Wechat subscription number of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine [ Jinbiaotang ] column, pushed every Thursday! The articles in this column are written by famous orthopedic doctors in the hospital and are personally written or guided by the famous orthopedic doctors. The content involves popular science explanations and prevention suggestions for many common orthopedic diseases. They are practical and authoritative! stay tuned!
"hunchback"? Beware of ankylosing spondylitis!
Medical Guidance/Orthopedics II Orthopedics (Spine Orthopedics) Director Yao Zhensong, Traditional Chinese Medicine Physician
Pictures/Orthopedics II Orthopedics (Spine Orthopedics) Dr. Ren Hui
"I finally straightened my spine and stood up again. Thank you for your medical team's careful care!" Uncle Li, who was hospitalized for half a month and was about to be discharged from the hospital, said excitedly.
I remember that on a busy afternoon more than 10 days ago, a middle-aged uncle walked towards the second orthopedic ward step by step with his back hunched over. Although Uncle Li is only 44 years old, he has been entangled with ankylosing spondylitis for more than 20 years. The spine bone on the waist and back has severe kyphosis, forming a "hunchback" deformity. He has been taking oral painkillers for a long time, but the pain still cannot be relieved. Uncle Li can only curl up and sleep every day. When he moves a little, his waist and back will be in unbearable pain, which has caused great trouble to his life.
Speaking of ankylosing spondylitis, it is actually not far from us. It can be seen everywhere in life. For example, a certain star once suffered from this disease. His hunchback and shaking walking posture once attracted people to imitate it.
So what is ankylosing spondylitis? What are the symptoms of ankylosing spondylitis? How should we treat and prevent?
Ankylosing spondylitis (AS) is a chronic disease that involves the central axis of the human body and belongs to the category of rheumatism. The prevalence rate is about 0.1-1.4%, and the incidence age is 15-40 years old. Among them, there are significantly more male patients than female patients, and the proportion of male and female patients is about 2:1. AS clinically manifests itself as chronic inflammatory changes in large joints such as sacroiliac joints and hip joints. The pathological changes are lesions at the ligament attachment point, resulting in ligament ossification, joint fiber or ankylosing bone, vertebral osteoporosis, muscle stiffness and kyphosis deformity. It is mainly manifested as sagittal imbalance of the spine, resulting in changes in biomechanics , the back muscles are in a stretched state for a long time, the patients are unable to lie flat and walk difficult, and some patients even have respiratory and digestive functions involved. As the condition progresses, AS patients have severe kyphosis in their spine, forming a typical "hunchback", which has great troubles to life and work. They were once called "undead cancer".
Why should you beware of AS when your body has symptoms?
1. Chronic low back pain: is usually more than 3 months, and the early symptoms are mild. As the condition progresses, morning stiffness, fatigue, difficulty turning over, and even pain in the middle of the night, which will relieve after activity.
2. Hip Pain: Patients with teenagers who have chronic hip pain often develop chronic hip pain, which later develops into hip deformities.
3. Heel pain: manifests as redness, swelling and pain in the heel.
4. Swelling and painful eyes: Unexplained eyes are red, painful, blurred vision, and loss of vision. What are the main manifestations of imaging in
AS?
sacroiliac joint gap disappears and joint fusion (Figure 1 and Figure 2)
ligament calcification and bone hyperplasia (Figure 3 and Figure 4)
osteophytes fusion, forming a "bamboo joint-like" change (Figure 5 and Figure 6) Can
still be treated if it has AS?
Modern medical technology is becoming more and more advanced, ankylosing spondylitis is no longer terrible. Please seek medical treatment in time if your body is discomfort! The early treatment goal of ankylosing spondylitis is to treat conservatively in combination with traditional Chinese and Western medicine. It is often controlled by taking drugs by taking low back pain, , joint pain, , morning stiffness, fatigue and other symptoms, to slow down the progress of the disease, and to undergo surgical treatment if necessary. If treated irregularly, it is easy to progress gradually, and later "hunchback" deformity occurs due to back pain. For such patients, surgery is often the most reliable and effective way of treatment.
Uncle Li is a patient with late AS. After being admitted to the hospital, we will conduct relevant examinations.Among them, X-rays show that the sacroiliac joint space is narrow, the joint surface is blurred, and the edges are irregular; the vertebral joint is blurred, the spine is changed like bamboo joints and bone bridges; kyphosis of the spine at the waist and back. We confirmed that the disease that Uncle Li was suffering from was ankylosing spondylitis and kyphosis. After detailed assessment of the condition and surgical risks, we performed lumbar kyphosis orthopedics and sufficient decompression spinal canal surgery for him. Just 15 days after the operation, Uncle Li "straightened his back" with the help of the walker and walked out of the ward with a smile...
Preoperative X-ray and CT
Re-examination of X-ray 2 weeks after the operation
Appearance before and after the operation
How to prevent "hunchback" if you have ankylosing spondylitis?
It is not scary to have ankylosing spondylitis. Doing the following will be of great help to prevent kyphosis of ankylosing spondylitis.
. Actively treat ankylosing spondylitis and take medication regularly; . Regular review, if there is any flare-prone progress, wear braces in time; . Appropriate aerobic exercise, such as swimming, etc.; . Avoid strenuous exercise or labor, prevent falls, and prevent fractures. In short, ankylosing spondylitis is still a chronic nonspecific inflammation of the spine and joints of unknown causes. It is mainly common in middle-aged men, and early manifestations are chronic occult low back pain and spinal stiffness. As the condition progresses, severe kyphosis of the spine occurs. But with the current medical conditions, ankylosing spondylitis is no longer a "cancer". Therefore, it is not terrible to have ankylosing spondylitis. Active symptomatic treatment in the early stage, prevent fractures and kyphosis in the later stage, and perform surgical treatment when necessary, which plays a crucial role in slowing the progression of ankylosing spondylitis.
Expert Profile
Yao Zhensong, chief Chinese medicine practitioner and master's supervisor. He is currently the deputy chairman of the Osteoporosis Professional Committee of the Guangdong Society of Integrated Traditional Chinese and Western Medicine, the deputy chairman of the Spine and Spinal Cord Branch of the Guangdong Rehabilitation Medical Association, a member of AO SPINE, and a Guangzhou medical appraisal expert. He has studied and learned spinal surgery technology skills at many advanced domestic and foreign spinal surgery centers, including Shanghai Changzheng Hospital, Peking University People's Hospital, Chongqing Xinqiao Hospital, Malaysian General Hospital, Munich Spine Surgery Center, Germany.
is good at: spondylosis, lumbar disc herniation , lumbar spinal stenosis, osteoporosis , spinal tumor , spinal tuberculosis , spinal infection, spinal deformity , spinal trauma, spinal cord injury and other treatments for spinal spinal cord diseases.
clinic arrangements: Monday morning, Thursday afternoon; Room 3, Spine Orthopedics, Orthopedics, Orthopedics, Orthopedics, Orthopedics, and Bone Injury Center on the 6th floor of the outpatient building.
Author Profile
Ren Hui, Master's Supervisor, Ph.D. Young member of the Precision Medicine Committee of the Chinese Society of Traditional Chinese Medicine, member of the Osteoporosis Branch of the Chinese Association for Promoting Traditional Chinese Medicine, member of the Chiropractic Professional Committee of the Guangdong Society of Integrated Traditional Chinese and Western Medicine, member of the Spine Surgery Professional Committee of the Guangdong Medical Education Association, and member of the First Youth Committee of the Stem Cell and Traditional Chinese Medicine Regenerative Medicine Professional Committee of the Guangdong Natural Medicine Research Association. Young editor of China osteoporosis magazine, external review expert of China Tissue Engineering Journal, and young editor of Medical Reference News Osteoporosis Channel. He presided over 6 projects including National Natural Science Foundation of China 5, Guangdong Provincial Natural Science Foundation of China 5, Guangdong Provincial Bureau of Traditional Chinese Medicine projects, participated in 3 National Natural Science Foundation of China and 15 other provincial and ministerial and bureau-level projects, and 3 Guangdong Provincial Science and Technology Achievements Registration. 58 papers were published, including 20 SCI (12 in JCR Area 1, total IF=81.502). 14 patents were applied for (including 6 invention patents). In June 2018, he won the Best Paper Award at the APSS2018 Annual Meeting Annual Meeting of the Asia-Pacific Chiropractic Association, and in 2019, he won the second prize of the Chinese Society of Integrated Traditional Chinese and Western Medicine Science and Technology. He has exchanged many times at provincial and above academic conferences and won awards.
is good at: sticks to treat neck, shoulder, waist and leg pain, combined traditional Chinese and Western medicine to treat cervical spondylosis , spinal stenosis , lumbar disc herniation , osteoporosis and other common spinal diseases.
visit arrangement: Thursday morning; Room 3, Spine Orthopedics, Orthopedics, Orthopedics, Orthopedics, and Orthopedics, on the 6th floor of the outpatient building.
Warm reminder
Editor: Liu Qingjun
Review: Zheng Xiaoying, Yang Yan
Editor: Zhong Tianshuo
