spondylitis
Introduction
Introduction to spondylitis Spinal inflammation, also known as bamboo wind, is currently not satisfied with the medical community. Mainly in young people, the initial manifestations of lower back pain, due to spondylitis first erosion of the ankle joint, gradually spread upward, so that the ligaments of the spine are calcified, x-ray shows that the intervertebral space disappears, the spine is bamboo-like, early is not easy to find In the late stage, the back pain is aggravated, and it is not possible to sit for a long time. Finally, a severe hunchback is formed, and the neck is stiff and cannot stand upright. basic knowledge The proportion of sickness: 0.01% Susceptible people: more common in young people Mode of infection: non-infectious Complications: recessive spina bifida, spina bifida and related malformations
Cause
Cause of spondylitis
Environmental factors (55%)
Invasion of wind, cold and dampness: Because of the rain and wading, the sweat and the wind are windy, and the climate change such as wet and cold for a long time, the heat and cold are interlaced, and the evil of the wind and cold is injected into the human body, leaving the meridians, joints, and blood and blood stasis and causing the disease.
Hot and humid immersion: When the age is hot and humid, or in the long summer, the hot and cold steaming or cold and dampness accumulate for a long time, the stagnation and heat, the evil of dampness and heat, soaking the meridians, causing the disease.
Disease factor (40%)
Congestion and blood stasis: bruises and bruises, damage to the back, stop in the blood, block the meridians, poor blood.
Kidney essence deficiency: lack of congenital endowment, coupled with too much fatigue, long illness and physical weakness, old and weak, unreasonable sexual intercourse, resulting in loss of kidney essence, bones and dystrophy and the disease.
Prevention
Chiropractitis prevention
1. Pay attention to rheumatism: According to the season, add clothes at a proper time and keep your waist warm to prevent cold and wind.
2. Sleeping posture: When sleeping, when lying down, use a towel-like thing, padding at the waist, so that the waist is slightly raised, which will protect the physiological curve of the lumbar spine.
Complication
Spondylitis complications Complications, recessive spina bifida, and related malformations
Degenerative spondylolisthesis can be performed concurrently.
Symptom
Symptoms of vertebral inflammation Common symptoms Hip lateral swelling and tenderness Hip joint effusion Hip, knee, elbow... Hip soreness discomfort
Spondylitis is not only a lesion of the spinal joint. The vast majority can be associated with major joints of the whole body; the involvement of different joints produces pain and symptoms associated with the joint. When the hip is involved, the patient can report hip pain, but some patients often complain of pain in the groin on the disease side. In the early stage, hip flexion and limited mobility may occur, and the knee joint may also have flexion contracture deformity, although it is rare, but it is also rare. One of the causes of the disease is disabling. Other toe joints can be red and swollen, but those with deformities are rare, and the swelling of the knuckles is the least common.
In addition, a small number of invasive temporomandibular joints, rib joints, sterno-stem joint pain, swelling or tenderness, rib joints may still have chest pain and respiratory weakness, can also stimulate the intercostal nerve, causing intercostal neuralgia , left intercostal neuralgia, misdiagnosed as angina, notable identification.
Examine
Examination of spondylitis
1, laboratory tests: increased blood sedimentation, rheumatoid more negative, HLA-B27 strong positive.
2. X-ray examination: the joints around the early vertebrae are prominent, the ankle joint space is blurred; the mid-spine vertebral activity is restricted, the ankle joint is changed, the ligament bone is destroyed, the intervertebral joint space is blurred; the late ankle joint In the fusion, the spine is bamboo-like, and the spine is straight and hump-backed, showing a bamboo-like change.
Diagnosis
Diagnosis and diagnosis of spondylitis
1, with two iliac joints, waist and back repeated pain and stiffness, more than 3 months.
2, early and mid-term patients, lumbar vertebrae, chest expansion activities are limited to varying degrees, advanced patients with spinal kyphosis fixed.
3, laboratory tests: increased blood sedimentation, rheumatoid more negative, HLA-B27 strong positive.
4, X-ray examination: early joints around the spine, the ankle joint gap is blurred; mid-term spine activity is restricted tonic, ankle-like worm-like changes, partial ligament bone destruction, square facet joint gap blur; late ankle joint In the fusion, the spine is bamboo-like, and the spine is straight and hump-backed, showing a bamboo-like change.
