Hi , i am dr. Ramez mohammed,
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Spondyloarthritis is a term for inflammatory diseases that involve both the joints and the entheses (the sites where the ligaments and tendons attach to the bones). The most common of these diseases is
ankylosing spondylitis. Others include
reactive arthritis,
psoriatic arthritis and
enteropathic arthritis.
Spondyloarthritis, in most cases, primarily affects the spine. Some forms can affect the peripheral joints , those in the hands, feet, arms and legs.
1.may order imaging and blood tests to confirm the diagnosis. X-rays of the sacroiliac joints, a pair of joints in the pelvis, often show changes called sacroilitis in people with spondyloarthritis. If these changes do not show up on X-ray but symptoms suggest spondyloarthritis, may take a magnetic resonance image (MRI) that can show these changes before an X-ray can.
2.A blood test for the HLA-B27 gene can also help confirm a suspected diagnosis of
spondyloarthropathy. However, not everyone with the gene have or develop arthritis. Therefore, a positive finding by itself doesn’t mean spondyloarthritis.
Several medications, including various nonsteroidal anti-inflammatory drugs (NSAIDs), are effective for relieving pain and inflammation in spondyloarthritis. When joint swelling is not widespread, injections of a corticosteroid medication directly into the joint or membrane surrounding the affected area can provide quick relief.
When these drugs alone do not provide relief, may prescribe disease-modifying antirheumatic drugs (DMARDs) to relieve symptoms and prevent joint damage. DMARDs are most effective for arthritis that affects the joints of the arms and legs.
Another class of drugs called
tumor necrosis alpha (TNF-alpha) blockers are effective for arthritis of the both the spine and joints of the arms and legs. However, they are expensive and can increase the risk of serious infections.
Antibiotics may be helpful for reactive arthritis.
When inflammation destroys the cartilage in the hips, surgery to replace the hip with a prosthesis, called total
hip replacement, can relieve pain and restore the joint’s function.
Self care for spondyloarthritis should address both the physical and emotional effects of the disease through healthy lifestyle choices such as exercising regularly and not smoking
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