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Spondylitis mainly occurs in young people. The initial manifestation is lower back pain. Spondylitis first invades the sacroiliac joint and gradually spreads upwards, calcifying the ligaments of the joints of the spine. X-rays show that the intervertebral space disappears, and the spine is bamboo-like, which is not easy at early stage It was found that in the late stage, back pain became worse, and she could not sit for a long time, and finally formed a severe hump, her neck was stiff, and she could not stand upright.

Basic Information

Visiting department

orthopedics

Multiple groups

young people

Common locations

Lower back pain

Common causes

May be related to genetic, infection, immune, environmental and other factors

Common symptoms

Repeated pain and stiffness in both sacroiliac joints and lower back

Contagious

no

Clinical manifestations of spondylitis

Spondylitis is not limited to spinal joint disease. Most of the major joints in the body can be violated. The involvement of different joints produces pain and symptoms associated with that joint site. Hip pain can be described in patients with hip joint involvement, but some patients usually complain about pain in the groin on the affected side. Hip flexion and limited mobility can occur early, and flexion contracture deformities of the knee joint can occur. Although rare, this is also the case. One of the causes of disability. Redness, swelling and pain may occur in other toe joints, but those with deformities are rare, and swelling and pain in the joints are the least common.

In addition, a small number of pain, swelling or tenderness that invades the temporomandibular joint, costal vertebral joint, and sternoclavicular joint, and the costal vertebral joint are still visible. Chest pain and weakened breathing can still occur, and the intercostal nerve can be stimulated, causing the intercostal nerve. Pain, left intercostal neuralgia, misdiagnosed as angina, it is worthy of identification.

Spondylitis examination

Biochemical examination

Erythrocyte sedimentation increased, rheumatoid rheumatoid negative, HLA-B27 positive.

2.X-ray inspection

Early joints around the spine are prominent and sacroiliac joint space is blurred; mid-spine spine movement is restricted and rigid, sacral joint erosion is changed, part of ligament bone is damaged, and the small vertebra facet joint space is blurred; late sacroiliac joint fusion, spine is bamboo The spine is stiff and hump-backed, showing a bamboo-like change.

Spondylitis diagnosis

1. Mainly with two sacroiliac joints, repeated pain and stiffness in the lower back, more than 3 months.

2. Early and middle-term patients have different degrees of lumbar spine and thorax expansion, and late patients have spinal rigidity and kyphosis fixation.

3. Diagnosis can be made by combining biochemical examination and X-ray examination.

Spondylitis Treatment

1. To reduce the bad habits of lying and sitting for a long time, exercise more, and exercise the lumbar muscles.

2. Pay attention to rheumatism, according to the season, add clothes in a timely manner to keep the waist warm to prevent cold and wind.

3. Pay attention to the sleeping position. When sleeping, when lying down, use a towel or something to pad the waist to raise the waist slightly, which will protect the physiological curve of the lumbar spine.

4. While sitting and studying, try to keep your chest and abdomen upright, sitting upright. (This is an average person, it is difficult to continue, you can sit up for a while, take a break, do it, and rest).

5. The way of life to reduce back pain can only cure the symptoms, not the root causes. Spondylitis has the best effect in the initial treatment. The drug conditioning method is adopted in the middle stage of the disease. Traditional Chinese medicine theory for the treatment of spondylitis says that "wind and dampness is evil, blocking the meridians, causing the meridians to be blocked, and the pain to be blocked." Generally the purpose is to dispel wind and dispel cold, relieve spasm and clear collaterals, and promote blood circulation and stasis.