The spinal arthritis is a group of chronic inflammatory rheumatism diseases, with a major burden of stress and spinal and exterior joints, causing many inconveniences and suffering to patients ‘ lives. In recent years, with the deepening of medical research and advances in technology, there have been significant changes and developments in the field of the treatment of spinal arthritis.
In terms of diagnosis, in the past, the diagnosis of spinal arthritis tended to rely on typical clinical performances, such as pain in the back, rigidity, especially when it was visible in the morning, post-activity relief, and visualization of the pathological characteristics of the spinal artery. However, this diagnosis may have some limitations at an early stage of the disease, which can easily be missed and misdiagnosed. Today, with increased awareness of the disease, the diagnostic criteria are more detailed and precise. In addition to clinical symptoms and visual tests, biological markers in blood play an important role. For example, while HLA-B27 genetic tests cannot be a separate basis for diagnosis, they are important references for diagnosis, especially when combined with other clinical performances, to improve the accuracy of diagnosis. In addition, a number of inflammatory indicators, such as blood sunk (ESR), C reaction proteins (CRP), etc., help to determine the activity of the disease and provide more comprehensive information for diagnosis.
The concept of treatment has also undergone major changes. Traditional treatments are mainly based on pain relief and inflammation, with the use of drugs such as non-paralytic anti-inflammation drugs (NSAIDs), sugar cortex hormones, etc. These drugs, however, only contain symptoms and do not fundamentally prevent progress. Today, with an in-depth study of the mechanisms for disease incidence, treatment targets are more focused on long-term control of disease and prevention of joint malformations and functional disorders.
The emergence of biological agents represents a major breakthrough in the field of spinal arthritis treatment. Biological agents such as tumour necrosis inhibitors (TNFi) and white cellulose-17 (IL-17) inhibitors are able to target the key cell factors that affect the inflammatory path, effectively inhibit inflammation responses, significantly improve patients ‘ symptoms and quality of life and show good results in slowing the progress of the disease. At the same time, treatment programmes are more individualized, and doctors are able to combine the most appropriate treatments according to the patient ‘ s state of condition, his or her level of activity, his or her complications, and his or her financial situation and wishes.
There have also been new developments in rehabilitation treatment. In addition to traditional physiotherapy, such as hot dressing, massages, towing, etc., the importance of rehabilitation and physical exercise has become increasingly important. Targeted spinal and joint exercise increases muscle strength, maintains joint activity, and prevents vertical and joint deformities. For example, sports such as swimming, yoga and plati are recommended as a method of exercise suitable for persons with spinal arthritis, which can be effective in the exercise of body muscles and joints, while reducing the burden of the joint, to help the patient better restore and maintain his/her physical function.
As technology continues to improve, telemedicine, mobile health applications, etc. are also being used in the treatment of spinal arthritis. Patients can communicate with doctors through tele-medicine platforms, provide timely feedback on changes in conditions and adjust treatment programmes, which provide easier and more efficient medical care and help to increase patients ‘ compliance.
The treatment of spinal arthritis has undergone profound changes and developments in diagnostic methods, treatment concepts, means of rehabilitation and medical service models. These advances have led to better treatment and improved quality of life for patients, but further research and exploration are needed to achieve a precise diagnosis and individualized treatment of spinal arthritis, which will eventually tackle the disease and bring the patient back to a healthy life.
