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

• 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.

Extra Sign/ Symptoms

• Anterior uveitis causing eye pain, redness, and blurred vision. (About 30%)
• Aortic valve inflammation
• Lung fibrosis

Miasms

• MTB

Top Remedies

Top	Main Core
Aesc	Top remedy Sacral Inflammation/ Pain Marked stiffness in the lower back. Back pain worse rising from a seat and on stooping.	The prominent symptom is a pain in sacrum and hips. Along with this, there is marked stiffness in the lower back. H has to make repeated efforts for rising from seat. Sensation as if the back would break. Aching pains in the lumbar, sacral and the pelvic region.
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 Sometimes there is a sensation as if the back would break. Intense pain in the neck along with stiffness. The 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. Rhus Tox is also a natural medicine for managing .	Back pain which amel by hard pressure

Second class Remedies

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.
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.
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.
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.
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.
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.
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.
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.
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.
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.