Inflammatory spondyloarthropathy treatment

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What is inflammatory spondyloarthropathy?

Inflammatory spondyloarthropathy, also known as spondyloarthritis, is an autoimmune disease. It occurs when the immune system attacks the spine and sometimes the joints of the arms and legs. Men are most likely to be affected by inflammatory spondyloarthropathy, especially younger men in their teens and twenties.

The most common age range of those who develop the disease is 17 to 45. It is believed that genetics put some individuals at risk for developing inflammatory spondyloarthropathy. The condition is sometimes associated with inflammatory bowel disease as many patients experience symptoms of both. The inflammation associated with spondyloarthropathy can lead to bone destruction, so it is important to have the condition treated.

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Symptoms and causes

The most common symptoms of inflammatory spondyloarthropathy are lower back pain and swelling in the arms and legs. Pain may include the hips and is usually worse in the morning or after a period of inactivity. Patients also may experience stiffness of the spine or other joints. The tendons in the toes and fingers may become inflamed.

Many patients also experience pain and irritation in their eyes, as well as psoriasis and symptoms of irritable bowel syndrome such as belly pain and bloating. Fatigue is common. If left untreated, the condition may lead to ankylosing spondylitis where the vertebrae of the spine fuse together. This can result in decreased flexibility of the spine and a hunched posture.

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Inflammatory spondyloarthropathy is a chronic condition, but its symptoms can be managed and the progress of the disease can be slowed. Symptoms can be treated with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, as well as with corticosteroids, disease-modifying antirheumatic drugs (DMARDs) and biologic medications.

Physical therapy and certain exercises are also recommended as well as a focus on maintaining good posture. Therapies such as mass age, acupuncture and meditation may relieve symptoms. Hot and cold compresses can reduce swelling, and eating a healthy diet with large amounts of fresh fruits and vegetables is recommended. Surgery, typically a joint replacement procedure, is an option for patients severely affected by this disease.