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What is Spondylitis?

Spondylitis is an inflammatory disease that primarily affects the spine and is characterised by pain, rigidity, and discomfort. The vertebrae, the bones that form the spine, become inflamed, leading to new bone growths that eventually fuse parts of the spine. This fusion can reduce mobility and chronic pain as the spine's flexibility is reduced.

The most common form of spondylitis is ankylosing spondylitis (AS), which predominantly affects the lower back and the sacroiliac joints, where the spine and pelvis connect.

What is the Importance of Timely Treatment?

Spondylitis should be treated quickly to prevent spinal fusion, joint injury, and abnormalities. Early treatment improves quality of life, maintains mobility, and reduces pain. It also slows the progression of the disease, increases the effectiveness of treatment, and reduces the risk of complications in other organs. Thus, early treatment can maintain function, prevent permanent disability, and improve long-term outcomes.

What are the Common Symptoms of Spondylitis?

The lower back and pelvis are common chronic pain sites, primarily upon waking or following rest periods.

Stiffness: The stiffness may decrease with activity, such as stretching or exercise, especially in the lower back, hips, and spine.

Less flexibility: The spine can't bend or twist because of stiffness.

Fatigue: A common symptom of inflammatory diseases is being particularly tired or lacking in energy.

Postural Changes: Kyphosis is a forward curvature of the spine that can develop over time and affect posture.

Spine Tenderness: Pain or tenderness when certain spine areas are affected.

Causes and Risk Factors of Spondylitis

Causes

  • Although the cause of ankylosing spondylitis is not established, there is a genetic component. People with the gene HLA-B27 are significantly more likely to develop the condition, but only a tiny percentage of those with the gene do so.

Risk Factors

The following are the significant risk factors for spondylitis:

  • Age: It usually starts manifesting around the age of forty.
  • Genetics: A family history of spinal problems increases the risk.
  • Gender: Women may have worse symptoms later in life, whereas men are more likely to have it earlier.
  • Repetitive Stress: Workplaces or activities that require twisting or heavy lifting might hasten the deterioration of the spine.
  • Poor Posture: Wrong sitting posture or slouching might elevate spinal deterioration.
  • Obesity: Extra weight strains the spine.
  • Prior Spine Injuries: Prior injuries may elevate the risk of degeneration.
  • Sedentary Lifestyle: Not exercising weakens muscles and puts more strain on the spine.
  • Smoking accelerates disc degeneration by lowering the blood supply to the spine.

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Latest Research and Technologies in the Treatment of Spondylitis in India

New advances in the treatment of AS (Ankylosing Spondylitis) in India include: In addition to reducing inflammation and possibly retarding the disease process, MSCs are currently used to replace damaged tissue. Another minimally invasive intervention that is under investigation is exosome therapy.

Spondylitis Prevention Tips

The following valuable tips can help prevent spondylitis, especially ankylosing spondylitis (AS):

Maintain Good Posture: Adopt good posture to reduce joint and spine strain.

Keep Moving: Regular exercise, such as strengthening and stretching, can increase flexibility and reduce stiffness.

Control Weight: Maintaining your weight within a healthy range eases the strain on your spine.

Avoid Smoking: Smoking increases the risk of spinal problems and worsens symptoms.

Ergonomics: Spinal strain happens during day-to-day activities, so utilise an ergonomic workstation and furniture.

Early Diagnosis and Treatment: Seek medical attention immediately to control the inflammation and halt its progression in case of experiencing symptoms.

Treatment options for Spondylitis

Spinal Fusion: Ankylosing Spondylitis (AS) is commonly treated through spinal fusion, a surgical procedure during this condition when it has progressed to severe pain in the spine, deformation, or injury.


Cost Start From USD 6500 - USD 9500Explore Options

Osteotomy: An osteotomy is a surgical procedure that involves the realignment and cutting of bones to correct abnormalities caused by conditions such as spondylitis.


Cost Start From USD 3500 - USD 4500Explore Options

  • Clinical assessment:

Physical Examination: A medical professional will evaluate posture, pain thresholds, spinal flexibility, and joint mobility. They could also run some tests to look for stiffness or inflammation in the joints and spine.

Blood tests that determine inflammation, which may be elevated in spondylitis, include the C-reactive protein (CRP) and Erythrocyte Sedimentation Rate (ESR).

HLA-B27 Test: A blood test to check for the presence of the HLA-B27 gene. This gene is strongly associated with ankylosing spondylitis, though not all AS patients have it.

  • Imaging Tests:

X-rays: Ankylosing spondylitis can be detected with X-rays of the spine and pelvis, showing early signs of bone abnormalities, fusion of vertebrae, or joint inflammation.

MRI: Before such severe damage occurs, MRI is more sensitive than X-rays to detect early inflammation, especially in the spine and sacroiliac joints.

CT: A CT scan can provide more details regarding the spine and the joints of the patient in particular conditions, especially when looking for structural damage

MediRehab (chain of Rehab centres - Part of MediGence) provides comprehensive rehabilitation services designed to support spondylitis patients in India. These services include:

  • Physical Therapy
    • Stretchingexercises can help relieve stiffness and increase spinal flexibility. Focus on your shoulders, hips, and lower back.
    • Exercises for Strengthening the Core: By strengthening the core muscles, you may improve posture, lessen joint stress, and support your spine.
    • Posture Training: Pain management and prevention of more spinal deformities can be achieved by education on proper posture.
    • Joint mobilisation: Methods to increase the afflicted joints' range of motion to lessen stiffness and pain.
  • Depending on the situation, your healthcare professional may prescribe medicine to help control your symptoms and support the treatment plan.

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Hospitals for Spondylitis in India

Jaslok Hospital & Research Center: Top Doctors, and Reviews
Jaslok Hospital & Research Center

Mumbai, India

  • Jaslok Hospital & Research Centre, Mumbai, is a 350-bed super-speciality tertiary care hospital, established in 1973 and among India’s most respected private trust hospitals.
  • Located on Peddar Road in South Mumbai, overlooking the Arabian Sea, it serves as a major referral centre for Mumbai, Maharashtra, and patients from across India and abroad.
  • The hospital offers comprehensive care across 50+ specialities and nearly 20 multidisciplinary speciality clinics, addressing complex and advanced medical conditions.
  • Supported by 300+ senior consultants and 200 resident doctors, ensuring high standards of expertise and round-the-clock patient care.
  • Equipped with 75 ICU beds, advanced critical care units, modular operation theatres, and state-of-the-art diagnostic and imaging facilities.
  • Recognised as a leading centre of excellence in Critical Care, Cardiac Sciences, Neurosciences, Oncosciences, Renal Sciences, Gastroenterology, and Assisted Reproduction.
  • A prominent research and academic institution, conducting clinical trials and recognised by the National Board of Examinations (NBE) in 22 specialities.
  • Strong emphasis on quality, patient safety, and evidence-based care, with continuous monitoring of clinical and operational outcomes to meet international healthcare standards.
Apollo Hospitals Bannerghatta: Top Doctors, and Reviews
Apollo Hospitals Bannerghatta

Bangalore, India

Apollo Hospitals Bannerghatta located in Bengaluru, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Bed Capacity is 250
  • Largest and most sophisticated sleep laboratory in the world
  • Technological powerhouse with latest equipments
  • 120 slice CT angiogram
  • 3 Tesla MRI
  • Low energy & High energy Linear Accelerators
  • Navigation System in surgical procedures
  • 4-D Ultrasound for 4 dimensional sonography
  • Digital Fluoroscopy
  • Gamma Camera
  • Stereotactic Robotic Radio- surgery
  • Autologous Bone Marrow Transplantation
  • Robotic assisted surgeries
  • Thallium Laser-First in India
  • Holmium Laser-First in South India
  • Digital X-Ray-First in Karnataka
  • 100 plus consultants
  • Uses Y shaped stent for tracheoesophageal fistula
  • Four autologous chondrocyte implantations procedure is performed and several more like Spinal angiolipoma excision, Tibial tuberosity shift with MPSL reconstruction
  • Biggest series of airway stents in India
  • The Minimal Access Surgery Centre (MASC) centre of excellence
Sarvodaya Hospital and Research Centre: Top Doctors, and Reviews
Sarvodaya Hospital and Research Centre

Faridabad, India

Sarvodaya Hospital and Research Centre located in Faridabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Sarvodaya Hospital has a 500 bed capacity which is inclusive of 65 ICU beds.
  • A dedicated dialysis unit for people with kidney conditions.
  • The hospital has a cancer center which makes cancer treatment a seamless process.
  • There is an upcoming oncology center in Sarvodaya Hospital Faridabad.
  • Technologies such as 128 Slice CT scan, 500 MA X-Ray, 1.5 Tesla MRI and Mammography facility.

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Why Choose India for Spondylitis Treatment?

India is also popular for treating spondylitis due to its modern medical facilities and affordable yet excellent healthcare services. The country offers access to highly qualified physicians, state-of-the-art therapies such as spinal fusion, and contemporary medical tourism infrastructure. It is the most preferred option for those seeking holistic treatment, as patients get tailor-made treatment plans, effective treatment plans, and the latest treatments at a reasonable cost compared to Western countries.

Frequently Asked Questions

Ankylosing spondylitis (AS) is an inflammatory arthritis that primarily affects the sacroiliac joints, which connect the spine and pelvis. Chronic inflammation results in pain, stiffness, and, in some cases, fusion of the spinal vertebrae, which reduces movement.

Spondylitis, more specifically ankylosing spondylitis, can be a hereditary disease. A family history of AS may increase the chances of developing it, and it is closely linked to the illness caused by the HLA-B27 gene. Nevertheless, environmental factors may also play a role, and not everyone bearing this gene will develop spondylitis.

In extreme cases, joint damage or abnormalities may need surgical intervention, like spinal fusion.

Here are some tips to manage spondylitis pain:

Corticosteroids, biologics, or NSAIDs can be used to decrease pain and inflammation.

Physical therapy: Regular stretching, posture training, and strengthening exercises to enhance range of motion and reduce stiffness.

Lifestyle Changes: Maintain a healthy weight, exercise at a low-impact level, and carefully care for your posture.

Apply heat to relax muscles and cold to reduce inflammation in hot/cold therapy.

Alternative Therapies: Explore pain management techniques such as yoga, acupuncture, and breathing.

Spondylitis, especially ankylosing spondylitis (AS), can affect the hips, shoulders, eyes (causing uveitis), heart (resulting in problems with the aortic valve), lungs (reducing lung capacity), and peripheral joints (such as knees and ankles).

An anti-inflammatory diet is rich in fruits, vegetables, whole grains, and omega-3 fatty acids (from fish and flaxseeds) for people with spondylitis. Lean proteins are also helpful and ensure that people get enough vitamin D.

Spondylitis, especially ankylosing spondylitis (AS), usually develops gradually. Lower back discomfort and stiffness can progress to joint degeneration and spinal fusion, which results in altered posture and decreased flexibility. It may also affect other joints, such as the shoulders and hips.

Yes, if left untreated or not well-managed, spondylitis, especially ankylosing spondylitis (AS), can lead to permanent disability. Chronic inflammation will eventually cause restricted mobility, spinal fusion, and joint degeneration, making simple daily activities challenging.