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Ankylosing spondylitis (AS) - how physiotherapy can help

Ankylosing spondylitis (AS) is a type of inflammatory arthritis that targets the joints of the spine and usually appears between the ages of 15 and 40 years. In response to this inflammation new bone can grow around the spine causing abnormal bony outgrowths (syndesmophytes) that knit together. This fusion of the vertebra can cause pain and reduce mobility. It particularly affects the sacroiliac (SI) joint where the spine attaches to the pelvis and can also affect the hips, knees and ankle joints. AS Symptoms include back pain, stiffness and reduced mobility in the spine . It is important to commence treatment early in AS to reduce the chance of the spine becoming fused in a bent or forward stooped posture. There is no cure for AS, however there are strategies to help control the symptoms of the condition.

Because AS is an inflammatory condition it is made worse be prolonged rest and inactivity. It is extremely important that suffers of AS check their posture regularly as the spinal segments may become chronically strained leading to increased pain, difficulty breathing and compression of abdominal organs and further more leading to the spine becoming stiffer and stiffer therefore making it increasingly difficult to stand up straight.

Physiotherapists can help to mobilise joints, prescribe specific stretching and strengthening exercises to increase spinal range and improve postural muscle strength. Tailored reconditioning programs may be designed for the whole body to maintain posture and functional to keep up with the physical demands of daily activity at work and at home. Advice on supportive chairs, back supports wedges or cushion for the home or office may also be given to assist with postural improvements. Physiotherapists can also suggest suitable sports and recreational activities that encourage good posture and spinal extension.
Hydrotherapy is very useful in the management of AS. The warmth and support of the water assists with pain relief and allows greater freedom of movement to relieve stiffness. It may allow suffers of AS to perform movements that would be impossible on land especially during a flare up. In the hydrotherapy pool all muscles and joints can be exercised in a low-impact, buoyant environment. A physiotherapist will be able to prescribe the correct exercises for a person with AS.
 
 
 
 
 

Categories: Feature Article, Hydrotherapy


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