Low back ache is a disturbing disease in people of all ages now and sacroiliitis is one cause of inflammatory-type low back ache. It is an inflammation of one or both of the sacro-iliac joints in a person. Sacroiliitis is one of the important symptoms in patients attending infectious diseases and rheumatology clinics. Some patients with sacroiliitis are asymptomatic, and some have unspecific symptoms.
SIGNS AND SYMPTOMS
Pain in the buttocks, lower back, and back of one or both legs
Slight fever
Stiffness in the hips and lower back
Pain in the hips and feet
CAUSES
Анкилозирующий спондилит
Остеоартрит
Травма
Pregnancy
Infection
PATHOPHYSIOLOGY
The exact pathophysiology of sacroiliitis is unclear yet. It can start from traumatic event or infection or pregnancy. It comprises of chronic inflammation of SI joints which can lead to fibrosis and ossification within SI joint
DIAGNOSIS
Clinical examination
CT
MRI
TREATMENTS
Medicines- Pain relievers, Muscle-relaxants, TNF inhibitors
Electrical simulator implanted into sacrum
Corticosteroid injections into sacroiliac joint
Radiofrequency denervation
Joint fusion
PROGNOSIS
Proper treatment can relieve the pain associated with the condition. Long-term improvement will depend on the cause of the condition. Joint damage and degenerative forms of arthritis will need ongoing treatment to manage symptoms.
COMPLICATIONS
Sacroiliac joint pain may worsen over time. People may have reduced mobility and experience chronic lower back pain.
Disease & Ayurveda
Katigraha
Нидана
Физическая
Сухие, холодные и старые продукты питания
Чрезмерные путешествия и нагрузки
Травма/повреждение
Воздействие ветра
Потеря сна
Психологический
Стресс
Пурваарупа
Не упоминается
Сампрапти
Due to the causative factors, Vaatadosha vitiates and move irregularly all over the body and cause imbalance in circulation & metabolism. Due to either obstruction in the channels or degeneration of body tissues, the movement of Vaata gets in an unbalanced state. This vitiated Vaata gets lodged inside the sacrum and hip joint, causing pain, stiffness and associated problems.
Лакшана
Pain in the low back
Stiffness of the back especially in sacral region
Restricted movements of spine.
- If Saama, loss of appetite, fatigue, swelling and hardness will be there.
- In niraama, only pain and associated symptoms will be present. Appetite and bowel movements will be normal.
Подразделения
Saama
Niraama
Прогноз
Sukhasadya in new and with no restricted movements.
Yaapya in chronic cases
Чикитса
The ayurvedic treatment depends upon whether the katigraha is saama or niraama. If aama is present, only rooksha therapies are done in the beginning. Application of Vaatahara oils and ghee preparations should wait until the aama is completely cleared and the srotas (channels) are open completely. If the Vaatakopa is due to obstruction, the pain will be relieved once the channels are open and the movement of Vaata is in normal balanced condition.
Самана
In Saama condition
Lepanam with Rookshana dravyas
Soolaharakwathaparisheka
Upanaha
After aamapaachana, Kativasti/Katipichu
Содхана
Sneha-sweada
Виречана
Asthapanavasti
Anuvasanavasti
Часто используемые лекарства
Maharasnadi kashayam
Guggulutiktakam ghrutam
Dhanwantaram tailam
Бренды в наличии
AVS Коттакал
AVP Коимбатур
СНС Ушадхасала
Вайдьяратнам ушадхасала
Домашние средства
Over-the-counter pain medications can frequently alleviate the pain.
Take enough rest. Immobilisation is very important in relieving the pain.
Applying ice can help with pain and inflammation.
A hip or low back brace/belt can help immobilisation and support. It should not be tight and should be removed at night.
Диета
- Следует избегать
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases
- To be added
Light meals and easily digestible foods
Green gram, soups, sesame oil, ragi.
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Behaviour:
Protect yourself from cold climate.
Better to avoid exposure to excessive sunlight wind rain or dust.
Maintain a regular food and sleep schedule.
Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.
Avoid sedentary lifestyle. Be active
Йога
In lowback pain, exercises are to be done only under supervision.
Exercises are contraindicated in patients with severe pain and stiffness.
Regular stretching and mild cardio exercises are advised in mild cases. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga can maintain harmony within the body and with the surrounding system.
Паванамуктасана
Надисудхи пранаяма
Бхуджангасана
Simple exercises for lungs and heart health
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only
RESEARCH ARTICLES
doi: 10.19082/2094
A total of 136 patients were evaluated to determine the frequency of sacroiliitis causes. 8.8% had had infectious causes, 88.2% had inflammatory non-infectious causes, and 2.9% had degenerative causes. Based on the results, inflammatory non-infectious causes are placed at the top of the list of sacroiliitis causes, but infectious causes, including brucellosis should always be considered.
Эти заявления не были оценены Управлением по контролю за продуктами и лекарствами США. Данный продукт не предназначен для диагностики, лечения, излечения или профилактики каких-либо заболеваний. Пожалуйста, проконсультируйтесь с вашим лечащим врачом перед приемом.
Писатель:
Доктор Раджеш Наир, соучредитель и главный консультант Ayurvedaforall.Com, окончил престижный аюрведический колледж Vaidyaratnam (филиал Университета Каликут), штат Керала, Индия. Кроме того, он получил диплом об окончании аспирантуры по йогатерапии в Университете Аннамалай.
Доктор Наир проводит консультации в двух оживленных клиниках в Харипаде и его окрестностях, Аллеппи, Керала, южном штате, известном на весь мир аутентичным аюрведическим лечением и врачами. Предлагая консультации по всем аспектам аюрведического лечения, доктор Наир проявляет особый интерес к панчакарме, йоге и массажу.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
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