Ankylosing Spondylitis

What is Ankylosing Spondylitis?

Ankylosing Spondylitis (AS) is one of many forms of chronic inflammatory and degenerative arthritis, affecting the spine A.S. especially affects the joints between the vertebrae of the spine and the joints between the spine and the pelvis (sacro-iliac joints). It may also affect other joints of the body. The joints are initially inflamed and this may be followed by progressive stiffness and inflexibility.
It eventually leads to the fusion of the spine, giving permanent painful stiffness of the back. It is often called bamboo spine, as the spine tends get stiff like a bamboo. This condition is more common in males as compared to females and usually occurs in individuals between 16-40 years of age.

Ankylosing spondylitis can briefly be summarized as under:
  • Ankylosing spondylitis belongs to a group of arthritis conditions which tend to cause chronic inflammation of the spine as well as degeneration.
  • Ankylosing spondylitis is a cause of back pain in adolescents and young adults.
  • Tendency to develop Ankylosing spondylitis is genetically inherited.
  • The HLA-B27 gene can be detected in the blood of most patients with AS.
  • Ankylosing spondylitis can also affect eyes, heart, lungs, and occasionally the kidneys
  • The optimal treatment of Ankylosing spondylitis involves medications that reduce inflammation or suppress immunity, physical therapy and exercise.
  • Homeopathy offers encouraging results, significant disease control and pain relief.
Site of disease:

The sacroiliac joints are located in the low back where the sacrum (the bone directly above the tailbone) meets the iliac bones (bones on either side of the upper buttocks). Due to chronic inflammation in these areas there are symptoms like pain and stiffness of spine. As this condition is chronic one with time this leads to fusion of the vertebrae i.e. complete cementing together of vertebrae.
This process is known as Ankylosis. Due to this condition there is loss of mobility if spine. The stiffness could eventually be very severe making the spine resembling a bamboo. Hence it is also called bamboo spine.
Ankylosing spondylitis can affect other tissues throughout the body. It can cause inflammation in or injury to other joints away from the spine, as well as other organs, such as the eyes, heart, lungs, and kidneys.

Related conditions:
  • Psoriatic Arthritis
  • Reactive Arthritis
  • Arthritis associated with Crohn’s disease and ulcerative colitis.

These conditions are collectively referred to as “spondyloarthropathies.”

Causes of Ankylosing Spondylitis

The exact cause of Ankylosing spondylitis is not understood. It has been considered to be an autoimmune disease (like many others such as Diabetes, Rheumatoid Arthritis, Alopecia Areata, Thyroiditis, etc.). Genetic factors are likely to be involved. The majority of people with Ankylosing spondylitis have a gene called HLA-B27. However, the presences of HLA-B27 (Human Leukocyte Antigen B27) is not absolutely diagnostic of AS.

1. Genetic theory:

AS has a strong genetic factor as a cause behind its development. About 90 % of patients with AS are born with HLA B27 gene. There are blood tests to detect HLA-B27 gene marker. The HLA-B27 gene appears only to increase the tendency of developing Ankylosing spondylitis, while some additional factor(s), perhaps environmental, are necessary for the disease to appear or become expressed.
Interestingly, the presence of HLA-B27 alone does not make one prone to develop this disease. As per a study, about 7% of the United States populations have the HLA-B27 gene, only 1% of the population actually has the disease Ankylosing spondylitis.
In Northern Scandinavia (Lapland), 1.8% of the population have Ankylosing spondylitis while 24% of the general population have the HLA-B27 gene. Even among HLA-B27 positive individuals, the risk of developing Ankylosing spondylitis appears to be further related to heredity. In HLA-B27-positive individuals who have relatives with the disease, their risk of developing Ankylosing spondylitis is 12% (six times greater than for those whose relatives do not have Ankylosing spondylitis).

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2. Autoimmune theory:

Autoimmunity is considered significantly involved in the development of AS. Again, autoimmunity itself may be genetically oriented.

3. Prolonged stressful situation

Prolonged stressful situation in one’s life could possibly trigger the underlying genetic tendency for AS.

4. Bacterial infections

Bacterial infection triggering AS is one of the other theories.

Current research about Ankylosing Spondylitis:

Recently, two more genes have been identified that are associated with Ankylosing spondylitis. These genes are called ARTS1 and IL23R. These genes seem to play a role in influencing immune Function. It is anticipated that by understanding the effects of each of these known genes researchers will make significant progress in discovering a cure for Ankylosing spondylitis.
How does inflammation occur and persist in different organs and joints in Ankylosing spondylitis is a subject of active research. Each individual tends to have their own unique pattern of presentation and activity of the illness. The initial inflammation may be a result of an activation of body’s immune system by a bacterial infection or a combination of infectious microbes. Once activated, the body’s immune system becomes unable to turn itself off, even though the initial bacterial infection may have long subsided. Chronic tissue inflammation resulting from the continued activation of the body’s own immune system in the absence of active infection is the hallmark of an inflammatory autoimmune disease.

Symptoms of Ankylosing Spondylitis

The most significant symptoms of AS are pain in lower back, painful stiffness and immobility of back.
The totality of symptom may be described as under:

  • Fatigue associated with active inflammation
  • Pain and stiffness in the low back, upper buttock area , neck and the remainder of the spine
  • Gradual onset of pain and it worsens progressively over months. Sometimes rapid and intense onset
  • Pain and stiffness relieved by motion, heat and warm shower in morning.
  • Pain and stiffness are often worse in morning and after prolonged periods of inactivity.
  • Patients with chronic condition can develop a complete bony fusion of spine. Once fused, the pain in the spine disappears, but the patient has a complete loss of spine mobility. These fused spines are particularly brittle and vulnerable to breakage (fracture) when involved in trauma, such as motor vehicle accidents.
  • Chronic spondylitis and ankylosis cause forward curvature of the upper torso (thoracic spine), limiting breathing capacity.
  • Spondylitis can also affect areas where ribs attach to the upper spine, further limiting lung capacity.
  • Ankylosing spondylitis can cause inflammation and scarring of the lungs, causing coughing and shortness of breath, especially with exercise and infections. Therefore, breathing difficulty can be a serious complication of Ankylosing spondylitis. This is not very common, though.
  • Patients with Ankylosing spondylitis can also have arthritis in joints other than the spine. Patients may notice pain, stiffness, heat, swelling, warmth, and/or redness in joints such as the hips, knees, and ankles.
  • Some patients with this disease develop Achilles tendonitis, causing pain and stiffness in the back of the heel, especially when pushing off with the foot while walking up stairs. Inflammation of the tissues of the bottom of the foot, plantar fascitis, occurs more frequently in people with Ankylosing spondylitis.
  • Patients with Ankylosing spondylitis can develop inflammation of the iris, called iritis.” Iritis is characterized by redness and pain in the eye, especially when looking at bright lights. Recurrent attacks of iritis can affect either eye.
  • In addition to the iris, the ciliary body and choroid of the eye can become inflamed and this is referred to as uveitis.
  • Advanced spondylitis can lead to deposits of protein material called amyloid into the kidneys and result in renal failure. Progressive renal disease can lead to chronic fatigue and nausea and may require dialysis.
  • Since Ankylosing spondylitis often affects patients in adolescence, the onset of low backache is sometimes incorrectly attributed to athletic injuries in younger patients.

Ankylosing Spondylitis Diagnosis & Tests

Diagnosis of AS: (including investigations):

Clinical evaluation, detailed case history, physical examination supported by laboratory investigations will help conclude the diagnosis of AS.
The examination can demonstrate signs of inflammation and decreased range of motion of joints. This can be particularly apparent in the spine. Flexibility of the low back and/or neck can be decreased. There may be tenderness of the sacroiliac joints of the upper buttocks. The expansion of the chest with full breathing can be limited because of rigidity of the chest wall. Severely affected people can have a stooped posture.
Inflammation of eyes can be evaluated by the doctor with an ophthalmoscope. Further clues to the diagnosis are suggested by x-ray abnormalities of the spine and the presence of the blood test genetic marker, the HLA-B27 gene. Other blood tests may provide evidence of inflammation in the body. For example, a blood test called the sedimentation rate is a nonspecific marker for inflammation throughout the body and is often elevated in conditions such as Ankylosing spondylitis.
Urine Analysis is often done to look for accompanying abnormalities of the kidney as well as to exclude kidney conditions that may produce back pain that mimics Ankylosing spondylitis.

Investigations:

Most routine investigations are:

  • X-Ray of lumbosacral spine
  • HLA-B27 (blood test)
  • MRI spine
  • RA test (blood), ANA test (blood) to rule out Rheumatoid Arthritis
  • Routine blood test (CBE, ESR)

Other investigations may include, depending of on the case:

  • Low-grade anemia of chronic disease may be present.
  • Antinuclear antibody (ANA) and rheumatoid factor (RF) are within reference ranges.
  • Erythrocyte sedimentation rate (ESR) is normal or mildly elevated; it is more likely to be elevated with active inflammation.
  • C-reactive protein may be elevated with increased disease activity but is not a better indicator of inflammation than ESR.
  • Serum alkaline phosphatase may be elevated when active bone remodeling is occurring.
  • HLA-B27 antigen is positive 90-95% of the time but, notably, is not always present. Furthermore, its presence is not sufficient to make the diagnosis. The test is most helpful when diagnosis is not clear.
  • Cerebrospinal fluid (CSF) protein may be elevated mildly during acute exacerbations.
Imaging Studies
  • Plain radiography of the pelvis shows sacroiliitis or fusion of sacroiliac joints.
  • Lumbar spine radiography may show ossification of the anterior longitudinal ligament and fusion of facet joints. The appearance gives rise to the term bamboo spine. With extensive fusion of the spine, a patient may have a poker spine.
  • CT scan will show bony fusions and eroded laminae and spinous processes.
  • MRI may be needed to document atlantoaxial subluxation. MRI may be indicated after trauma to evaluate the spinal cord and to rule out cauda equina syndrome or epidural hematoma.
    1. Cauda equina syndrome may be inflammatory or compressive.
    2. In inflammatory cauda equina syndrome, the spinal canal is normal to large with CSF diverticula that are best seen on MRI.
  • Plain films or CT scan of the spine may be indicated after trauma to evaluate for bony injury.

Ankylosing Spondylitis Investigations

Investigations:
Most routine investigations are:
A X-Ray of lumbosacral spine
B HLA-B27 (blood test)
C MRI spine
D RA test (blood), ANA test (blood) to rule out Rheumatoid Arthritis
E Routine blood test (CBE, ESR)
Other investigations may include, depending of on the case:

    • Low-grade anemia of chronic disease may be present.
    • Antinuclear antibody (ANA) and rheumatoid factor (RF) are within reference ranges.
    • Erythrocyte sedimentation rate (ESR) is normal or mildly elevated; it is more likely to be elevated with active inflammation.
    • C-reactive protein may be elevated with increased disease activity but is not a better indicator of inflammation than ESR.
    • Serum alkaline phosphatase may be elevated when active bone remodeling is occurring.
    • HLA-B27 antigen is positive 90-95% of the time but, notably, is not always present. Furthermore, its presence is not sufficient to make the diagnosis. The test is most helpful when diagnosis is not clear.
    • Cerebrospinal fluid (CSF) protein may be elevated mildly during acute exacerbations.

Imaging Studies

  • Plain radiography of the pelvis shows sacroiliitis or fusion of sacroiliac joints.
  • Lumbar spine radiography may show ossification of the anterior longitudinal ligament and fusion of facet joints.The appearance gives rise to the term bamboo spine. With extensive fusion of the spine, a patient may have a poker spine.
  • CT scan will show bony fusions and eroded laminae and spinous processes.
  • MRI may be needed to document atlantoaxial subluxation. MRI may be indicated after trauma to evaluate the spinal cord and to rule out cauda equina syndrome or epidural hematoma.
  • Cauda equina syndrome may be inflammatory or compressive.
  • In inflammatory cauda equina syndrome, the spinal canal is normal to large with CSF diverticula that are best seen on MRI.
  • Plain films or CT scan of the spine may be indicated after trauma to evaluate for bony injury.

 

Treatment for Ankylosing Spondylitis

Ankylosing spondylitis treatment overview by Dr Singhal Homeo,
Ankylosing spondylitis affects young people, calling for planning of the long-term treatment in such a way that the disease remains under control, good relief in symptoms is achieved and dependency over chemical based medicines may be reduced, over the years.
The management of Ankylosing spondylitis included medicines, physiotherapy and exercise:

  • Conventional medicine
  • Homeopathic medicines
  • Physiotherapy
  • Self-help Exercises
  • Diet
  • Surgery (In extreme cases)

The purpose of treatment of Ankylosing spondylitis is:

  • To get relief in pain
  • To control the disease process
  • To improve mobility
  • To reduce stiffness
  • To reduce dependency of chemical based medicine
A. Conventional medicines:

The most commonly used conventional medicines (also called as allopathic medicines) are:

  • Sulfasalazine
  • Methotrexate
  • Corticosteroids

a. Sulfasalazine (Salazopyrine):This immunosuppressive medicine has been used for various forms of arthritis including Ankylosing spondylitis, rheumatoid arthritis as well as for ulcerative colitis. It gives food results.
Downside: It gives drug-dependency. The adverse effects are agranulocytosis and reduction in sperm counts in young males.
b. Methotrexate: A powerful immunosuppressive medicine, gives quick relief but the disease returns on stopping the medicine, in most cases.
Downside: Produces drug dependency and many major adverse effects; so, not a common medicine of choice.
c. Corticosteroids: Similar to Methotrexate

B. Homeopathic medicines

Prescribed on the basis of individual case evaluation by taking into account patient’s genetic, immunological and psychological parameters. It is safe and effective as a long-term therapy. It reduces pain, improves mobility and most importantly, controls the disease. It has no adverse effects.
Downside: Homeopathic prescribing needs expertise. One may not find well-trained homeopaths in all parts of the world. The treatment is slow, relatively.

C. Physiotherapy

Strategic exercise done regularly with the help of a trained physiotherapist forms an important treatment for ankylosing spondylitis. Depending on the joints affected, different set of exercises could be prescribed to the patient.
Downside: Frequent sessions of physiotherapy may turn out to be expensive for some patients. The solution is to learn exercises from a physiotherapist and carry out at home, subsequently, without visiting the clinic or hospital.

D. Self-help Exercises

Every patient of ankylosing spondylitis must add exercise as a part of treatment. Regular exercise in terms of neck and other joint work out, walk, swimming, etc. help and are required for all the cases of Ankylosing spondylitis.

E. Diet in ankylosing spondylitis

There is no specific diet suggested to improve ankylosing spondylitis. However, it is advised to avoid sour food, which has been found to increase joint pain in many patients. Also, it is better to avoid animal proteins such as meat, which is hard on the immune system.

F. Surgery

Surgery is not a commonly indicated treatment for ankylosing spondylitis. In advanced cases, when the deformity becomes very severe, leading to immobility on the joint, such as neck or hip, some re-constructive surgery may be required.
Overall, it must be remembered by all the patients of ankylosing spondylitis that if timely treatment is taken and supported with disciplined exercise and physiotherapy, the disease can remain under good control; and surgical intervention could be avoided.

The Homeopathy Treatment

Duration of treatment:

AS being a chronic and difficult disease, the exact timeline cannot be predicted. Yes, it can be said that most patients see better pain control in about 4 weeks time. The total length of treatment varies form case to case, depending of the following factors:

  • Duration of AS (Ankylosing spondylitis)
  • Extent of tissue damage and fusion
  • Patient’s age and general vitality
  • Previous medication (Extensive use of oral cortisone)
Why homeopathy for AS (Ankylosing spondylitis)?

Major benefits of homeopathy could be summarized as under:

  • It addresses altered immune system, treating the roots of this autoimmune disease.
  • It helps in pain control without side effects.
  • It aims at disease controlIt is absolutely safe even if used for a long time.

Common Ankylosing Spondylitis Homeopathic Medicines

Besides some of the following ingredients, the product contains Dr Singhal Homeo international Patented, Research based, highly effective medicines.
Dr Singhal Homeo patented molecules

  • Kali carbonicum
  • Rhus Toxicodendron
  • Natrum Muriaticum
  • Sulphur
  • Thuja occidentalis
  • Sepia
  • Silica
Important note:

Every case calls for detailed study of the patient individually. There are no disease specific medicines in homeopathy. The exact treatment is determined only on “in-depth” evaluation of the individual case. The medicines described below are commonly indicated in Ankylosing Spondylitis, only for the purpose of information. The readers are advised not to indulge in any kind of self-medication. There are over 50 medicines, out of which the patient of AS might require one. It is a complex process of determining the right remedy.

Kali carbonicum

This medicine is prepared from potassium salt K2CO3. It is a broad spectrum remedy useful for a range of deep seated diseases including but not limited to, Ankylosing Arthritis, Psoriatic arthritis, anxiety neurosis, asthma, sleeplessness, psoriasis, etc. It may be noted that the remedy is not indicated on the basis of the name of the disease.
The patient requiting Kali carbonicum may present with back pain with tremendous weakness. Weakness of the body, of the fibrous tissues, of the mind, of any part of the body. The patient may be sensitive to cold, cold air, cold bath, etc. The associated features may be abnormal anxiety, irritability towards loved ones, weeping tendency, sensitivity.
The back pain may be described by this patient as “stitching pain”. It may be dull aching with stiffness, with difficult mobility. There are many other symptoms which relate with the genetic and immunological connections. This medicine is deep acting and should not be taken without professional observation.

Rhus Toxicodendron

Rhus toxicodendron is another common remedy used for Ankylosing spondylitis and conditions related with joint and fibrous tissues. It is prepared from a plant commonly known as Poison ivy. The leaves and the bark of the plant contain a very poisonous resinous substance, which has an allergic effect. This drug positively affects multiple systems of the body including skin, joints, extremities, eyes, mucus membranes and the general vitality. Rhus tox is a good remedy for disorders that results from or get aggravated from getting wet or from exposure to excess cold. Characterized by severe burning of affected part, inflamed rash with excessive sensitivity to cold.
Stiffness of back associated with restlessness form key indication for This remedy. Usually, this remedy is superficial and one requires a support from more deeper acting medicine for a conditions such as AS

Natrum Muriaticum

Natrum Muriaticum is an interesting example of homeopathic medicine prepared from a common food substance, the common salt, NaCl, sodium chloride. As a rule, the common salt undergoes a special medicine preparation process called potentization, whereby its inner healing power is activated to make available for the healing process.
Natrum Muriaticum is almost 200 years old, one of the most commonly used medicines in homeopathy, introduced by the founder of homeopathy Dr. Samuel Hahnemann, MD.
There are over 2000 possible indicating symptoms for Natrum Muriaticum. Here follows indications in brief:
Constitutionally, this medicine has a broad spectrum of action, useful for a wide range of disease processes, affecting skin, gastrointestinal organs, nose, lungs, kidney, metabolism, muscles, head, hormonal system, etc. It is one of the commonly used remedies for migraine, Rheumatoid arthritis, Ankylosing spondylitis, urticaria, eczema, lichen planus, Vitiligo, asthma, etc.
The mental personality of the patients requiring Natrum Muriaticum is as under:
Usually reserved or introvert, less communicative about personal matters. Less social. Sadness which is not easily expressed. Emotional and sensitive. Weeping alone, does not desire sympathy. Sincere sympathy is appreciated, though. Does not like to be pitied. Grief, unexpressed. Sympathetic. Revengeful thoughts when hurt.
It may be noted that the homeopathic medicines are largely broad spectrum. That means, the medicines are capable of inducing healing process in many kind of diseases. Every patient requiring a particular remedy will not have all the indications of the remedy. Again, every remedy may not cover all the symptoms of the patient. The selection of the remedy is made by the attending physician when he or she looks at the case as a whole.

Sulphur:

Sulphur is one of the commonly indicated homeopathy medicines for a wide range of complaints. It is a true polycrest remedy having influence on various systems of body like nerves, digestive system, skin, joints, urinary system, respiratory system, reproductive organs, etc. It is one of the frequently prescribed remedies for AS during different stages of disease.
The thermal sensitivity of this patient is that of intolerance to heat. Desire for eating sweets in any form, tendency to have skin disease or history of suppressed skin disease in the past, before developing AS, could be observed ins some patients. Sensation of heat in the affected parts is also a key indication.
This medicine is very strong in action. Only a few doses, that too, under the professional care, may need to be administered. Self-prescribing could be harmful.

Thuja Occidentalis:

This is a drug prepared from a plant Thuja occidentalis commonly known as Arbor Vitae. This is deep acting remedy with a wide sphere of action. It is a constitutional remedy, of great use in many disease processes. It has profound action on respiratory organs, joints, back, skin, genito-urinary organs, nervous system, glands, kidneys, blood, etc. Its one of the frequently indicated remedies for Ankylosing spondylitis during certain stage. Tendency to have unhealthy skin in general. It is a good drug not only for physical complaints but also for affection of the mind. For example it can be very useful in psychotic states, anxiety disorders, depression, etc.
In general good for chronic diseases which have been neglected for a long time and have therefore grown deeper into the system. These patients are better in dry weather and worse from humid climate and damp

Sepia

It is the beauty of homeopathy that it can use wide range of natural sources ranging from plants and their products, minerals and compounds, and even animal products for its medicines. Sepia is one such example of medicine prepared from inky juice of Cuttle fish. The latent medicinal power of this juice is aroused by means of homeopathic potentization.
Sepia is one of the greatest contributions made to Homeopathy Materia Medica by founder of homeopathy, Dr. Hahnemann. So it goes without saying that this medicine is as old as homeopathy itself and is one of the favorite medicines of Homeopaths world-over.
Before elaborating the indications of this remedy I would like to share with you its birth-story. Dr. Hahnemann got the clue to initiate proving of this remedy from a patient, who was an artist and had regular habit of wetting his brush containing Indian ink with his own saliva. Every time he did so, a very small portion of the ink would naturally find its way into the stomach to be absorbed by the system. By and by, he developed certain chronic ailments. Hahnemann treated him with all the known similimums to his best of skills and ability but without any appreciable benefit. Excepting that his habit of wetting his brush with his own saliva and consequent affection of the ink, would have been the maintaining cause, the artist was advised to discontinue his profession. The artist obeyed him and he was completely redeemed of all his chronic ailments. This unique pleasant experience ultimately led Dr. Hahnemann to prove sepia for the benefit of generations of mankind.
Sepia, in true sense, is called as polycrest remedy as it has a broad spectrum of action, useful for a wide range of disease processes. There are thousands of indications enlisted in our Materia Medica about effectiveness of Sepia. To enumerate them briefly:
Sepia positively influences female genital organs, digestive system, liver, skin, glands, lungs, and nerves. It is one of the mot commonly used medicines for Arthritis of all types (rheumatoid arthritis, ankylosing spondylitis, osteoarthritis, etc.) herpes, eczema, urticaria, lichen planus, ring worm, vitiligo, hair fall, styes and chalazion, asthma, urinary tract infection. It is one of the best medicines for all possible gynecological and pregnancy related complaints.
The mental personality of a patient requiring sepia is more or less as follows:
Sepia is indicated for individuals who feel lack of interest and concern about their family members and friends, whom they loved once best. This stage comes from their mental or physical overexertion and fatigue. They usually have sad, depressed mood. Even while narrating their complaints they tend to weep. However, they feel annoyed when somebody consoles and sympathizes with them. They don’t like much of company and feel irritated about small affairs. They cannot bear disagreement to their opinion and decision. They feel mentally tired and do not feel like working. They are anxious individuals, constantly worrying about their health and imaginary problems.
It may be noted that the homeopathic medicines are largely broad spectrum. That means, the medicines are capable of inducing healing process in many kind of diseases. Every patient requiring a particular remedy will not have all the indications of the remedy. Again, every remedy will not have all the symptoms of the patient. The attending physician makes the selection of the remedy when he or she looks at the case as a whole.

Silica:

It is one of the splendid acts of homeopathy that substances labeled as inert can also be used efficiently to treat a large variety of disorders. Silica is the example of one such substance, which is chemically inert in its natural form, but after undergoing the process of potentization it gets transformed into a wonderful, deep acting remedy. Silica is in true sense called as polycrest remedy as it has a broad spectrum of action, useful for a wide range of disease processes. In fact this remedy has helped Homeopaths world over to treat so-called surgical conditions gently without requiring knife.
Silica positively influences bones and joints, mucous membranes, skin, cellular tissue, nerves, glands, lungs, digestive system, etc. Silica is one of the frequently used medicines for complaints of asthmatic bronchitis, joint diseases, vitiligo, eczema, lichen planus, herpes, urticaria, pneumonia, tuberculosis, styes and chalazion, trigeminal neuralgia, complaints of nails, tonsillitis, etc.
Patients requiring silica usually have tendency of easy suppuration of skin injuries. Silica positively influences nutrition as well and hence its one of the prominent remedies used for rickets in children.

This severe auto-immune disease affecting especially young males (sometimes females) is becoming more common than before, due to unknown reasons.
It is a progressive disease, affecting the spine and other joints; leading to gradual stiffness and immobility.
Ankylosing Spondylitis requires aggressive and strategic treatment. No single line of treatment is sufficient to take care of it over long period. Only use of the conventional (allopathic) treatment is not enough. One has to use homeopathy to supplement the benefits.
Dr Singhal Homeo and his team of doctors have treated a few hundred cases of this disease; and the experience says that timely homeopathy treatment helps tremendously.
In our experience where many new medicines have been developed for auto-immune diseases, suggests that homeopathy helps to:
01 Reduce pain
02 Lessen stiffness
03 Improve mobility
04 Slow down the disease process
05 Lower dependency on medicines
Best Homeopathic Doctor & treatment for Ankylosing Spondylitis in India. Just Call at +91 7087462000 and make an appointment with Dr. Singhal Homeo, and get Homeopathic Treatment.