A chronic inflammatory condition attacking joints of the spine and sacroiliac resulting in fixation by bony ankylosis. Intercostal joints also at risk. Bamboo spine. Poker spine. Genetic factor involved. Abnormal immune response to infection. Sometimes associated with anaemia, ulcerative colitis or psoriasis. Neglected symptoms degenerate into ‘an old man with a hoop’.
Symptoms. Persistent stiffness and pain in buttocks and low back. Poor chest expansion. Worse on rising and after inactivity. Rigidity develops over many years in neck and back.
The patient should be examined for bloodshot eyes. In the formative stages iritis is a classic diagnostic sign. An iritis which does not cause eyelids to be stuck down in the mornings is to be regarded with extreme caution. See: IRITIS.
Treatment. Anti-inflammatory analgesics: Guaiacum, White Willow bark, Wild Yam.
Teas. Bogbean, Celery seeds, Devil’s Claw root, German Chamomile, Meadowsweet, Prickly Ash bark, White Willow bark, Wild Yam.
Tablets/capsules. Black Cohosh, Devil’s Claw, Prickly Ash, Wild Yam, Bamboo gum.
Formula. White Willow 2; Celery 1; Black Cohosh half; Guaiacum quarter; Liquorice quarter. Mix. Dose: Powders – 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: 15-60 drops. Tinctures: 1-2 teaspoons. Thrice daily.
Topical. Liniment. Tincture Black Cohosh 2; Tincture Lobelia 2; Tincture Capsicum quarter; Alcohol to 20.
Cold packs: See entry.
Aromatherapy. Massage oil: 6 drops Oil Lavender in 2 teaspoons Almond oil. Jojoba, Aloe Vera, Thyme, Peanut oil.
Diet. See: GENERAL DIET. Avoid lemons and other citrus fruits.
Supplements. Daily. Pantothenic acid 10mg; Vitamin A 7500iu; Vitamin B6 25mg; Vitamin E 400iu; Zinc 25mg. Cod Liver oil: 1 dessertspoon.
General. Graduated exercises to promote good posture and free breathing. Swimming; walk-tall; sleep with board under mattress; hot baths. Gentle osteopathy to delay consolidation of vertebrae. ... ankylosing spondylitis