Ankylosing Spondylitis (AS)
Ankylosing spondylitis is also known as Bekhterev's disease and Marie-strumpell disease. It is a chronic inflammatory disease of the axial skeleton, with variable involvement of peripheral joints and nonarticular structures. It affects joints in the spine and the sacroiliac joint in the pelvis. Jaipur Arthritis Centre offers best treatment by experienced professional team in affordable packages in Jaipur. Dr. Rahul Jain is a best rheumatologist consultant in Jaipur Arthritis Centre.
Symptoms of Ankylosing Spondylitis
The Symptoms of ankylosing spondylitis often find in people between 20 and 30 years of age. The initial symptoms are usually a chronic dull pain in the lower back or gluteal region combined with stiffness of the lower back. Individuals often experience pain and stiffness that awakens them in the early morning hours. As the disease progresses, loss of spinal mobility and chest expansion, with 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 improves with physical activity. However, many experience inflammation and pain to varying degrees regardless of rest and movement. AS can occur in any part of the spine or the entire spine, often with pain referred to one or the other 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, it is relatively likely to cause pain and swelling of large limb joints, particularly the knee. In prepubescent cases, pain and swelling may also manifest in the ankles and feet, where heel spurs may also develop. Less commonly ectasia of the sacral nerve root sheaths may occur.
Diagnosis of Ankylosing Spondylitis
There is no direct test to diagnose AS. The Schober's test is a useful clinical measure of flexion of the lumbar spine performed during the physical examination.Magnetic resonance imaging (MRI), and X-ray studies of the spine, which show characteristic spinal changes and inflammation of the sacroiliac joint , combined with a genetic marker blood test are the major diagnostic tools.