Ankylosing spondylitis in women: symptoms

Bechterew's disease in women

Bechterew's disease in women is less pronounced than in men. The starting period of nosology is invisible.

It flows secretly except for the pain of the sacral and gluteal region at night. During the movement, painful sensations increase.

With the progression of the disease, the pain syndrome increases, the morning stiffness of the waist is traced during exercise.

The resumption of soreness is felt throughout the day.

Bechterew's disease in women: symptoms

The disease in women begins with soreness of the sacral joints. The clinical picture of the disease is classical. Strengthening the pain syndrome is traced against the background of the pathology of the reproductive system. The situation makes differential diagnosis difficult.

Soreness of the sacroiliac region is observed against the background of menses disorders, ovarian diseases, hormonal disorders.

Radiography allows you to clearly identify the deposition of calcium in the ligaments of the spine and sacroiliac joint with ankylosing spondylarthrosis.

Through the transverse processes of the cervical vertebrae passes the vertebral artery. When calculating the longitudinal ligaments of the spine, the vessel is squeezed. The brain on this background gets enough oxygen.

Clinical observations of neurological patients have established that with complete overlap of one of the 2 vertebral arteries, the brain does not receive 15% oxygen. The condition leads to a short-term loss of consciousness.

Simultaneously with the defeat of the ligamentous apparatus of the vertebral column in ankylosing spondylitis, peripheral complications are formed in 30% of women:

• Iridocyclitis;
• Osteoarthritis of the hip joints (coxarthrosis);
• Peripheral arthritis;
• Plantar fasciitis;
• Inflammation of the Achilles tendon.

Violations are transitory. Sometimes they are combined with night sweats, weight loss, fever, loss of appetite, fast fatigue.

In girls, ankylosing spondylitis begins with peripheral lesions. In the beginning, small joints of the hands and feet become inflamed.

Then, hip joint damage is added. Clinical symptoms of sacroiliitis in Bechterew's disease in women are absent or mild.

Pathology is characterized by benign flow.

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Representatives of the beautiful half of humanity rarely affects the entire vertebral column (complete ankylosing spondylarthrosis).

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On the roentgenogram, the symptom of a "bamboo stick" is characterized by a limited extent. This comparison is accepted because of the similarity of the ossification of the longitudinal ligament of the spine with the structure of the bamboo trunk.

The place of expansion in the picture is due to the formation of bridges between adjacent vertebrae.

For 20% of women in the background of ankylosing spondylarthrosis is characterized by damage to the cardiovascular system.

Calcification of the aortic valve leads to heart failure.

The process is complicated by the formation of an atrioventricular block of the 2nd degree (a violation of the conductivity of the electric pulse in the myocardium).

Amyloid damage of the kidneys is observed in 30% of patients with Spondylitis Bechterew. More than half of them are women. The deposition of amyloid within the renal tubules over time leads to kidney failure.

Clinical symptoms of the disease depend on the course:

1. Chronic (with remissions, exacerbations);
2. Acute (rapid progression).

Recall that most women develop the disease slowly. To form severe disorders of the cervical spine, it takes about 10 years of ossification of the joint-ligament structures.

With the development of pronounced calcification, women form a specific species:

• The neck is extended forward;
• Develops the flexural contracture of the hip joints;
• The lumbar lordosis is smoothed;
• Increases thoracic kyphosis;
• Atrophy of gluteal muscles;
• Anemic syndrome.

In addition to peripheral symptoms, the representatives of the beautiful half have classical signs of Bekhterev's disease.

Classic symptoms in women

There are the main symptoms of ankylosing spondylitis, which help the doctor suspect a pathology:

• Crunch with limited mobility of the spine;
• Limitation of hip joint movements;
• Pain sensations of the sacrum;
• An arched form of the spine;
• Strong curvature of posture;
• Young people - stubborn pains heel bones;
• Swelling of small joints of feet and hands;
• Strain of the muscular backbone;
• Stiffness of the spine.

Diagnosis of the disease at an early stage has specific criteria:

1. Radiological picture of sacroiliitis;
2. Restriction of chest excursion in young people;
3. Stiffness of the spine;
4. Back pain, lumbar lengthening for more than 3 months.

The reliability of the diagnosis is confirmed by a test for the activity of the histocompatibility system HLA-B27. The study is conducted only by specialized clinics. It is considered additional in the detection of X-ray signs of sacroiliitis (inflammation of the sacroiliac joints).

Differential diagnosis should be carried out with diseases in which a painful back syndrome is detected:

• Osteochondrosis of the lumbar spine is characterized by a pain syndrome, which increases after physical exertion. With Bechterew's disease, flexion is restricted in the sagittal projection. Pain is worse in the horizontal position, at night;
• Intervertebral hernia with radiculitis is characterized by persistent pain syndrome. In case of disease, there are no lesions of other organs, normal blood tests;
• Hyperostosis diffuse is a disease that is morphologically similar to ankylosing spondylarthrosis. It is rare in women. Nosology is characterized by local ossification with predominant localization in the cervical and thoracic areas. The defeat of sacroiliac joints with hyperostosis does not appear;
• Spondylorrhagia seronegative is also characterized by ossification of individual ligaments of the spinal column with painful back syndrome. With nosology, the symptom of a "bamboo stick" is not formed.

European criteria for the diagnosis of ankylosing spondylarthrosis in women:

1. Two-sided sacroiliitis of 2 stages or one-sided sakroileitis of 3-4 degrees;
2. Decreased mobility of a woman's chest is not age-appropriate;
3. Decreased mobility of the lumbar region in the frontal and sagittal plane;
4. Pain syndrome at the bottom of the back, weakening after exercise.

Diagnostics of Bechterew's disease in women is based on the detection of one or more clinical signs, the presence of one mandatory radiographic symptom. Diagnosis of the disease is even easier when there are 3 clinical cases with mandatory radiologic symptoms.

Physical diagnosis of pyelonephritis

At an early stage, physical examination determines the following symptoms of inflammation of the renal pelvis:

1. Decreased flexion of the lumbar region;
2. Stress of the muscles of the back;
3. Positive tests Shober.

Clinical and instrumental research allows to determine changes in sacroiliac joints. The initial symptoms of sakroileitis are a narrowing of the articulation, blurred contours of the articular surfaces.

Sclerotherapy of cartilage parts, erosion, bone cysts are symptoms of neglected forms of the disease in women. The destruction of cartilage is an irreversible process.

Its consequences are complete obliteration of the joint gap with the formation of bone and fibrotic ankylosis.

Gradually develop signs of an ascending degeneration of the spine. X-ray manifestations are characterized by the syndrome of "bamboo stick".

Examination of external respiration is accompanied by a decrease in the vital capacity of the lungs, an increase in the forced expiratory volume, and a restriction of the mobility of the thorax.

Difference between psoriatic and ankylosing arthritis

Psoriatic, rheumatoid and ankylosing arthritis are often combined.

In the absence of classical symptoms of Bechterew's disease, only a local thickening of the spine or calcification of the iliac-articular joints can be roentgenologically.

Similar changes are observed with neglected rheumatoid arthritis, psoriasis in women. The consequence of combined pathology is spondylitis, inflammation of tendon fascia, resorption of bone tissue.

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Severe systemic pathology develops in 40% of patients. The incidence of psoriasis against the background of secondary pathology is about 3%.

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There are 5 variants of psoriatic arthritis:

1. Symmetry of lesions;
2. Defeat of distal interphalangeal joints;
3. Oligoarthritis - involvement of less than 5 joints with simultaneous lesion of large and small articulations;
4. Spondyloarthritis is psoriatic - a form characterized by a predominant lesion of the spinal column. Peripheral arthritis on the background of pathological changes occurs in rare patients. On the background of pathology, secondary symptoms are formed: swelling, impaired mobility, calcium deposits in the ileosacral articulations;
5. The mutilating form is accompanied by osteolysis of the metacarpophalangeal, interphalangeal, metatarsophalangeal joints of the feet or brushes. Limited osteolysis is characterized by a deep lesion with the formation of erosions, cystic lesions.

Against the background of pathology, signs of unilateral or symmetrical sakroileitis can form. The second stage of the disease is characterized by ankylosis, the formation of coarse syndesmophytes, ossifits paravertebral. In the second stage of the disease, a restriction of functions is observed.

For the diagnosis of psoriatic arthritis, specific criteria should be identified:

• Early damage to the joints of the foot;
• Inflammation of more than 3 joints of one finger;
• Damage of distal interphalangeal articulations;
• Skin rashes;
• Family psoriasis;
• Osteolysis;
• Negative rheumatoid factor;
• Paravertebral ossifications.

Diagnostic criteria are based on the definition of 3 mandatory criteria: the fifth, the eighth and the sixth. When revealing a rheumatic factor (a combination of rheumatoid arthritis with psoriatic) for diagnosis it is important to identify only two criteria (eighth and fifth).

All of the above diagnostic signs can be observed against ankylosing spondylitis. Similar symptoms of rheumatoid, psoriatic arthritis and Bechterew's disease can lead to diagnostic errors.

The only difference between the aforementioned nosologies can be the widespread calcification of the spinal column. Syndrome "bamboo stick" - a specific symptom of ankylosing spondylitis.

Total defeat of the spine with pathology leads to disability. Changes are irreversible, so it is desirable to identify pathology in the early stages.

For reliable diagnosis of ankylosing spondylitis, European criteria have been established:

1. Limitation of mobility of the waist;
2. Pain of the lower back;
3. Reduced mobility of the chest;
4. Bilateral sakroileitis;
5. Reduction of soreness after exercise.

Diagnosis of ankylosing spondylitis is significant in identifying mandatory radiographic and clinical signs.

Symptoms of the disease are nonspecific at an early stage, but they must be identified in order to conduct competent treatment.

A source: http://vnormu.ru/bolezn-behtereva-simptomy-jenshiny.html

Symptoms and treatment, characteristic features of Bekhterev's disease in women

articles:

Bechterew's disease is a chronic inflammation of the spine and joints (most often the spine suffers).

Under the influence of the disease, the vertebrae gradually "join" each other, and the spine loses its flexibility and mobility, becoming a whole and fixed bone structure - this phenomenon is called "ankylosing and an alternative pathology name is ankylosing spondylitis. The same process can occur with joints.

Bechterew's disease refers to "masculine it is found primarily in adolescents or young people under 30 years of age.Bechterew's disease in women occurs less frequently and is characterized by three main features:

1. Inflammation in women is less intense and with fewer complications than men.

2. The pathology begins mainly in the area of ​​the shoulder joints, and in men initially the lumbosacral spine is usually affected.

3. The period of remission may occur even if there is no treatment.

This pathology can lead to serious consequences, but with timely treatment - you can recover and lead a full life.

Further in the article we will tell about the causes, characteristic symptoms and peculiarities of Bechterew's disease in women, methods of treatment.

Causes of pathology

The causes of Bekhterev's disease are not fully understood.

The triggering factors that affect the development of ankylosing spondylitis are violations from the immune system, triggered by:

• infectious diseases,
• chronic diseases of the body,
• supercooling.

Also, Bekhterev's disease in women can develop as a result of pelvic or spinal injuries, in case of hereditary predisposition.

Features of Bechterew's disease in women

Women suffer this disease much easier for men.

Six characteristic features of the ailment in women:

1. Bechterew's disease often begins to manifest itself during pregnancy.

2. Development of multiple polyarthritis (lesions of large joints). Men may initially have inflammation of one or more joints.

3. Exacerbation of pathology can alternate with prolonged remissions (from 5 to 10 years). For this reason, diagnosis and treatment can be delayed for many years. For men, such long-term remissions of the disease are not characteristic.

4. Bechterew's disease in women is very rarely accompanied by complete immobilization of the joints (ankylosis). In men, the characteristic manifestation is a marked limitation of free movements, which in time can lead to ossification of the spine.

5. In most cases, inflammation in the sacrum will be one-sided. In men, this inflammation is bilateral, with time passes to the region of costal-vertebral joints, which is accompanied by intense pain and inflammation of skeletal muscles.

6. In women, the cardiovascular damage provoked by ankylosing spondylitis is often manifested in the form insufficiency of the aortic valve (which causes pain in the heart, pulsations in the head and neck, heart palpitations, dizziness). In men, the complication of Bechterew's disease can be an intense inflammation of the sacroiliac joints.

In a comprehensive examination and X-ray - the so-called "bamboo stick symptom" (the manifestation of the late stage of the disease) occurs in women in isolated cases. For men, such a manifestation of the disease is not uncommon.

Description of characteristic symptoms

The main symptoms: pain in the back and neck, morning stiffness, joints may lose mobility.

Diagnosis can be difficult, because the disease affects the organs of vision, cardiovascular and nervous systems, lungs, kidneys.

This manifests itself in the form of appropriate symptoms, which "distract" specialists from the underlying cause of the disease.

Full characterization of symptoms (these symptoms are equally manifested in men and women):

• Pain in the back and thighs when a person is at rest. Over time, there may be impaired mobility in the lumbar spine.
• Symptom of joint stiffness occurs after moderate physical exertion or a warm bath.
• Symptoms intensify after a long rest.
• Over time, the spinal cord loses its flexibility, and the patient does not have the opportunity to bend forward.
• Difficulty breathing.
• In more than 20% of cases, ankylosing spondylitis affects the organs of vision, which manifests itself in the form of inflammation of the iris of the eye. The patient has complaints of redness and pain in the eye area, eyesight does not deteriorate.
• Inflammation can affect the upper parts of the spine and affect the thoracic area. Characteristic symptom in this case - the development of pain in the chest.

The main methods of treatment

Bekhterev's disease is treated in women and men in the same way, taking into account the degree of progression of pathology and its manifestations.

Preparations

1. Antimicrobial agent sulfasalazine - one of the elements of the basic treatment of the disease.

2. Nonsteroidal anti-inflammatory drugs (NSAIDs) to eliminate pain and inflammation.

3. Corticosteroids. Intra-articular administration of these drugs is recommended for the progression of inflammation and inefficiency of NSAIDs.

4. Local treatment: application of compresses with Dimexide to the site of the lesion.

• Massage;
• cryotherapy (cold treatment);
• mud treatment;
• medical baths;
• moderate physical activity: visiting the pool and performing exercise exercises, which the doctor will individually select.

Svetlana Kant

A source: http://SustavZdorov.ru/raznoe/bolezn-bekhtereva-u-zhenshchin-260.html

Bechterew's disease in women: symptoms, treatment, a full description of the disease

Painful sensations in the lumbar region are usually first written off for osteochondrosis, since these are very characteristic symptoms, but there are exceptions. Bechterew's disease in women is much less common than among men, but is a very unpleasant disease.

Mechanism and causes of pathology

It is important to know! Doctors are shocked: "An effective and affordable remedy for joint pain exists ..." Read more ...

The official name is idiopathic ankylosing spondylitis, which is a chronic inflammatory process in the spine and joints.

Bechterew's disease has a small spread among the world's population, about 2% of the total number of people have a history of this diagnosis, of which only about 15% are women. The most popular disease among people aged 15 to 40 years, less often in the group of 10 to 15 years, most rarely among those who are already 50 years old.

Spondylitis triggers an inflammatory process in the sacroiliac region, gradually spreading it to the joints of the spine.

There is a transfer of calcium into the intervertebral disks, as a result of which they are destroyed, their ossification begins.

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That is, there is a splicing into a single fixed bone structure of the entire spine, which ceases to be mobile and flexible.

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A similar process was called ankylosing, it occurs not only with intervertebral discs, but also with other joints and ligaments. If symptoms are ignored, Bekhterev's pathology is not treated, then the prognosis can be disappointing.

The causes of this disease are still not established, but, apparently, are of a genetic nature. In the body of a healthy person, there is an HLA gene that regulates immune responses to various processes.

For certain reasons, its damage may occur, and the altered gene becomes an antigen called HLA B27.

When HLA B27 contacts microbes, an autoimmune reaction occurs, the joint tissue is defined as a foreign protein. In case of illness, the organism attacks its own cells, and this happens under the influence of a number of factors provoking the start of the process:

• hypothermia of the body;
• fractures of the pelvic bones;
• inflammatory processes of the genitourinary system;
• presence of pathogens in the intestine and other organs (for example, streptococci);
• failure of the endocrine system;
• other chronic diseases in the patient.

HLA B27 was detected in 96% of patients with ankylosing spondylitis.

There is a percentage of people with pathology, but without a named antigen, and they are able to transmit a predisposition to the disease.

Approximately 9% of people have an antigen, only a quarter of this amount has a hidden course of the disease.

Alternative causes may be trauma to the spine or bones of the hip area.

Features of the course of spondylitis in women

The joint of the sacrum and pelvis suffers first, then the intervertebral interlayers disintegrate. Bone tissue proliferates, changes in the ligamentous apparatus occur. Spondyloarthritis can also affect internal organs, large vessels.

Bechterew's disease in women proceeds somewhat differently than in men: the spine, then the pelvis and shoulders, is the first to hit.

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The process goes on ascending, it is longer, accompanied by stages of complications and remissions.

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The pathology of Bechterew has pronounced symptoms, although they can be attributed to other diseases.

As a distinctive feature of the course of Bechterew's disease in women, it can be noted that the process of ossification takes only the lumbar and sacral parts of the spine.

Immobilization occurs to a lesser extent, due to the fact that the deformation of the spine is much less than that of men.

The downside is that it is more difficult to detect pathology in women, and it is possible not at once, but 10-15 years after its onset, especially if not immediately pay attention to the symptoms.

Ankylosing spondylitis in women less often affects the internal organs, a less acute, less limited mobility of the joints and ligaments. A slightly different clinical picture is observed in girls under 15, among whom pathology starts from the periphery - feet, hands, then the pelvis.

More about Bekhterev's disease in the program "Secrets of Health

With Bechterew's disease, complications occur in women:

• about 30% occur with peripheral;
• for 20% is characterized by cardiovascular damage and the development of heart failure;
• 30% of cases are accompanied by kidney damage;
• about half of the patients suffer from intestinal damage;

Bekhterev's disease also affects the appearance of a woman:

1. Atrophy of the gluteus muscles.
2. Smoothing of lumbar flexure.
3. Strengthening of thoracic kyphosis.
4. Limitation of mobility of the hip joints.

Symptomatics and Diagnosis

Bechterew's disease in women can become a diagnosis if the following symptoms are present:

• not passing pains in the heels;
• severe pain in the sacral region;
• limited mobility of joints;
• the transition of pain from the back to the lower extremities and into the gluteal muscles;
• painful sensations in the thoracic spine;
• crunch when moving the spine;
• violation of posture, s-shaped view of the spine;
• constant tension of the muscular corset back;
• swelling of the hands and feet;
• high sedimentation rate of erythrocytes.

There are also "side" symptoms on the background of the overall clinical picture;

1. Difficulty breathing.
2. Heartache.
3. Inflammation of the iris of the eye.

Diagnosis is somewhat difficult, because the symptoms do not always give a transparent clinical picture, but it is possible to recognize Bechterew's disease. Back pain can be attributed to osteochondrosis, for example. The woman herself may not pay proper attention to sensations and write them off to something else.

Nevertheless, the diagnosis of the disease is possible through a complete examination of the body, primarily a radiograph and a clinical blood test.

Thanks to an X-ray, it is possible to fix structural changes in the joints and bones. The next step in such an important moment, as diagnosis, is magnetic resonance imaging.

It makes it possible to recognize the inflammatory processes in the joints.

The described diagnosis allows you to establish inflammation and make a prediction, but to confirm the diagnosis of "idiopathic ankylosing spondyloarthritis "follows additional testing of the activity of the histocompatibility system HLA-B27 in specialized clinics.

A lot more interesting about the disease, see in this video:

Treatment of Bechterew's disease

It is important to remember that spondylitis is treated, and the treatment is aimed at slowing the ossification of the spine and connective tissue.

It is also necessary to understand that treatment should be comprehensive. Completely cure Bekhterev's disease does not work, the already affected parts will not return their mobility. A similar forecast will be made by the attending physician.

In the treatment are appointed:

• therapeutic gymnastics and physical education, not against the background of exacerbation;
• physiotherapy (ultrasound, phonophoresis);
• swimming, skiing;
• balneology;
• drug treatment;
• diet;
• preservation of posture, sleep on a firm and level surface.

Drug treatment is carried out with non-steroid drugs for long-term courses in the form of injections, ointments, creams.

Drugs of strong effect, significantly inhibit the development of the disease.

Also additionally prescribed are relaxants, glucocorticosteroid hormones, selective immunosuppressants, corticosteroids if necessary.

Ankylosing spondylitis is also treated with local therapy methods:

• cryotherapy with liquid nitrogen;
• X-ray therapy with pronounced anti-inflammatory effect;
• treatment with hirudotherapy;
• back massage without exacerbation;
• warming up.

Therapeutic gymnastics gives one of the most significant results in the fight against the disease. Should be vigorous, with active and amplitude movements, which prevents the progression of ankylosing and fusion of ligaments.

Gymnastics should be performed daily, first under the supervision of a specialist, then you can do it yourself.

An alternative option of exercise therapy is gymnastics in the pool and swimming, which gives a good prognosis for the slowing down of Bekhterev's disease.

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What are the exercises for ankylosing spondylitis for patients with low disease activity see in this video:

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It is important to pay attention to nutrition, since a protein diet is important, aimed at inhibiting the development of the disease.

It is assumed that the restriction of bakery products and products containing starch is not new for women.

The diet also involves active consumption of non-fried fish, meat, dairy products, eggs, vegetables, fruits and berries.

And the last is the right rest, preferably in the resort areas.

Treatment of the disease - are there prospects? See details here:

A source: http://sustavlive.ru/artrit/bolezn-bextereva-u-zhenshhin-simptomy.html

Bechterew's disease in women: treatment and symptoms (signs, photos)

Bechterew's disease is a chronic disease that has a systemic inflammatory course. The process is expressed by lesions of the axial skeleton, namely the cross-abdominal joint and the spine. Often the peripheral joints and internal organs are affected.

Bechterew's disease in women happens 5-9 times less often than in men. The greatest number of cases is observed between the ages of 15 and 30.

The inflammatory process begins in the area of ​​the sacroiliac joints, extending to the joints of the spine. Feature: calcium is transferred to the intervertebral discs and ligaments. If the treatment is not carried out, then ossification occurs.

Until now, the cause and algorithm of the occurrence of Bechterew's disease have not been clarified. But it is known that heredity plays the most important role here.

Clinic

Bechterew's disease in women manifests itself in a variety of ways, so several types of disease are distinguished:

• Central, where the spine is affected,
• Rizomelicheskaya - affects the spine, shoulder and hip joints,
• Scandinavian - the joints of the feet and hands are deformed, the vertebral column,
• Peripheral - great peripheral joints are affected, and the entire spine.

Bechterew's disease in women develops gradually. The key symptoms are permanent pain in the sacrum, which appear after prolonged lying, especially in the mornings.

People who work hard at the end of the day can feel the clinical symptoms of the disease. If the thoracic region is affected, then the pain is shrouded, which is amplified by coughing or sudden inhalation.

With the full development of the disease, the pain is felt constantly, becoming stronger at night, with changing weather and after loads. The later stages are marked by a marked decrease in work capacity.

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When peripheral vessels are affected, the pain is localized in the appropriate areas: in the shoulder, hip, knee or ankle joint.

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Symptoms that appear in young women are, as a rule:

1. lesions of small and large peripheral joints,
2. increased body temperature,
3. a feeling of pain in the heart.

All these manifestations resemble the symptoms of acute rheumatic fever. The clinic of sakroileitis manifests itself after a while.

What does the inspection show?

At the beginning of the disease there are no disorders of posture, but there is soreness in the area of ​​affected joints, as well as hypotrophy of the dorsal muscles.

At the peak of Bekhterev's disease in women, there is a violation of gait and posture: cervical and thoracic bends become more pronounced, the lumbar curve is smoothed.

Muscles of the back begin to atrophy.

In addition, there is soreness in the process of palpation of spinous processes.

In the later stages of the disease, the spine is severely deformed, the gait is heavy and uncertain. Muscles of the neck, back and shoulder girdle are atrophic.

When peripheral joints are affected, the symptoms that are peculiar to arthritis - the limitation of mobility, and pain - begin. With extraarticular lesions, there are manifestations of cardiac pathology: pericarditis, valvular defects and myocarditis. Eye lesions are characterized by uveitis, iritis, iridocyclitis.

Instrumental laboratory methods

To begin treatment, it is required to specify the level of activity of the disease, to check whether the internal organs are affected. In the blood, acute phase parameters are sought, hypochromic anemia, as well as an increase in immune complexes and the level of antibodies.

Radiographic examination of the pelvic bones reveals the symptoms of sacroiliitis:

• unevenness and fuzziness of the surfaces of the joints,
• foci of sclerosis.

At the height of the disease begins ankylosis sacroiliac joints, the involvement of intervertebral joints is recorded. The late stages of the disease characterize the symptoms of ossification of the ligaments of the intervertebral discs, as well as the spinal column.

A general urine test done after the onset of amyloidosis shows the protein in different volumes. The appearance of renal failure can be judged by the concentration of creatinine in the blood and the level of renal filtration.

In the process of examining external respiration, pulmonary ventilation disorders can be identified, which is caused by the limitation of the mobility of the chest.

Diagnostics is assigned when:

1. pain in the lower back and back, which begin slowly, then intensify and last more than three months,
2. limited mobility of the lumbar spine,
3. restricting the movement of the chest during breathing.

X-ray criteria:

• bilateral sakroileitis,
• sakroileit on one side 2-4 stages.

In the initial stages, Bekhterev's disease in women is recorded, if there is:

• joint pain,
• arthritis of joints of extremities,
• stiffness of the lumbar spine,
• painful sensations in the area of ​​the sacrum,
• signs of sakroileitis on the roentgenogram.

When the study is carried out at the initial stage of Bechterew's disease in women, painful symptoms play an important role in the stress on the sacroiliac joint. An important symptom is arthralgia in the area of ​​the collarbone, ribs and sternum, as well as posture and pain in the heels.

The unfolded stage of the disease is characterized by:

• pain, similar to radiculitis,
• straight posture without bends,
• restriction of mobility of the spine,
• very strained atrophic back muscles.

Therapeutic features

The main task of treating Bechterew's disease is to reduce the pain syndrome, eliminate the inflammatory process, and also maintain the normal function of the spine.

As a rule, Bekhterev's disease is treated with anti-inflammatory drugs, for example, diclofenac or indomethacin. Diclofenac is prescribed in an amount, 5 g per day, a similar dose and in the case of indomethacin.

The course of treatment can last a long time. When a stable result is achieved, the dosage of the drug is reduced by a factor of 2.

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If there is an exacerbation, the initial dosages are resumed. The disease in women occurs with the involvement of peripheral joints in the pathological process. A great influence here is the treatment with sulfasalazine.

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Treatment with steroid means is necessary only in the form of pulse therapy, if the disease has a stable form in women, and NSAIDs are ineffective.

Visible effect is observed after a single use of the drug.

The high effectiveness of the intra-articular method of drug administration has been proved.

LFK exercises are of great benefit, since they increase mobility of peripheral joints and spine. Treatment of the disease can not do without a radon and hydrogen sulphide bath.

The prognosis for life in Bechterew's disease - as a rule, women gradually progress disease. Its peak comes in about 10 to 12 years. But systematic treatment slows the development of violations.

A source: http://sustav.info/bolezni/spondyloarthritis/bolezn-bextereva-u-zhenshhin.html

Bechterew's disease in women - how to identify and cure pathology?

Bechterew's disease is a fairly rare inflammatory disease that affects axial skeleton and sacrum, in neglected cases there is damage to internal organs and peripheral joints.

Bechterew's disease is usually diagnosed in men, women suffer from it 5-9 times less.

At the same time young women under the age of 30 fall under the blow, after 50 years the disease is extremely rare.

Bechterew's disease affects the axial skeleton and sacrum

Inflammation begins in the area of ​​the sacrum and waist, and then spreads to the joints and the entire vertebral column.

As a result of the pathological process, calcium from the bones of the spine is transferred to the intervertebral discs, because of they become stiff and lose elasticity, the spine becomes stiff and X-rayed bamboo.

Clinical picture of the disease

The disease can occur in women in different ways, with different symptoms depending on the site of the lesion, so the disease is divided into the following types:

• Risolimic. Characterized by damage to the shoulder and hip joints, as well as the spine;
• Peripheral. Inflammation extends to the peripheral large joints and vertebral column;
• Central. Only the spine becomes inflamed;
• Scandinavian. Inflammation of the spine and joints of feet and hands.

The disease develops gradually, and symptoms gradually appear.

The first to appear pain in the lower back and the sacrum after a dream or a long lying on the back. After a little warm-up they disappear.

If a woman performs hard physical work or sports, the pain arises in the evening.

With Bekhterev's disease, pain comes when coughing and deep inspiration

With inflammation of the spine in the thoracic region, pain makes itself felt when coughing or deep breathing, and at the same time has a girdling character.

If the disease affects both the spine and the joints, the pain becomes permanent, intensified in the evening and in the morning, after awakening. In a neglected state, the disease reduces a woman's ability to work and significantly restricts her movements, worsening her general condition and well-being.

Causes of the disease

The cause of Bekhterov's disease most often become:

• injuries of the spine and joints;
• infection of the genitourinary system and gastrointestinal tract;
• chronic stress, neurosis and depression;
• serious long-term hormonal disruptions and metabolic disorders.

If a woman's family has cases of ankylosing spondylitis, then there is a likelihood that she will have a disease, since it is hereditary.

Forecasts are quite favorable: if Bekhterev's disease was detected early, it can be stopped and pain relief.

This is not a guarantee of recovery, especially if the ossification of the vertebrae has already begun, but a woman can live a long life with such a diagnosis, and her condition will be satisfactory.

Without treatment, patients rarely step over the 60-year threshold, often internal organs, especially the liver and kidneys, begin to suffer from inflammation. With prolonged aggressive treatment, there may be a disruption of the digestive tract. In rare cases, stomach cancer develops

Bechterew's disease in women: symptoms

The pain sensations described above are typical for many diseases of the spine, they occur with neglected scoliosis and osteochondrosis, and also sometimes occur in healthy people after a serious load on the locomotor system system. The distinctive features of ankylosing spondylitis, also called Bechterew's disease, are the following symptoms:

• The pain is most often felt most strongly from one side and begins in the sacrum. Often the pain can spread to the pelvis and legs.
• Unlike the same osteochondrosis, in a calm state, the pain becomes stronger, and during moderate exercise it subsides.
• Pain in the chest often resembles pain in the heart and intercostal neuralgia.
• The patient often feels tired, she may have a depressed state, apathy.
• The distance between the chest and the chin decreases noticeably, the neck is visually shortened.
• In cases of neglected diseases, cases of suffocation, severe headaches, insomnia, dizziness are not uncommon.

At the first symptoms it is necessary to immediately consult a doctor

Treatment of Bechterew's disease

How to treat ankylosing spondylitis (Bechterew's disease)? This issue is important for women who have already managed to face this disease.

Unfortunately, to date there are no medications that can cure the disease completely.

Therapy, in this case - is a continuous process aimed at slowing the disease and saving the former mobility of the skeleton.

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Most often, in the first place, doctors prescribe various non-steroidal anti-inflammatory drugs, including Diclofenac, Ketoprofen Indomethacin, Voltaren, etc.

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These drugs for this disease are very effective - they eliminate pain and inhibit further damage to the skeleton by disease. Preparations are taken by courses.

Steroid preparations are prescribed only in some rare cases.

At times, therapy includes the use of immunosuppressants, cytostatics, and muscle relaxants (with severe muscle spasms) depending on the method of treatment.

A very important factor is the right diet. In it protein products should prevail, and it is better to refuse from flour and confectionery products completely. The main treatment is inseparable from the constant physical activity.

Physical activity will also help maintain normal mobility of the joints, strengthening the muscles and reducing the burden on the spine.

In addition, the treatment regimen may include other methods using paraffin therapy, balneotherapy, therapeutic massage, hirudotherapy (treatment with leeches), ultrasound therapy, phonophoresis, sanatorium-and-spa treatment etc. With this help you can achieve significant progress in the treatment and improvement of quality of life.

Treatment with folk remedies

In folk medicine, there are five basic methods of treating ankylosing spondylitis:

• Treatment with medicinal compounds. This method involves the creation of drugs from various plants. In particular, from the leaves of birch, cranberry, chestnut, linden and taolga flowers, elderberry root and parsley.
• Oil Treatment. The so-called "arthritic oil" is considered very effective in the treatment of Bekhterov's disease. Arthritic oil, most often presented as ointments, cooked on the basis of traditional oils using flowers and extracts of various plants.
• Healing baths. Before you a great way to combine business with pleasure. How to do it: according to special recipes, herbal teas are prepared, which are then added to a bath with hot water. After that, simply immerse yourself in it and enjoy the relaxation.
• Bee venom and nettle. These two components are used in the treatment of a variety of diseases. Spondylitis is one such disease. If you are not afraid to tolerate a little for the good of the cause, then make special brooms from fresh nettles of bushes and whip yourself in trouble spots for one hour. If everything went well - repeat the procedure in one or two days. This will be the entire course of treatment. The course itself can be repeated in one month. Treatment with bee venom is carried out only in consultation with the doctor.

Bee venom is an excellent remedy for the treatment of Bechterew's disease. But it can only be prescribed by a doctor!

• Treatment of spondylitis with grapes. Tinctures made from fresh grapes are a popular folk remedy for the treatment of Bekhterov's disease. Strengthen the effect of this method with medications.

Features of treatment and prevention

Many patients on the Internet advise others how to properly treat ankylosing spondylitis and where it is best to do so. Some people write that it is necessary to go to Germany, others argue that Israel is the place where successfully treated a lot of men and women.

But those people who treated this disease in our country, note that the doctor advised them to adhere to these rules:

• Admission of anti-inflammatory drugs. The patients' reviews say that the effect of the medications is temporary, and if nothing is done, the pain can be exacerbated.
• Try to visit special resorts, where patients can undergo special physiotherapy, as well as courses of healing mud and baths.

With Bekhterev's disease, it is necessary to undergo special physiotherapy

• A constant diet is a necessary condition to prevent the progression of spondylitis. Sport, therapeutic exercise. Patients who exercise, stay in functional condition longer, they are able to live a normal life, even despite the progression of the disease.

In addition to these basic rules, patients write that the main thing is to accept the fact that you have Bekhterov's disease. It is then, with the adoption of this fact, life will become easier, and the disease will not be so disturbing.

Treatment should take place without fanaticism, unnecessary stress, only in this way the therapy will be effective. In addition, people note that effective treatment depends largely on faith. If a person believes that he can overcome the disease, then that's exactly how it will be.

Otherwise, any attempt at treatment will fail.

If the ankylosing spondylitis of the patient is improperly treated, the following complications may occur:

• Renal, cardiac or pulmonary insufficiency.
• Infectious diseases of the lungs.
• Blindness.
• Full immobility in the joints of patients.

In order for ankylosing spondylitis to not appear or start to progress, you should:

• Systematically engage in sports - it strengthens the back muscles and helps improve coordination.
• Avoid supercooling
• Avoid various provocative factors
• Protect yourself from infections.

»Diseases» Bekhterev's disease in women - how to identify and cure pathology?

A source: http://Simptom-Lechenie.ru/bolezn-bextereva-u-zhenshhin.html