ANKYLOSING SPONDYLITIS

Ankylosing spondylitis mostly occurs in males,affects the axial and spinal skeleton with stiff spine,painfull back and x-ray shows typical bomboo spine structure which is important in diagnosis of disease.It is a variant type of RA.It is an inflammatory disease of spine.Inflamation of spinal synovial joints progressing to ankylosis.SACRO-ILLIATES lesion is seen.
                                  CLINICAL FEATURES :-
1) general malaise
2) pain in -shoulder joint (with involvement of AC joint),
               -jaws(with involvement of TMJ),
               -over insertion of TA (due to enthesitis)
               -chest region(due to sternoclavicular,costo-vertebral and costo-     sternal joints involvement
3) painful breathing movements of thorax leading to reduced chest expansion
4) limited shoulder ROM due to pain and muscle spasm
5) reduced lumbar flexion and thoracic rotation
6) flattening of lumbar curve due to weakness of lumbar paraspinal muscles and
    sacro-illiac involement
7) gradually progressing thoracic kyphosis
8) hip flexion deformity
9) HLA B-27 positive
                              PHYSIOTHERAPY MANAGEMENT :-
GOALS:- is to relieve pain,assist resolution of inflammation,prevention of deformities,maintaining spinal mobility,maintaining chest expansion,posture correction and maintaining functional independency of patient.
http://www.healthline.com/health/ankylosing-spondylitis/effects-on-body