Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to review a condition called Ankylosing Spondylitis. This is a condition that is not very common at all in my office, but I do see it, and therefore, I believe that it is important that I provide some information about it.
The image above by Healthwise, gives a great representation of the stages of Ankylosing Spondylitis. Ankylosing Spondylitis is an inflammatory arthritis that usually starts by affecting the sacroiliac (SI) joints in the pelvis with progression into the spine. It is characterized by inflammation at the site where ligaments attach to the bone. This condition affects men more than women at a 3:1 ratio with the severity of the condition being worse in men as well. Typically, the earlier in the life it starts, the more progressive the disease will be. As it progresses, there is a gradual stiffening, loss of the curvature of the low back, increase in the curvature of the mid back, and decrease in chest expansion due to the ribs attaching to the spine. There is involvement with joints in the extremities approximately 50% of the time, with permanent changes occurring 25% of the time. The joints most affected outside the spine are the hips, shoulders, and knees.
These patients usually come into my office complaining of chronic low back pain and stiffness with the occasional radiation of pain into the buttock, back of the leg, or front of the leg. They generally feel the stiffness when getting up and has some relief with light activity.
Ankylosing Spondylitis, like other rheumatoid and rheumatoid-variant diseases, is unpredictable in its course of remission and relapse. Treatment include chiropractic manipulation to keep the spine flexible, stretching, and postural and breathing exercises. Getting these individuals into a Posture Shirt as soon as possible is imperative.
When performing manipulation to the spine, it must be gentle to prevent inflammation.
If you are suffering from low back, buttock, or leg pain, call my office today (480) 366-4041. We can Help!