Axial spondylarthritis and treatment: pharmaceuticals, rehabilitation and physical

Author:
Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker

The treatment is based on a combination of several methods, ie it is pharmacological and also non-pharmacological. Pharmacological , rehabilitative , physical and, in case of severe disability, also surgical .

Determining treatment involves an individual evaluation of the stage and difficulties present. Plus, they are also evaluated outside of spinal difficulties .

Professional help and supervision are important in therapeutic exercise . After mastering the correct exercise technique, daily home exercise is necessary . Exercise in water, swimming is also suitable. 

The first choice of drugs are non-steroidal anti-inflammatory drugs - NSAIDs , ie non-steroidal anti-inflammatory drugs. Alternatively, paracetamol and opiates are used for intense pain that does not respond to common drugs.

After evaluation, biological treatment is also available . This is indicated in the case of non-radiographic AxSpA as well as in the long-term treatment process.

Biological treatment is an inhibitor of tumor necrosis factor-α - TNF-α.

Surgical treatment is chosen for severe ankylosing spondylitis, which may involve spinal surgery and correction of structural changes. In the second case, if the hip joint is affected, then the total replacement, ie the endoprosthesis - TEP of the hip joint .

Evaluation of the clinical activity of ankylosing spondylitis according to BASDAI (Bath ankylosing spondylitis disease activity index):

  1. general fatigue
  2. pain in the spine - neck, stem and lower back
  3. joint pain or swelling
  4. pain in any area of ​​the musculoskeletal system on contact or pressure 
  5. intensity of morning stiffness
  6. duration of morning stiffness

As en.wikipedia.org mentions about BASDAI .

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Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker
The secondary medical school in Nitra gave me the basis for my career in the field of health and diseases. Thanks to it, I worked for 2 years in the traumatology clinic and outpatient clinic at the Nitra Hospital. Since 2006 I was employed in the emergency medical service, where I stayed until 2017. I completed my bachelor's degree at the University of Constantine the Philosopher in Nitra in the field of emergency health care. The bachelor's degree allowed me to continue my mission as a paramedic. In the meantime, I got a job at the emergency line 155. I have been working in pre-hospital health care until today. I had an interest in people, health and even diseases in my childhood, which gave me the prerequisite to pursue this topic in adulthood. Studying and acquiring new information in practice provided me with a great basis for writing professional texts, in the form of articles that can be understood by ordinary people. Thus, my interest in the Health Portal has a solid foundation in years of practice and personal interest. Similarly, I am also interested in healthy eating, nutrition and overall healthy lifestyle. I fill my free time with family and sports.
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