Treatment Of Ankylosing Spondylitis

Ankylosing spondylitis or Rheumatoid spondylitis is rheumatoid involvement of the spine, particularly sacro-iliac joints, in young male patients. The condition has a strong HLA-B27 association and may have associated inflammatory disease such as inflammatory bowel disease, anterior uveitis and Reiter’s syndrome. Major symptoms of this disorder is killing pain and excessive stiffness radiated from neck to lower back. In this problem vertebrae of spine are joined together and become very rigid and stiff. About 1-5% of people are suffering with this disease and this disease occurs at any age and to any gender, but males are more prone to this disorder. If this serious disorder is not treated on time, stiffness of joints worsens with the time. Eyes, heart and kidneys are the other vital organs of human body that are affected with this problem.

Main cause of this disorder is not known, genetics and environmental factors play very important role for onset of Ankylosing spondylitis. Majority of cases of this disorder is due to human leukocyte antigen called HLA-B27. It is believed that this disease is auto-inflammatory and an auto-immune related problem.

Main symptoms of this disease include dull to killing pain in neck region that is radiated to lower back. Stiffness, tenderness, muscle spasm, decreased mobility of spine, extreme fatigue and inflammation are the other associated symptoms of Ankylosing spondylitis. Loss of appetite and weight loss are another symptoms of this problem.

Ayurveda outlook of Ankylosing spondylitis:

Ankylosing spondylitis is categorized under vata vyadhi and according to Ayurveda this disease is treated as aama vata is treated. Vitiated vaata dosha affects asthi dhatu and causes this serious problem associated with our spine. Both vitiated vaata dosha and asthi dhatu cause serious inflammation and stiffness of spine and this condition is called ankylosing spondylitis. Vertebrae of spine get swollen and result in the reduced movements of spine.

Main purpose of Ayurveda is detoxification of harmful radicals and toxins that are responsible for onset of this disease. So changes in your daily lifestyle, healthy eating habits, regular exercise and herbs consumption are the ways to get long term relief from this problem.

Ayurveda treatment for Ankylosing spondylitis-

Yamuna pharmacy provide you beneficial Ayurveda treatment for Ankylosing spondylitis in the form of Painostat capsule, Corell capsule, Vigoprot powder and Dynogesic liniment. Pure extracts obtained from natural herbs of Ayurveda are used to formulate these herbal remedies for Ankylosing spondylitis. Herbs used in these Ayurveda treatment for Ankylosing spondylitis help to detoxify harmful toxins and free radicals that cause this problem. All the herbs work very effectively to reduce excessive and chronic inflammation and stiffness of spine and other joints and muscles of body. Herbs also work like analgesic and pain killer that help to reduce the killing pain of spine. Regular use of these Ayurveda treatments for Ankylosing spondylitis helps to improve reduced appetite and reduce mobility of affected spine.

All these herbal remedies are herbal and good for every age group. All the Ayurveda medicines of Yamuna pharmacy are safe to use because these medications do not disturb molecular level of body cells, tissues and organs. Main purpose of these Ayurveda treatments by means of herbs is to pacify the vitiated vata dosha in body and treat the main root cause of this problem.

Full ingredient detail of Ayurveda treatment for Ankylosing spondylitis-

• • Painostat capsule – Pure extracts obtained from Shodhit kupilu, Nirgundi ghan, Ekangveer rasa, Erandamool, Sameerpanaga rasa, Shallaki, Mahavatavidhvansan rasa and Yograj guggulu are used to prepare this Ayurveda treatment for Ankylosing spondylitis. Anti-oxidant properties of herbs used in this Ayurveda treatment for Ankylosing spondylitis are very helpful to promote the process of detoxification of harmful toxins and free radicals in body. Anti-inflammatory action of herbs help in the reduction of excessive tenderness, inflammation and stiffness of spine and other joints and muscles of body. These herbs are also digestive in nature that helps to increase appetite and stimulate the digestive system in body. Regular use of this Ayurveda treatment also helps against chronic infections. Regular use of this Ayurveda treatment also gives satisfactory results to the sufferers of other rheumatic disorders, arthritis, neuralgia and sciatica. It is also beneficial remedy to reduce musculo-skeletal pains.

Dosage-

1 to 2 capsules twice or thrice daily are recommended for 50-90 days with hot water.

• • Corell capsule– Khatika, Mauqtikshuqti pishti (mother of pearl powder) and Calcium carbonate are used to prepare this Ayurveda treatment for Ankylosing spondylitis. Regular use of this Ayurveda treatment helps in strengthening of bones and boost the health muscles and tendons. Pearl powder used in this Ayurveda treatment is richest source of amino acid and calcium. It is very powerful detoxifying and anti-inflammatory agent in nature that neutralizes harmful radicals and reduces serious inflammations. It is very powerful remedy for osteoporosis and rheumatic patients. Pearl powder is also very effective remedy for digestive troubles. It helps to increase appetite and stimulate process of digestion. It is very beneficial Ayurveda treatment for indigestion and chronic constipation. It helps to make up calcium deficiency in pregnant females also.

Dosage-

1 to 2 capsules twice or thrice day is recommended for 50-90 days.

• • Vigoprot powder–Ashwagandha ghan, Gokhru ghan, Shatavari ghan, Amalki ghan, Shankhpushpi ghan, Khatika, Ksheer shushka, Ksheer medorahit and Coco power are used to prepare this Ayurveda treatment for Ankylosing spondylitis. Pure extracts of herbs and bio-products described in Ayurveda are used in this formulation help to fight against inflammation and pain of spine. Regular use of this bio-herbal remedy helps to boost our immunity, physical and mental stamina. Digestive nature of herbs helps to improve our digestion and make up nutritional deficiencies. It is very effective nutritional supplement for growing children, teenagers, youngsters, lactating mothers and pregnant women. Regular use of this Ayurveda treatment fights with various microbes and toxins and protects our body from harmful infections.

How to make beverage ?:

Take 200ml of lukewarm or cold milk in a mug. Add 2 teaspoons of Vigoprot powder to milk. Add sugar or honey according to taste. Mix it well and your beverage is ready to drink.

Dosage-

Intake of one to two glasses daily is recommended for 50-90 days to reduce excessive under nutrition,stiffness, pain and inflammation of Ankylosing spondylitis.

• • Dynogesic liniment – Cinnamomum camphora, Carum copticum, Menthe viridis, Eucalyptus globulus, Pinus longifolia, Riccinus communis and Wintergreen oil are used to prepare this Ayurveda product for Spondylitis/spondylosis.It is used to treat cervical spondylitis, lower back pain and stiffness of joints. It is also beneficial remedy for treating arthritis and severe backache. Local application of this Ayurveda product helps to reduce muscular pain and stiffness of neck. It is also used for treating other medical conditions like sciatica, lumbago, frozen shoulders and leg cramps. All the herbs used in this Ayurveda product for spondylitis have analgesic, soothing and anti-inflammatory properties. These herbs help to reduce excessive pain and inflammation of spine and other joints of body.

Mode of application – take little amount of Dynogesic liniment and massage into painful joints and muscles daily 2-3 times a day. Avoid its direct contact with eyes and other vital parts of body.

Counsel: Exposure to plenty of sunshine and wearing of warm clothings are advisable for protection from cold atmosphere.

Ankylosing Spondylitis (AS) is a chronic inflammatory disease that primarily affects the spine, leading to pain, stiffness, and eventually the fusion of the vertebrae. Over time, this can limit the range of motion and flexibility. AS is considered an autoimmune condition, where the immune system mistakenly attacks healthy tissue, particularly in the joints of the spine, pelvis, and sometimes the peripheral joints.

Ayurvedic Treatment for Ankylosing Spondylitis

In Ayurveda, Ankylosing Spondylitis is seen as a result of an imbalance in the Vata dosha (responsible for movement and flexibility), which leads to inflammation and stiffness in the joints. It is also often associated with Ama (toxins) that accumulate in the body due to improper digestion and lifestyle, aggravating Vata and causing joint pain.

Here are some of the Ayurvedic approaches that can help manage Ankylosing Spondylitis and provide relief:

1. Panchakarma Detoxification Therapy

Panchakarma is one of the most effective Ayurvedic detoxification therapies that can help in removing toxins (Ama) from the body and balance the doshas, particularly Vata. It involves a series of therapeutic treatments, which may include:

• Virechana (therapeutic purgation) – To cleanse the body of accumulated toxins.

• Basti (medicated enema) – A key treatment for Vata disorders. It helps in lubricating the joints and improving mobility.

• Abhyanga (oil massage) – Using warm herbal oils such as Mahanarayan oil or Ashwagandha oil, which nourish the muscles, bones, and joints, promoting flexibility and reducing stiffness.

• Swedana (steam therapy) – Helps open the channels, improves circulation, and alleviates muscle stiffness.

These treatments can help detoxify the body, reduce inflammation, and balance the Vata dosha, which is central to managing AS symptoms.

2. Herbal Remedies

Several Ayurvedic herbs can help reduce inflammation, support joint health, and provide relief from pain and stiffness associated with Ankylosing Spondylitis:

1. Guggulu (Commiphora wightii)

• Guggulu is known for its anti-inflammatory and analgesic properties. It helps reduce pain, inflammation, and stiffness.

• How it Helps: Guggulu works by reducing the Ama (toxins) and balancing the Vata dosha. It also helps improve joint flexibility and mobility.

2. Ashwagandha (Withania somnifera)

• Ashwagandha is an adaptogenic herb that helps the body cope with stress and inflammation. It supports the immune system, reduces joint pain, and improves muscle strength.

• How it Helps: Its anti-inflammatory properties help reduce the swelling and stiffness in joints and enhance mobility.

3. Turmeric (Curcuma longa)

• Turmeric is a powerful anti-inflammatory herb, primarily due to its active compound curcumin. It helps to reduce joint inflammation, pain, and stiffness.

• How it Helps: It helps in reducing the inflammatory process in AS and improves overall mobility.

4. Shallaki (Boswellia serrata)

• Shallaki is known for its anti-inflammatory properties and is often used in the treatment of joint conditions.

• How it Helps: Shallaki helps in reducing swelling and pain in the affected areas of the spine and joints.

5. Gokshura (Tribulus terrestris)

• Gokshura is a herb that helps support kidney and urinary health, but it also has anti-inflammatory and pain-relieving properties.

• How it Helps: It can be beneficial in reducing the swelling and inflammation in the joints, especially in cases of spinal involvement.

3. Dietary Modifications

Proper diet is key in Ayurveda to maintain digestive health and prevent the accumulation of Ama (toxins) in the body. Diet plays a major role in managing Ankylosing Spondylitis.

• Avoid Excessive Amas (Toxins): Foods that are heavy, greasy, or difficult to digest, such as fried foods, processed foods, and excessive dairy, should be avoided.

• Increase Anti-inflammatory Foods: Include fresh fruits, vegetables, whole grains, and lentils in your diet. These foods are rich in antioxidants, fiber, and vitamins that can help reduce inflammation.

• Turmeric and Ginger: Include turmeric and ginger in your diet, as both are powerful anti-inflammatory agents. Adding them to teas or curries can help reduce inflammation.

• Warm, Easily Digestible Foods: Opt for warm, cooked meals rather than raw foods. Soups, kitchari (a combination of rice and lentils), and steamed vegetables are good options.

4. Yoga and Exercise

Regular physical activity is vital for managing Ankylosing Spondylitis. In Ayurveda, yoga is recommended to improve flexibility, mobility, and reduce stiffness in the joints and spine.

• Yoga Poses: Certain yoga asanas, such as Bhujangasana (Cobra Pose), Trikonasana (Triangle Pose), Setu Bandhasana (Bridge Pose), and Adho Mukha Svanasana (Downward Dog), can help strengthen the spine and improve posture. These poses also help to open up the chest, increase lung capacity, and relieve stiffness.

• Breathing Exercises: Pranayama (breathing exercises) like Anulom Vilom and Bhastrika can help reduce stress and promote relaxation, which is important in managing autoimmune conditions.

Regular stretching and strengthening exercises also help maintain a good range of motion and reduce the chances of spinal fusion, a common consequence of AS.

5. Stress Management

Since stress and mental well-being play a major role in autoimmune diseases, managing stress is essential for controlling symptoms of Ankylosing Spondylitis.

• Meditation and Pranayama (breathing techniques) help reduce stress and promote relaxation, which can have a direct positive effect on inflammation and pain.

• Ayurvedic practices like Abhyanga (oil massage) and Shirodhara (a technique where warm oil is poured on the forehead) help in relaxing the nervous system and balancing the mind and body.

Conclusion

While there is no cure for Ankylosing Spondylitis, Ayurveda offers a holistic approach to managing the condition through detoxification, herbal remedies, dietary modifications, yoga, and stress management. The key lies in reducing inflammation, balancing the Vata dosha, and improving joint flexibility and mobility.

Before starting any Ayurvedic treatment for Ankylosing Spondylitis, it’s essential to consult with a qualified Ayurvedic practitioner or healthcare professional to ensure safe and effective management of the condition based on individual needs.

Ankylosing Spondylitis (AS) is a chronic inflammatory disease that primarily affects the spine and sacroiliac joints. Treatment focuses on relieving pain, maintaining spinal flexibility, and preventing progression and complications.

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1. Medical Management

a. Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

• First-line treatment for pain and stiffness.

• Examples: Naproxen, Indomethacin, Diclofenac.

b. Disease-Modifying Antirheumatic Drugs (DMARDs)

• Less effective for axial disease but useful if peripheral joints are involved.

• Examples: Sulfasalazine, Methotrexate (more for peripheral arthritis).

c. Biologic Agents

• Used when NSAIDs fail or disease is severe.

• TNF-alpha inhibitors:

  • Etanercept, Infliximab, Adalimumab.

• IL-17 inhibitors:

  • Secukinumab, Ixekizumab.

• Very effective in reducing inflammation and halting progression.

d. Corticosteroids

• Systemic use is limited.

• Local steroid injections can help with peripheral joint or enthesitis involvement.

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2. Physical Therapy & Exercise

• Core component of long-term management.

• Helps maintain posture, spinal mobility, and chest expansion.

• Supervised programs, swimming, and stretching are especially helpful.

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3. Lifestyle Modifications

• Smoking cessation – critical as smoking worsens disease progression.

• Posture training – avoid slouching to reduce spinal fusion in a flexed position.

• Proper sleeping posture – firm mattress, avoid pillows under head.

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4. Surgical Options

• Indicated in severe cases:

  • Total hip replacement for hip joint damage.

  • Spinal osteotomy for severe kyphosis.

  • Fracture stabilization in spinal fractures.

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5. Monitoring and Support

• Regular follow-up with a rheumatologist.

• Monitor for complications: uveitis, heart disease, lung fibrosis.

• Ophthalmology for eye involvement.

• Psychosocial support due to chronic pain and functional limitations.

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