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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 Thailand

As per a recent study carried out in Thailand, the incidence of ankylosing spondylitis (AS) is similar in women and men and, thus, a very rare disease. The findings were that many patients are females, and the age at diagnosis is typically between 50 and 59 years. The conclusions of the research, which were gathered from national health databases, provide valuable data that can be utilised to aid in better healthcare planning, allocation of resources, and development of public health programs aimed explicitly at treating AS in the country.

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 12000 - USD 17000Explore 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 5000 - USD 7000Explore 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.

Our MediRehab facilities, part of MediGence in India, offer physical therapy services for international patients. We also have convenient teleconsultation options so that patients all over the globe can receive expert treatment remotely. A few services such as:

  • 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 Thailand

Piyavate Hospital: Top Doctors, and Reviews
Piyavate Hospital

Bangkok, Thailand

Piyavate Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Medicine Centre: Piyavate Hospital provides advanced holistic treatment for their patients. They offer a complete range of services and physicians that specialize in various fields like the endocrine system, the nervous system, kidney function, cardiovascular care, respiratory and digestive system. They pride themselves for the familial care that they provide to their patients.

  • Fertility and In-Vitro Fertilization Centre: Helping the couples who walk into the Piyavate Hospital to achieve their dream of having a family. They have a medical team that specializes in male and female fertility. They offer consultation services, fertility check-up for both men and women and complete IVF services. They have advanced IVF cycle treatment facilities that offer a high rate of success.

  • Bone and Joint Institute: Piyavate Hospital houses one of the frontrunners in Orthopaedic health care in all of SouthEast Asia. They offer a wide range of services and surgeries in their bone and joint institute that include hand surgery, hip and knee replacement surgery, spinal cord surgery, upper extremity surgery, arthroscopic surgery and sports medicine.

  • Eye and Lasik Centre: Piyavate Hospital is fully equipped with the latest and most advanced technology for eye care and houses highly skilled ophthalmologists, sub-specialists and qualified nurses.

  • Physical Therapy and Rehabilitation Centre: One of the first hospitals to be equipped with the Hybrid Assistive Limb technology that will help a neurologically challenged patient to control the rehabilitation robot limb with a signal from their brain. The Physical Therapy and Rehabilitation Centre at Piyavate Hospital uses this system encourage patients to regain muscle memory to walk and function normally.

Amenities for Patient’s Family:

Piyavate Hospital also offers additional apartment facilities to house the kin of the patients who come to visit them from distant places. A restaurant, a flower shop and a café are a few of the other amenities provided by the hospital.

These are the most popular services offered by the Piyavate Hospital in Bangkok, Thailand. They also provide a plethora of other medical services that are listed below:

  • Diabetic Foot Centre

  • Check-up centre

  • Urology Centre 

  • Heart Institute

  • Paediatric Centre 

  • Obstetrics and Gynaecology Centre

  • Surgery Centre

  • Ear Nose Throat Centre

  • Haemodialysis Centre 

  • Dental Centre

  • X-Ray Centre

  • Gastroenterology Centre

  • Cancer Centre

  • Neonatal Intensive Care Unit (NICU)

  • Emergency Services and Centre

  • Tele-medicine

Krabi Nakharin International Hospital: Top Doctors, and Reviews
Krabi Nakharin International Hospital

Krabi, Thailand

Krabi Nakharin International Hospital located in Krabi, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of Imported electronically adjustable 100 beds
  • Housing Facility in VIP Rooms, Deluxe Rooms, Superior Rooms, 2-Beds room, 9-Beds room
  • All rooms are fully equipped with Smart TV, Refrigerator with soft drinks, Wi-fi, sofacumbed, personal nurse call system, telephone for local & international calls, Microwave,
  • Main meals and snacks are also included
  • Medical Technology includes- 64-slice CT scan, MRI, Fluoroscopy Examination, Digital Mammogram, Computed Radiography and 4D-Ultrasound
  • 14 Treatment Centers and Clinics
  • 24*7 Intensive Care Unit (ICU)
  • Outpatient Department (OPD)
  • Emergency Department
Phyathai 2 International Hospital: Top Doctors, and Reviews
Phyathai 2 International Hospital

Bangkok, Thailand

Phyathai 2 International Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Fully equipped rooms are available for convenience of the patients- Gold B Room, Gold A Room, Pediatric Gold A, Platinum room, and Prestige ward
  • Nearby accommodations are also available- Abloom Service Apartments, Bangkok Patio, VIB Best Western Sanam Pao, VIC3 Hotel
  • Operating room
  • International Patient Medical Center to assist overseas patients

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Why Choose Thailand for Spondylitis Treatment?

Thailand's advanced healthcare infrastructure, highly trained medical staff, and state-of-the-art facilities make it an ideal destination to treat spondylitis. To ensure patients receive the best outcomes, the country offers cutting-edge diagnostic equipment, effective treatment options, and a focus on personalised care. Thailand provides comprehensive care for spondylitis patients and is gaining recognition for its excellent orthopaedic and rheumatologic treatment.

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.

Spondylitis patients in Thailand may undergo surgery, especially if they have severe spinal deformities or debilitating pain. Exceptional care hospitals employ highly trained orthopaedic specialists to perform spinal fusion, joint replacement, or corrective surgery procedures.

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.

While spondylitis cannot be entirely prevented, its symptoms may be controlled, and the progression of the disease can be decelerated if detected early and treated. In Thailand, healthy living with frequent exercise and consultations is recommended for individuals with spondylitis to minimise risk factors and increase their quality of life.