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What is Ankylosing Spondylitis?
Ankylosing Spondylitis (AS) is a kind of arthritis that primarily affects the spine, but it can also target other joints like hips and shoulders. It's characterised by inflammation that can be quite painful. Over time, the inflammation can cause the spinal bones to fuse together, causing a stiff, hunched posture. This is more prevalent in males and mostly starts early in early adulthood.
The flexibility and mobility of the spine are affected as Ankylosing Spondylitis progresses, making daily activities difficult. The primary sign of Ankylosing Spondylitis is persistent pain and stiffness in the lower back and hips, particularly in the morning or after periods of inactivity.
There are basically two types of Ankylosing Spondylitis:
Axial spondyloarthritis radiographic: This is simply another name for Ankylosing Spondylitis and can be seen on X-rays where the sacroiliac joints (where the spine meets the pelvis) show signs of damage.
Non-radiographic axial spondyloarthritis: This type of Ankylosing Spondylitis presents the same symptoms as AS but does not show visible signs on X-rays, although inflammation can still be detected with other medical imaging tests.
Early diagnosis and treatment can help manage Ankylosing Spondylitis symptoms and slow down its progression. Ankylosing Spondylitis treatments may include herbal medication, various therapies and regular yoga and exercises to maintain joint function and ease pain. Knowing these types and their symptoms may help in seeking timely medical advice and treatment.
Common Causes of Ankylosing Spondylitis
Ankylosing Spondylitis (AS) is a complicated condition whose causes are associated with genetic factors, immune system activities and environmental factors. Knowing these triggers is essential for managing the disease and stopping its progression.
The following are the most common Ankylosing Spondylitis causes:
Genetic Factors
HLA-B27 Gene: A significant number of individuals with AS have the HLA-B27 gene. While having this gene does not necessarily mean that you will develop AS but it greatly increases the risk.
Family History: AS generally runs in families. If an immediate family member has AS, your risk is greater of developing the condition.
Immune System Dysfunction
Autoimmunity: AS is considered an autoimmune disease, where the immune system attacks bodily tissues accidentally, like the spinal column and sometimes other joints.
Environmental Triggers
Infections: Some bacterial infections, particularly in the intestines, have been associated with AS in genetically predisposed individuals.
Gut Microbiome: Recent findings suggest that changes in normal gut bacteria may play a role in triggering immune responses that lead to inflammation in the joint and spine.
Others Factors
Age: AS typically begins during late adolescence or early adulthood, usually before the age of 30.
Sex: Men are frequently and more severely affected by AS than women, suggesting potential hormonal influences on disease severity and progression.
Signs and Symptoms of Ankylosing Spondylitis
The onset of Ankylosing Spondylitis is generally subtle and can be mistaken as some other common back pains. However as the disease develops, these symptoms could become worse, impacting everyday activities and quality of life. Recognising Ankylosing Spondylitis symptoms early is important for timely diagnosis and treatment of the condition.
Listed below are the most noticeable Ankylosing Spondylitis symptoms:
Ankylosing spondylitis Symptoms
Persistent Lower Back Pain
This pain is usually chronic and is worse in the morning or following inactivity. It usually improves with exercise but not with rest.
Stiffness in Spine
Stiffness may be in the lower back or entire spine, especially in the morning or after sitting for long periods.
Pain and Tenderness in Hips and Shoulders
AS may also affect these large joints, causing pain and limited movement.
Buttock Pain
- The pain may radiate from the left to right buttocks or be felt on both sides.
Enthesitis
Pain and tenderness at the site where tendons and ligaments attach to bones (generally the Achilles tendon at the heel).
Fatigue
Fatigue is a common Ankylosing Spondylitis symptom that can be exacerbated by chronic inflammation of AS.
Inflammation in Other Areas
Others may have pain and swelling in other body parts such as the eyes (Uveitis), which may cause redness and pain, when exposed to light.
Decreased Flexibility
With progression of the disease, the spine may become less flexible, making it difficult to perform daily activities and sometimes even resulting in a stooped posture.
Do you have any of the following symptoms?
- Persistent pain in the lower back
- Stiffness in the spine
- Pain in hips or shoulders
- Alternating buttock pain
- Pain where tendons and ligaments attach to bones, such as the heel
- Feeling tired more than usual without any reason
- Redness and pain in the eyes, especially when exposed to light
- Decreased flexibility of the spine
Jiva Ayunique™ Treatment Philosophy - A Holistic Approach to Ankylosing Spondylitis
Jiva Ayurveda offers holistic Ayurvedic treatment of Ankylosing Spondylitis using evidence-based Ayurveda. The treatment plans are customised to target the very root causes of the disease, and instead of just treating symptoms, they focus on holistic healing, balance and stability in totality.
Core Principles of the Jiva Ayunique™ Treatment Philosophy
HACCP certified Ayurvedic medicines: These are scientifically made blends that rebalance your body and improve your emotional state.
Yoga, Meditation & Mindfulness: These practices help calm the mind, enhance mental health and improve your overall wellness.
Ayurvedic Treatments: Procedures like Panchakarma and various forms of massage cleanse the body and promote emotional balance.
Diet & Lifestyle Modifications: Expert advice on dietary changes and lifestyle adjustments for optimal health.
Ayurvedic Medicines for Ankylosing Spondylitis
Ankylosing Spondylitis treatment in Ayurveda is based on various natural medications and therapies. These natural medicines help to reduce pain and inflammation and restore balance in the body’s energy system.
Some of the most effective Ayurvedic medicines used for Ankylosing Spondylitis treatment are:
Ashwagandha (Withania Somnifera): This is an anti-inflammatory and stress-relieving herb in Ayurveda. Ashwagandha is believed to reduce joint pain and stiffness and boost energy levels.
Guggulu (Commiphora Mukul): Guggulu is a resinous extract with anti-inflammatory and lipid-lowering properties that can help relieve joint swelling and pain.
Turmeric (Curcuma Longa): Turmeric contains curcumin, an anti-inflammatory substance which reduces inflammation and pain in the entire body, including the joints of the spine.
Shallaki (Boswellia Serrata): Another Ayurvedic herb that is believed to relieve joint pain and inflammation is Shallaki. It is especially useful for increasing joint flexibility and function.
Ginger: Frequently used in many Indian homes, ginger has anti-inflammatory properties which can help ease discomfort and reduce swelling in affected areas.
Triphala: Blending three fruits (Amalaki, Bibhitaki and Haritaki), Triphala is known to promote digestion and detoxification and reduce inflammation due to Ankylosing Spondylitis.
Punarnava (Boerhavia Diffusa): This Ayurvedic herb is known to reduce swelling and control fluid retention in the body, helpful for treating Ankylosing Spondylitis symptoms.
Maharasnadi Kwath: Maharasnadi Kwath is a herbal decoction for joint pain and stiffness and is recommended for improving mobility and lowering inflammatory responses in the body.
Dashmoolarishta: This is a standard Ayurvedic tonic which helps reduce inflammation and pain and strengthens the tissues, especially the musculoskeletal system.
Frequently Asked Questions About Ankylosing Spondylitis
What is the main cause for Ankylosing Spondylitis?
Ankylosing Spondylitis is primarily caused by genetic factors, i.e. the HLA B27 gene, along with environmental triggers and immune system problems.
Can Ankylosing Spondylitis be cured with Ayurveda?
Ayurvedic therapies can help ease Ankylosing Spondylitis symptoms and enhance quality of life using natural herbs, therapies and relaxation techniques.
Is Ankylosing Spondylitis hereditary?
Yes, Ankylosing Spondylitis can be hereditary. Having close family members with the same condition raises your risk, indicating a genetic link.
How is Ankylosing Spondylitis diagnosed in Ayurveda?
Ayurvedic diagnosis of Ankylosing Spondylitis is based on physical symptoms, patient history and imbalance of the Vata and Kapha doshas, which is generally confirmed through pulse diagnosis.
What lifestyle modifications could help manage Ankylosing Spondylitis?
The symptoms of Ankylosing Spondylitis may be controlled through regular exercise, maintaining good posture, avoiding damp and cold environments and following a balanced diet.
Could yoga help with Ankylosing Spondylitis?
Yes, yoga can help with Ankylosing Spondylitis as it helps maintain flexibility, decreases stiffness, and strengthens the muscles across the spinal column.
What are the best Ayurvedic herbs to reduce inflammation in Ankylosing Spondylitis?
Ayurvedic herbs like turmeric, ginger and shallaki help to reduce inflammation as they possess anti-inflammatory properties.
How does Ayurveda treat Ankylosing Spondylitis?
Ayurveda treats AS through a mix of herbal medicines, dietary changes, lifestyle modifications and Ankylosing Spondylitis therapies such as Panchakarma.
What diet should someone with Ankylosing Spondylitis follow?
An anti-inflammatory diet plan consisting of fruits, whole cereals and omega 3 essential fatty acids is usually recommended along with limiting red meat, dairy and processed foods.
Are there specific Ayurvedic treatments for Ankylosing Spondylitis?
Therapies like Abhyanga (oil massage), Svedana (herbal steam treatments) and Navarakizhi (medicated rice poultices) can help with Ankylosing Spondylitis.
Does stress affect Ankylosing Spondylitis?
Yes, stress can worsen Ankylosing Spondylitis symptoms and inflammation, which is why stress management is essential for holistic treatment of the condition.
Is Ankylosing Spondylitis more widespread among women or men?
Ankylosing Spondylitis is more common and generally more severe in men than women but it can affect anyone.
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