These are a group of disorders which involve spine along with other parts of the body causing painful and stiff joints. The exact cause of most of these conditions is not known. They all involve the immune systems (body’s own defence mechanism against viruses, bacteria etc.). Some of the common conditions are
Typically they all present with back pain of longer duration – usually in months. Patient experiences early morning stiffness – i.e. tightness of the spine after getting up in the morning which slowly weans off within half an hour to one hour. There may be associated weight loss, loss of appetite etc. If left untreated they all invariably develop permanent stiffness in the spine. In Ortho one these patients are investigated initially with basic blood investigations like CRP and ESR. If found elevated along with the clinical parameters then they are categorized in to either Arthritis panel 1 or Arthritis panel 2. Then depending on the blood reports their treatment will be started. Each type of disorder needs specialized therapies. Extreme importance is given to exercise therapy. We try to avoid pain killers to the maximum. There are other pain management modalities and special injection techniques available to relieve the pain. Thus these patients are started on disease modifying medications directly which helps in early control of the disorder rather than just giving symptomatic relief.
|Condition||Percent of people with the condition who are HLA-B27 positive|
|Reactive arthritis (Reiter’s Syndrome)||60-80%|
|Enteropathic spondylitis or spondylitis associated with inflammatory bowel disease (including Crohn’s disease and ulcerative colitis)||60%|
|Isolated acute anterior uveitis||50%|
|Juvenile rheumatoid arthritis|
|Undifferentiated spondyloarthropathy (USpA)||20 – 25 %|
Some sources also include Behcet’s disease and Whipple’s disease.
I’m Shanthi, 45 years old, from Karur. I have been suffering from severe back pain for the past one year. I had consulted many Spine Specialists near my vicinity and none could give a solution to my problem.
I am Aravind Varma 19 years old, from Andhra Pradesh. I have been playing Basketball for the past 4 years. Recently I participated in the State level Competition held in Orissa. As I was about to shoot a goal during the match
I am Atul Thakur and I had injured my right knee on 5th of May while playing cricket. After my visit to Ortho-one I was instructed by Emergency ward Doctor to undergo a MRI scan , which concluded that I had a complete
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