here a pt. who. is suffering frm ankyolosing spondylitis. plz dx n Rx

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No classical xray changes of Ankylosing spondylitis CBC ESR Uric acid levels CRP MRI screening of spine

Spinal flexibility (extension) exercises to be regularly followed to prevent the vertebral bodies to fuse in future. Also these patients tend to develop dorsal kyphosis due to which chest is hampered, hence special attention for chest expansion exercises. Global postural advice Hip and knee flexibility exercises to prevent from contractures. Inflammation can be controlled by contrast bath.

1.did u consider any meds for as 2.any response.? 3.few changes in spine like bamboo spine can b irreversible n need surgeries like osteotomies.control of systemic ds is imp

As the case is confirmed AS, please clinically examine sacroiliac joint involvement. Please do focus on respiratory muscle strengthening and practice breathing exercises along with other physiotherapy treatment. The respiratory complications are quite common as the chest expansion mechanism diminish gradually with AS.

Pain and muscle spasm are treated by the following modalities and the relaxation is advised- Infra red. Hot packs. Cryotherapy. Steam bath. Hydrotherapy. Exercises for mobilization of joints:- Maintaining the mobility of joints, by giving mobility exercises to particular joints, which are affected like, spine, hip, shoulder, thoracic cage are essential in Ankylosing Spondylitis Treatment. Maintenance of the mobility is very important and the basic aim is that all the joints are moved to their maximum limit and by this, we can delay the process of ankylosis. Hydrotherapy- Hydrotherapy, in real sense refers to the therapeutic use of water. The therapeutic effects of water in relation to Ankylosing Spondylitis Treatment- The relief of pain and muscle spasm. The maintenance or increase in range of motion of joints. The strengthening of weak muscles and an increase in their tolerances to exercise. The importance of circulation. The encouragement of functional activities. The maintenance and improvement of balance, co-ordination and posture. Prevent and correct deformity by giving attention to posture:- The spondylitic patient should always be conscious of his posture while sitting, standing and walking patient should maintain the erect posture during these activities. This helps to prevent and correct deformity and thus help in Ankylosing Spondylitis Treatment. Sleeping should occur in prone position or supine on a firm mattress with a thin or no pillow by this, the spine remain in extended position and not in flexion. The design of chairs is important particularly for those who spend most of their working hours sitting at desk. Low arm chair should be avoided, an upright chair with some cushioning to support the lower lumber spine is better. Adjust the height of the working table and ensure that the patient does not stoop on that. Avoidance of prolonged immobilisation or bed rest, because of this, the spinal extensors become weak and by this the extended position of the spine is not retained.

what is the age of patient, what r her chief complaints at present, then treatment can be planned....initially to decrease pain and later strengthening of spinal and peripheral joints and muscles...

Hi... First of all explain properly the consequences....Nd further deformities... Physio is very important.. Spinal + limbs stretching... Strengthening.. Postural nd ergonomic advice.. Breathing exercises... Start a regime with progression with time and as per requirement...

whenever pt doing exercise.. pain become worse.....pt. got loss of spinal extension..if she tk hotfrntatn get relive
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Ref to rheumatologist would help physio once pain is manageable

Consedering the age of that patient and present physical abilities physio may include- Hydrotherapy Myotherapy for back (releasing stiffness in erector muscles ) whole spine region. Tailored Exercise according to patient abilities - must be performed under supervision of physical therapist only.

What's d age of d patient sir? What r d symptoms right now? Educate and make her aware about d disease (AS). Prognosis also. S management 1. regular consultion with rheumatologist for medical management. 2. MRI spine to done for checking d status of spinal fusion. 3. Physiotherapy management:- postural care, stretching in order to maintain flexibility. treatment by modalities according to symptoms and stage. - tell patient to do regular breathing exercise in order to maintain thoracic cage mobility for lung complaince, and to maintain gud circulation to other internal organs of body like stomach And other vital organ. Obviously no one dies due to AS but we have teach her how to live with AS.

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