Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain

Clinical Pain ◽  
2019 ◽  
Vol 18 (2) ◽  
pp. 121-125
Author(s):  
Sangwon Hwang ◽  
Sang Hee Im ◽  
Ji Cheol Shin ◽  
Jinyoung Park
2021 ◽  
Vol 9 (6) ◽  
pp. 1312-1315
Author(s):  
Vaishnavi Sunil Deo

Ankylosing Spondylitis is a type of arthritis that mostly affects spine and has a strong association with genetic marker HLAB27. The etiology of this disease is not much clear, but the pathogenesis can be ruled out to be immune mediated. Late adolescence or early adulthood is the prime age for the onset with symptoms ranging from dull pain with mild stiffness and reaching up to totally fused spine and severe hip joint arthritis. It has been seen that the patients diagnosed with ankylosing spondylitis show a variety of symptoms which can be catego- rized according to Ayurveda under aamavata, vatarakta, sandhigatavata samavastha or asthimajjagata vata. Here in this case study the symptoms of the patients were much like asthimajjagata vata and the dosha dushti was lina up to asthi and majja dhatu, hence both shamana and panchakarma chikitsa by the means of basti was planned. Keywords: Ankylosing Spondylitis, Arthritis, Asthimajjagata vata, Basti.


2012 ◽  
Vol 31 (10) ◽  
pp. 1479-1491 ◽  
Author(s):  
Ling Xu ◽  
Qingwen Sun ◽  
Songmin Jiang ◽  
Jia Li ◽  
Chongru He ◽  
...  

2011 ◽  
Vol 32 (6) ◽  
pp. 1663-1667 ◽  
Author(s):  
Fan Lian ◽  
Xiuyan Yang ◽  
Liuqin Liang ◽  
Hanshi Xu ◽  
Zhongping Zhan ◽  
...  

Introduction: Ankylosing spondylitis is an anaesthetic challenge both from the airway and neuraxial point of view. The success rates as reported in literature while administering neuraxial anaesthesia in such cases are very low. We describe here such a case posted for total hip replacement. Case Presentation: A 25-year-old male patient was posted for right total hip replacement (THR) due to total arthrodesis of the right hip joint. He had a previous history of left THR done 1.5 yrs back. The patient was unable to sit erect and flexion and extension movements of the spine were painful. Both active and passive movements were severely restricted due to pain and stiffness, upto only 25- 30 degrees in the right hip joint and 45-50 degrees in the left hip joint and this has made him completely bedridden. For the anaesthetic management of this case, we combined fluoroscopy, a commonly used tool in chronic pain practice, into an-aesthesia practice by using it for the administration of epidural anaesthesia via inter-laminar approach in the prone position. The perioperative and post-operative course was uneventful. Conclusion: We conclude that fluoroscopy can be used in realtime as one of the most useful tools while administering neuraxial anaesthesia in difficult spine scenarios. Keywords: Ankylosing Spondylitis, Neuraxial Anaesthesia, Epidural Anaesthesia, Fluoroscopy, Total Hip Replacement.


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