The treatment process and general principles of direct spinal disease The vertical spinal disease (AS) is a chronic self-immuno-disease that mainly affects the spinal column and the hip, leading to inflammation, pain and sexual rigidity. The objective of the treatment of direct spinal disease is to control inflammation, mitigate symptoms, prevent joint damage and malformations, and improve the quality of life of patients. The following are the treatment processes and general principles for direct spinal disease.
Treatment process
1. Diagnosis and assessment
• Preliminary diagnosis: confirmed through detailed medical history inquiries, medical examinations, visual and laboratory examinations (e.g. blood protocol, liver and kidney function, blood sunk, C-reaction protein, HLA-B27, etc.).
Assessment of the condition: Assessment of the severity, activity and functional limitations of the disease and the existence of complications.
2. Early drug treatment
• Inflammatory anti-inflammatory (NSAIDs) as a first-line drug for inflammation control, pain relief and rigidity. Common drugs include sieves, meloquicone, etc.
• Immunosuppressants: e.g., nitrous sulfur intestines, ammonium butterflies, etc., used to inhibit unusual immune reactions.
• Biological agents: Biological agents, such as TNF-α inhibitors, may be considered for use in cases of elimination of tuberculosis, infection, etc., which can effectively control the condition but require adequate long-term treatment.
• Hormonal treatment: short-term hormonal use may be considered when the above-mentioned medication is ineffective.
Physical therapy and exercise
Physicotherapy: such as hot water baths, thermal therapy, etc., help to promote blood circulation, reduce muscle stress and pain.
Exercise: Encourage patients to exercise appropriately, such as swimming, yoga, jogging, etc. to maintain joint flexibility and muscle strength.
Surgery
• Advanced malformation: For patients with severe back deformation and bone integration in the later stages, the spinal curve can be restored through amputation.
• Joint replacement: For patients with high hips or knee joints, joint replacement operations may be considered to restore joint function.
5. Psychological support
Provide psychological support and guidance to help patients cope with the stress and anxiety caused by the disease.
General principles
1. Long-term treatment: Straight spinal disease is a disease requiring long-term treatment, and patients should work closely with doctors to develop long-term treatment programmes.
2. Inflammatory control: Controlling inflammation is the key to treatment, and the goal of inflammation control is achieved through, inter alia, drug treatment and physiotherapy.
3. Symptoms mitigation: amelioration of symptoms such as pain, rigidity and improvement of the quality of life of patients.
4. Maintenance of mobility: Encourage patients to exercise properly, maintain joint flexibility and muscle strength and prevent joint damage and malformations.
5. Integrated treatment: Integrated treatment is carried out in combination with a combination of medication, physiotherapy, surgical treatment and psychological support.
6. Individualized treatment: an individualized treatment programme based on the age, condition and complications of the patient.
The treatment of direct spinal disease is a long and complex process that requires a concerted effort by patients and doctors. Through sound treatment and management, the conditions can be effectively controlled and the quality of life of patients improved.
Straight spinalitis.
