Tag: SI Joint pain

Ankylosing Spondylitis

• In this episode: Ankylosing Spondylitis is an autoimmune disorder that affects the spine, eyes and heart. With physical therapy the biggest concern is fusion of spinal segments. Usually beginning in near the sacrum and lumbar spines. Its biggest concern is loss of rib cage expansion limiting respiration.

• Chip Review @ (13:07): Frozen – Utz Crab Chips (Thank you Linda Payne)

• Trivia question of the week @ (11:56): Which dinosaur’s name translates to “fused-lizard”?

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Brief overview of the episode:

            Ankylosing Spondylitis is a rare auto-immune disease that predominantly affects the spine. It causes the spine to fuse along its length. Fusion typically begin near the SI joint though the biggest concern is when it causes the costoverterbal (ribcage) joints to fuse. This prevents typical respiration. There are additional affects on the eyes as well as the heart.

            When treating someone who has Ankylosing Spondylitis the main goal is to prevent the spine from fusing in a hunched posture. This limits loss of function, improves respiration and limits the impact on daily life that can occur when left untreated.

            Physical therapy is provided in conjunction with medication. As Ankylosing Spondylitis falls under the rheumatic diseases it has been found to have a common genetic component. Individuals who have Ankylosing Spondylitis presents with the HLA – B28 gene 95% of the time. Having the HLA-B28 gene is not however, a diagnosis as most individuals with it will not present with symptoms of Ankylosing Spondylitis.

            The prevalence is about 0.1-0.2% of the population. It affects men 3x as often as women and is most likely to affect white individuals.

 

Other episodes you might enjoy:

Discectomy: Episode 81

Stretching: Episode 25

Stress Fractures: Episode 43