Rheumatology

SPONDYLARTHRITIS (SPONDYLARTHROPATHY)

DESCRIPTION:

Spondylarthritis (or Spondylarthropathy) is the name of the family of inflammatory rheumatic diseases that contain ankylosing spondylitis, undifferentiated spondylarthritis (called previously as Reiter’s syndrome) psoriatic arthritis, and arthritis connected with the inflammatory diseases, ulcerative colitis and crohn’s disease.

The crucial symptom in most patients is swelling in lower back and lower back pain. This is especially seen in axial Spondylarthritis. In peripheral spondylarthritis , the crucial indication is pain and swelling in the arms and legs of the patient.

There are two major types of deformities. in spondylarthritis. The first is inflammation causing pain and stiffness of spine and pain and swelling in arms and legs. The second type is bone destruction creating deformities of the spine and disorders of the shoulders and hips.

In ankylosing spondylitis, which is the most common type of spondylarthritis, the diseases is largely genetic with the most common gene being HLA-B27.


Ankylosing spondylitis generally starts in teens and 20s and strikes male 2-3 times more frequently than woman.


Nonsteroidal anti-inflammatory drugs (commonly called NSAIDs) offer symptom relief in most patients. TNF Blockers are successful in patients that do not respond sufficient to NSAIDs.

Systematic recreational activities and back exercises are suggested.


Inspite the pain, fatigue and stiffness that can be regular, most patients with spondylarthritis lead productive lives with genuine longevity, particularly with the newer treatments convenient. To maintain joint and cardiovascular health, regular exercise is very beneficial for patients.