kalm, Kalmia Latifolia|Kalm]] ===
|
* Constant pain in the spine.
* [[Low back pain|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, Rhus toxicodendron|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
|}


=== Miasms ===
== Second class Remedies ==
[[MTB, Mycobacterium tuberculosis|MTB]]
{| class="wikitable"
|+
!
!
!
!Modalities
|-
|<big>'''Marked hip pain'''</big>
|
=== [[Coloc, Colocynthis|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
|-
|<big>'''Motion agg'''</big>
|
=== [[Bry, Bryonia Alba|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
|-
|'''<big>Touch sensitive</big>'''
|
=== [[Agar, Agaricus Muscarius|Agar]] ===
|
* ''B''urning 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
|-
|<big>'''Back weakness'''</big>
|
=== [[Kali-c, Kalium carbonicum|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]])
|-
|<big>'''Lying on back amel'''</big>
|
=== 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.
|-
|'''<big>Cervical/ Back Pain/ Stiffness</big>'''
|
=== [[Cimic, Cimicifuga racemosa|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
|-
|[[Exostosis|<big>'''Osteophytes'''</big>]]
|
=== [[Calc-f, Calcarea fluorica|Calc-f]] ===
|
* Restlessness +  Back pain 
|
* Back pain agg from rest
* Pain amel from motion
* Warm Application amel
|-
|<big>'''Sacral Pain Radiating Down the Thigh'''</big>
|
=== [[Tell, Tellurium metallicum|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
|-
|<big>'''Sacral Pain from Walking a Short Distance'''</big>
|
=== [[Con, Conium Maculatum|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
|-
|<big>'''Stiff Neck'''</big>
|
=== [[Gauj, Guajacum officinale|Gauj]] ===
|
* Marked stiffness in the neck
* Pain in the neck and the back, between scapulae
* Neck pain radiates down the sacrum.
|
|}

Latest revision as of 03:13, 25 January 2024


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

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.
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.
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