Ankylosing Spondylitis: Difference between revisions

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* There is no known cure for it
* There is no known cure for it


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


== Top Remedies ==
== Top Remedies ==
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{| class="wikitable"
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!Top
!Top Remedies
!Main Core
!Main Core
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!
!
!Modalities
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=== [[Aesc , Aesculus hippocastanum|Aesc]] ===
=== [[Aesc , Aesculus hippocastanum|Aesc]] ===
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* Top remedy
* Best remedy Esp in sacrum and hips.
* Sacral Inflammation/ Pain  
* Sacral Inflammation/ Pain
* Marked stiffness in the lower back.
* Marked stiffness in the lower back.
* [[Low back pain|Back pain]] worse rising from a seat and on stooping.
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|
* The prominent symptom is a pain in sacrum and hips.
* Marked stiffness in the lower back.
* Along with this, there is marked stiffness in the lower back.  
* He has to make repeated efforts for rising from seat.
* H has to make repeated efforts for rising from seat.  
* Sensation as if the back would break.
* Sensation as if the back would break.  
* Aching pains  
* Aching pains in the lumbar, sacral and the pelvic region.
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* [[Low back pain|Back pain]] agg rising from a seat and on stooping.
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* Neck pain and stiffness.
* Neck pain and stiffness.
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* ''F''eeling of lameness in the back  
* Feeling of lameness in the back
* Sometimes there is a sensation as if the back would break.  
* Sensation as if the back would break.
* Intense pain in the neck along with stiffness. The neck feels tender to the touch.  
* Intense pain in the neck along with stiffness.  
* Neck feels tender to the touch.
* Cervical spine that radiates to the shoulders.  
* Cervical spine that radiates to the shoulders.  
|Early morning agg of neck Pain /Stiffness
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* Early morning agg of neck Pain /Stiffness
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* Back stiffness agg in morning or due to inactivity and amel by walking.
* Back stiffness agg in morning or due to inactivity and amel by walking.
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* Sitting agg the stiffness.  
* Sitting agg the stiffness.
* Back stiffness that agg from taking rest.  
* Back stiffness that agg from taking rest.
* Pain in the lower back is also severe along with stiffness.
* Pain in the lower back is also severe along with stiffness.
* Rhus Tox is also a natural medicine for managing .
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* Back pain which amel by hard pressure
* Back pain which amel by hard pressure
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!Modalities
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|<big>'''Marked hip pain'''</big>
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=== [[Coloc, Colocynthis|Coloc]] ===
=== [[Coloc, Colocynthis|Coloc]] ===
|Pain
|''Colocynthis'' is a medicine for ankylosing spondylitis with marked hip pain. Colocynthis is prepared from a plant named ‘bitter cucumber.’ This plant belongs to the family Cucurbitaceae. For using Colocynthis hip pain may be cramping, drawing or tearing in nature. The pain from hip may also extend down to the knee, leg or even to the feet in a few cases. Sensitivity to touch the affected hip is also seen in many cases. Colocynthis is also a useful remedy for hip pain that gets better by lying on the affected side. In some cases, pressure on the affected hip offers comfort. Hip pain that gets better by warmth also indicates the use of homeopathic medicine Colocynthis. The person needing Colocynthis also experiences an aggravation of hip pain by sitting, standing, being in motion, and gets relief from rest.
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* 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).
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* 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>
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=== [[Bry, Bryonia Alba|Bry]] ===
=== [[Bry, Bryonia Alba|Bry]] ===
|Motion agg
|''Bryonia Alba'' is another well-indicated medicine for treating ankylosing spondylitis. This medicine is prepared from a plant commonly named ‘Wild Hops.’ The natural order of this plant is Cucurbitaceae. A backache that is worse from motion or walking is the guiding feature to use Bryonia Alba. In a few cases, stooping, standing and sitting also worsen the backache. The relief in back pain is afforded only with absolute complete rest. Stiffness is also present along with a backache. The stiffness is so intense that a person has to sit and walk in a stooped posture. Maintaining an upright posture while sitting/walking is difficult.
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* Stiffness + Backache
* Intense stiffness, '''He has to sit and walk in a stooped posture.'''
* Maintaining an upright posture while sitting/walking is difficult.
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* Agg on motion or walking
* Stooping, standing and sitting agg
* Only absolute complete rest amel
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|'''<big>Touch sensitive</big>'''
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=== [[Agar, Agaricus Muscarius|Agar]] ===
=== [[Agar, Agaricus Muscarius|Agar]] ===
|Touch sensitive
|''Agaricus Muscarius'' is majorly used in ankylosing spondylitis when the spine is sensitive to touch, along with pain. The sensitivity of the spine is severe in the morning. Other symptoms pointing towards the use of Agaricus Muscarius are back pain getting worse from stooping, a burning sensation in the spine, and a feeling of tightness in the back muscles. A lumbosacral backache that is worse during daytime exertion is also treated well with Agaricus Muscarius. A marked stiffness in the back is present along with pain. There is a sensation as if the back would break. Another sensation that may appear is that of a cold or hot needle piercing the back.
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* ''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.
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* The sensitivity of the spine is severe in the morning
* Agg on stooping
* Agg during daytime exertion
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|<big>'''Back weakness'''</big>
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=== [[Kali-c, Kalium carbonicum|Kali-c]] ===
=== [[Kali-c, Kalium carbonicum|Kali-c]] ===
|Back weakness
|''Kali Carb'' is a medicine is used to treat ankylosing spondylitis where weakness in the lower back accompanies back pain. The pain is present in the lower back, hips, and the thighs. The person feels better by lying down. Homeopathic medicine Kali Carb is also helpful when there is difficulty in turning in bed from a backache. Another chief indication to use Kali Carb is a sharp pain in back extending up and down.
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* 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.
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* Amel by lying down ([[Kali-c ₳ Nat-m]])
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|<big>'''Lying on back amel'''</big>
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=== Nat-m ===
=== Nat-m ===
|Lying on back amel
|''Natrum Mur'' is another valuable medicine used to treat ankylosing spondylitis. The characteristic feature to use Natrum Mur is relief from back pain upon lying down, especially on a hard surface. Other symptoms include difficulty in stooping, a pulsating sensation in the back and pain in the sacrum. The person needing homeopathic medicine Natrum Mur may also need firm support on the back.
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* Difficulty in stooping,
* A pulsating sensation in the back and
* Pain in the sacrum
* '''He may also need firm support on the back.'''
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* Lying down on back , esp on a hard surface.
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|'''<big>Cervical/ Back Pain/ Stiffness</big>'''
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=== [[Cimic, Cimicifuga racemosa|Cimic]] ===
=== [[Cimic, Cimicifuga racemosa|Cimic]] ===
|Cervical/ Back Pain/ Stiffness
|''Cimicifuga Racemosa'' is prepared from a plant named black cohosh of natural order Ranunculaceae. Cimicifuga Racemosa is used to treat neck (cervical back) pain and stiffness in cases of ankylosing spondylitis. A contracted sensation in the neck is present, and the neck is sensitive to touch. Pressure seems to worsen the pain in the neck. Any motion of the head and hands also aggravates the neck pain. Worsening of neck pain from exposure to cold air is also treated well with homeopathic medicine Cimicifuga Racemosa.
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* A contracted sensation in the neck is present
* Neck is sensitive to touch.
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* Pressure agg the pain in the neck
* Any motion of the head and hands agg neck pain
* Exposure to cold air agg
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|[[Exostosis|<big>'''Osteophytes'''</big>]]
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=== [[Calc-f, Calcarea fluorica|Calc-f]] ===
=== [[Calc-f, Calcarea fluorica|Calc-f]] ===
|Osteophytes
|''Calcarea Fluor'' is a well indicated medicine for dissolving osteophytes (bony outgrowths appearing in the spine) in cases of ankylosing spondylitis. Another symptom that suggests the use of Calcarea Fluor is a back pain that is worse from rest and better from motion. Application of warmth may also relieve back pain in a few cases. Restlessness along with back pain is also present.
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* Restlessness +  Back pain 
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* Back pain agg from rest
* Pain amel from motion
* Warm Application amel
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|<big>'''Sacral Pain Radiating Down the Thigh'''</big>
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=== [[Tell, Tellurium metallicum|Tell]] ===
=== [[Tell, Tellurium metallicum|Tell]] ===
|Sacral Pain Radiating Down the Thigh
|''Tellurium Met'' is a medicine for ankylosing spondylitis with marked sacral pain radiating down the thigh. The back is sensitive, and the pain gets worse from touch. A feeling of weakness in the back, and cervical back pain spreading to the shoulder and between the scapulae are other symptoms that indicate the need for this medicine. The cervical spine is also sensitive to pressure and touch.
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* 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
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* Pain amel from touch
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|<big>'''Sacral Pain from Walking a Short Distance'''</big>
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=== [[Con, Conium Maculatum|Con]] ===
=== [[Con, Conium Maculatum|Con]] ===
|Sacral Pain from Walking a Short Distance
|''Conium Maculatum'' is indicated when there is a severe aching in the sacral region from walking a short distance. Stitching pain in the sacrum when standing, weakness and lameness in the small of the back, tightness in the nape of the neck with pain and stiffness and soreness in the lower cervical spine are also present.
Pain in the dorsal back between the shoulders and the lumbar region also indicates the need for this medicine.
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* 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
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* Standing agg
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|<big>'''Stiff Neck'''</big>
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=== [[Gauj, Guajacum officinale|Gauj]] ===
=== [[Gauj, Guajacum officinale|Gauj]] ===
|Stiff Neck
|
|''Guaiacum'' is a significant medicine for ankylosing spondylitis with a stiff neck. It is a plant-based medicine prepared from the plant ‘Guaiacum Officinale.’ The natural order of this family is Zygophyllaceae. Marked stiffness in the neck is the key feature to use this medicine. Pain in the neck and the back (between scapulae) is also treated well with this medicine. It is also indicated in some cases where neck pain radiates down the sacrum.
* Marked stiffness in the neck  
* Pain in the neck and the back, between scapulae
* Neck pain radiates down the sacrum.
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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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