Ankylosing spondylosis causes, symptoms and unani treatment
Ankylosing spondylosis causes, symptoms and unani treatment
Dr Izharul Hasan,
Lecturer, Dept of PSM
AIUMC, Muzaffarnagar
Contact No. 8791341229
Ankylosis spondylitis is a continual irritation that causes ache and inflexibility on the vertebraeIn ankylosing spondylosis inflammation occurs at the site where certain ligaments or tendons attach to bone followed by some erosion of bone at the site of the attachment. As the inflammation subsides, a healing process takes place and new bone develops. Movement becomes restricted where bone replaces the elastic tissue of ligaments or tendons. Repetition of this inflammatory process leads to further bone formation and the individual bones which make up your backbone, the vertebrae, fuse together. The pelvis is commonly affected first. The lower back, chest wall and neck may also become involved at different times. This condition might also result to a supreme union of the spine is popularly known as ankylosis.
"Ankylosing spondylitis is a Rheumatic disease that causes arthritis of the spine and sacro iliac joint and can cause inflammation of the eyes, lungs and heart valves. It varies from intermittent episodes of back pain that occur through out life to severe chronic disease that attacks the spine, peripheral joints and other body organs resulting in severe joint and back stiffness, loss of motion and deformity as life progresses"- American college of Rheumatology.
Who are on risk: Gender - Men are affected more than women
Age : Individuals between 15-40 years of age are most commonly affected .
Hereditary : Heredity plays a major role in predisposing the disease. Ankylosing spondylitis is present in persons whose relatives are already affected by it.
Tissue type: Ankylosing spondylitis is related to certain tissue types. Majority of persons affected with Ankylosing spondylitis are found to belong to HLA-B-27 type of tissue.
Colon Ulcers : Patients with bowel ulcers are under risk of developing Ankylosing Spondylitis.
Reiter's disease : Reiter's disease is a joint disease, where all the joints of the body are affected. Patients affected by Reiter's disease are more susceptible to Ankylosing Spondylitis.
The causes that are believed to be liable for the occurrence of the illness are environment and genetic factors. The symptoms that are frequently encountered associated with this disease is extreme pain and stiffness, eye inflammation and multiple joint aggravations.
Sign and Symptoms:
Diagnosis:
A diagnosis of ankylosing Spondylitis is usually made by a thorough physical and medical examination , family history and a series of investigations that include .
Blood work up: Raised levels of red blood cells sedimentation rate and presence of anemia (low hemoglobin level) are associated with Ankylosing Spondylitis.
A tissue test : To confirm the presence of a human antigen of type HLA - B - 27
X- Ray: Reveals hazy joint margins with widened joint spaces .In advanced stages, the spinal bones are fused together and the X-ray of the spine has a bamboo like appearance.
Physical examination: A thorough physical examination is done to check for tenderness and pain sensitive areas along the back and pelvic region. During the examination the mobility of the individual is also assessed .
Medical history: A past history of Ititis and gastrointestinal infections like Crohn's disease , or ulcerative colitis are checked for as it is most commonly found in association with Ankylosing Spondylitis.
What should be Dos and Don'ts?
Unani Treatment:
Habbe Ayarij 2 pills at bed time for 5 days
Habbe Izaraqi 2 pills twice daily
Majoon suranjan, Majoon chobchini 6-6 gm in each twice daily till pain and inflammation subsides.
Roghan Kuchla, Roghan Baboona for massage locally with hot fomentation.
Wet Cupping and other regimes.
A case Mohd Asif age 17 years Gender M, Dodbasi Distt Haridwar, unable to walk, only in sitting position, having chief complain polyarthralgia, persistence of more than 3 months and inflammatory joints. His father suffering from ankylosing spondilysis since 25 of age. I advise him to investigate of the following and treated successfully as follows.
Before Treatment:
Investigations done on dated 13/11/2011 in Bhardwaz pathology, Haridwar lab No. 4911.
Haematology
Hb: 7.6 g/dl
Erythrocyte count: 3.03 million/cu mm
Leucocytes: 35700 per cu mm
RBC Indices
HCT:24.7%
MCV: 81.5 Fl
DLC
Neutrophils: 95.5%
Lymphocytes 4.4%
Monocytes: 0.1%
Eosinophils 0.0%
Basophils: 0.0%
Absolute count
Neutrophils: 34122.5 /cu mm
Lymphoctes: 1570.8 /cu mm
ESR (westerngrens): 110 mm/hrs
Widal Test
Igm for S.typhi: Negative
HLA B 27
Detection of Human Leucocyte Antigen (HLA) B27 from patient blood.
Result: Positive
Immunology
S.G.P.T: 107.4
C-Reactive protein
(By Turbilatex Method)
C-reactive protein test: Positive
Value: 94.13 (normal range 0.0-6.0 mg/dl)
S. Na+: 158 m mol/L
S. K+: 4.9 m mol/L
Urine Microscopic Examination reports shows large no. of pus cells.
I diagnose him ankylosing spondilysis and treated successfully by unani formulation as follows:
After 24 days treatment
He take these medications continue 24-25 days and feel satisfactory relief and walk easily, I advise him for investigate again and find out surprising results as of follows:
Ratan Bharti Diagnostic Kendra, Haridwar. Investigation done on dated 07/12/2011
Hb: 10.6 gm/dl
TLC: 9000 cells/cu mm
DLC
Neutrophils: 68 %
Lymphocytes: 26%
Eosinophils: 04%
Monocyte: 02%
Basophils: 00%
ESR (Westerngreen method): 60 mm/1st hrs
S.G.P.T: 24.2 U/L
S.G.O.T: 28.7 U/L
S.Sodium: 135
After coming investigation report I advise patient to keep continue same medication for 2 months and Masa'Allah now patient is fit for.
Dr Izharul Hasan,
Lecturer, Dept of PSM
AIUMC, Muzaffarnagar
Contact No. 8791341229
Ankylosis spondylitis is a continual irritation that causes ache and inflexibility on the vertebraeIn ankylosing spondylosis inflammation occurs at the site where certain ligaments or tendons attach to bone followed by some erosion of bone at the site of the attachment. As the inflammation subsides, a healing process takes place and new bone develops. Movement becomes restricted where bone replaces the elastic tissue of ligaments or tendons. Repetition of this inflammatory process leads to further bone formation and the individual bones which make up your backbone, the vertebrae, fuse together. The pelvis is commonly affected first. The lower back, chest wall and neck may also become involved at different times. This condition might also result to a supreme union of the spine is popularly known as ankylosis.
"Ankylosing spondylitis is a Rheumatic disease that causes arthritis of the spine and sacro iliac joint and can cause inflammation of the eyes, lungs and heart valves. It varies from intermittent episodes of back pain that occur through out life to severe chronic disease that attacks the spine, peripheral joints and other body organs resulting in severe joint and back stiffness, loss of motion and deformity as life progresses"- American college of Rheumatology.
Who are on risk: Gender - Men are affected more than women
Age : Individuals between 15-40 years of age are most commonly affected .
Hereditary : Heredity plays a major role in predisposing the disease. Ankylosing spondylitis is present in persons whose relatives are already affected by it.
Tissue type: Ankylosing spondylitis is related to certain tissue types. Majority of persons affected with Ankylosing spondylitis are found to belong to HLA-B-27 type of tissue.
Colon Ulcers : Patients with bowel ulcers are under risk of developing Ankylosing Spondylitis.
Reiter's disease : Reiter's disease is a joint disease, where all the joints of the body are affected. Patients affected by Reiter's disease are more susceptible to Ankylosing Spondylitis.
The causes that are believed to be liable for the occurrence of the illness are environment and genetic factors. The symptoms that are frequently encountered associated with this disease is extreme pain and stiffness, eye inflammation and multiple joint aggravations.
Sign and Symptoms:
- Slow or gradual onset of back pain and stiffness over weeks or months rather than hours or days.
- Early-morning stiffness and pain, wearing off which reduces during the day with exercise.
- Persistence for more than three months (as opposed to coming on in short attacks).
- Feeling better after exercise and feeling worse after rest.
- Loss of Weight , especially in the early stages.
- Fatigue.
- Feeling feverish and experiencing night sweats.
- It is a persistent kind of pain, which is also felt in various areas of the body such as the ribs , shoulder blades, hips , thighs and heels. One may also experience an overall feeling of tiredness due to the inflammation caused by Ankylosing Spondylysis
Diagnosis:
A diagnosis of ankylosing Spondylitis is usually made by a thorough physical and medical examination , family history and a series of investigations that include .
Blood work up: Raised levels of red blood cells sedimentation rate and presence of anemia (low hemoglobin level) are associated with Ankylosing Spondylitis.
A tissue test : To confirm the presence of a human antigen of type HLA - B - 27
X- Ray: Reveals hazy joint margins with widened joint spaces .In advanced stages, the spinal bones are fused together and the X-ray of the spine has a bamboo like appearance.
Physical examination: A thorough physical examination is done to check for tenderness and pain sensitive areas along the back and pelvic region. During the examination the mobility of the individual is also assessed .
Medical history: A past history of Ititis and gastrointestinal infections like Crohn's disease , or ulcerative colitis are checked for as it is most commonly found in association with Ankylosing Spondylitis.
What should be Dos and Don'ts?
- Do the prescribed exercises regularly
- Do maintain the correct posture
- Do use a firm bed for sleeping
- Do extend your spine every half hour while at work.
- Do not encourage activities, which strain your back
Unani Treatment:
Habbe Ayarij 2 pills at bed time for 5 days
Habbe Izaraqi 2 pills twice daily
Majoon suranjan, Majoon chobchini 6-6 gm in each twice daily till pain and inflammation subsides.
Roghan Kuchla, Roghan Baboona for massage locally with hot fomentation.
Wet Cupping and other regimes.
A case Mohd Asif age 17 years Gender M, Dodbasi Distt Haridwar, unable to walk, only in sitting position, having chief complain polyarthralgia, persistence of more than 3 months and inflammatory joints. His father suffering from ankylosing spondilysis since 25 of age. I advise him to investigate of the following and treated successfully as follows.
Before Treatment:
Investigations done on dated 13/11/2011 in Bhardwaz pathology, Haridwar lab No. 4911.
Haematology
Hb: 7.6 g/dl
Erythrocyte count: 3.03 million/cu mm
Leucocytes: 35700 per cu mm
RBC Indices
HCT:24.7%
MCV: 81.5 Fl
DLC
Neutrophils: 95.5%
Lymphocytes 4.4%
Monocytes: 0.1%
Eosinophils 0.0%
Basophils: 0.0%
Absolute count
Neutrophils: 34122.5 /cu mm
Lymphoctes: 1570.8 /cu mm
ESR (westerngrens): 110 mm/hrs
Widal Test
Igm for S.typhi: Negative
HLA B 27
Detection of Human Leucocyte Antigen (HLA) B27 from patient blood.
Result: Positive
Immunology
S.G.P.T: 107.4
C-Reactive protein
(By Turbilatex Method)
C-reactive protein test: Positive
Value: 94.13 (normal range 0.0-6.0 mg/dl)
S. Na+: 158 m mol/L
S. K+: 4.9 m mol/L
Urine Microscopic Examination reports shows large no. of pus cells.
I diagnose him ankylosing spondilysis and treated successfully by unani formulation as follows:
- Safoof e Suranjan 5 gm twice daily along with Arq Mako 50 ml, Ark Badyan 50 ml after meal.
- Murmuki 20 gm, Ailwa 20 gm, Anisoon 10 gm, Saffron 5 gm (make fine powder) give 3 gm twice daily along with 40 ml honey water.
- Majoon Falasfa 10 gm at bed time along with hot milk
- Ginger tea as he desired (daily 15gm ginger boil in tea)
- Roghan Banafsa for massage with hot fomentation of Nakhoona, baboona.
- Moderate exercise
After 24 days treatment
He take these medications continue 24-25 days and feel satisfactory relief and walk easily, I advise him for investigate again and find out surprising results as of follows:
Ratan Bharti Diagnostic Kendra, Haridwar. Investigation done on dated 07/12/2011
Hb: 10.6 gm/dl
TLC: 9000 cells/cu mm
DLC
Neutrophils: 68 %
Lymphocytes: 26%
Eosinophils: 04%
Monocyte: 02%
Basophils: 00%
ESR (Westerngreen method): 60 mm/1st hrs
S.G.P.T: 24.2 U/L
S.G.O.T: 28.7 U/L
S.Sodium: 135
After coming investigation report I advise patient to keep continue same medication for 2 months and Masa'Allah now patient is fit for.
