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- $Unique_ID{BRK00923}
- $Pretitle{}
- $Title{Arthritis of the Spinal Column}
- $Subject{arthritis spinal column spondylitis spine fusion Musculoskeletal
- connective tissue tissues rheumatic ankylosing AS Marie-Strumpell Disease
- stiffness joints knees ankles shoulders hips inflammation NSAIDS nonsteroidal
- anti-inflammatory drugs daily exercise joint knee ankle shoulder hip}
- $Volume{M-17,U-17}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Arthritis of the Spinal Column
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- QUESTION: My son who is 37 has been diagnosed as having a type of arthritis
- in which his spinal column may fuse and become one bone. We are desperate for
- information that can help him prevent this terrible disease from progressing
- and robbing him of his youth. Please help.
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-
- ANSWER: Without doubt you are referring to a rheumatic disorder known as
- ankylosing spondylitis (AS) or sometimes referred to as Marie-Strumpell
- Disease. It is a disease that is three times more common in men than in
- women, and strikes between the ages of 20 and 40 years of age. The most
- common complaint of patients with AS is stiffness, particularly in the morning
- which is gradually relieved by activity. Although the stiffness may occur in
- any joint, knees, ankles, shoulders and hips, it is the back that is the
- eventual target, with back pain of varying intensity, occurring frequently at
- night. The term "ankylosis" means stiffening, while "spondyl" refers to the
- vertebrae and "itis" denotes inflammation. The disease process is one of
- inflammation, with the tissues around the joints of the body, particularly the
- spine, become inflamed and swollen. This creates the pain, and the patient
- attempts to reduce the discomfort by keeping the joint immobile, which of
- course leads to more stiffening. As the joint attempts to heal, new bone is
- formed which may eventually join one vertebra to another, but it is the
- extremely rare case where the whole back bone becomes a single fused bone.
- Much can be done to help your son. To begin, the joint pain and stiffness, as
- well as muscle spasm may, be relieved using NSAIDS (nonsteroidal
- anti-inflammatory drugs). In addition a program of daily exercise to maintain
- both correct posture and flexibility is vital. The good news is that even in
- patients who are not correctly diagnosed or treated, the condition may not
- disrupt their lifestyle or cause a deformity. However, continued care and
- attention to therapy can frequently reduce this condition to occasional
- episodes of back aches and spasm, without deformity or compromised posture.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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