Ankylosis Spondylitis Homeopathic treatment

Uveitis : Inflammation of a part of eye called uvea causing redness, pain and blurred vision. Eye examination by ophthalmologist as and when suggested by your Rheumatologist is a must for AS patients.

Psoriasis : Any changes in skin, nail and scalp must be reported to your Rheumatologist in the form of Patches, scaly plaques, discolored nails,excessive dandruff could be psoriasis which is seen in some patients with AS and vice versa. Psoriasis is managed in conjunction with a dermatologist.

Gastrointestinal symptoms : diarrhea and constipation could be due to intestinal inflammation which need further evaluation by Rheumatologist in conjunction with gastroenterologist.

Osteoporosis : Long standing AS and those with fused spine are at risk for developing osteoporosis which needs evaluation by the Rheumatologist. You may need to take calcium and vitamin D supplements and anti-osteoporotic as prescribed by Rheumatologist

 Ankylosing Spondylitis Affects Personal Relationships of patitent with Sciety.The most common impacts of AS on relationships were difficulty spending time with friends eve old friends, lack of understanding from friends and family about AS, and difficulty spending time with family in day to day work. Women reported that AS effect  on their relationships than men did. For example, while 45 percent of women said that AS caused difficulty maintaining friendships as compare to men did.

AS even resulted in separation or divorce is common in western culture than Indian culture.

Youngster these days have Avoid marriage as lots of responsibily & economic burden after marriage.

Half of Patients in the many study reported being unemployed;If having job there is no future security increase stress in life leads to low immunity leads to complications. Among the people who were still working, AS affected many aspects of their daily work lives.

People reported difficulty sitting or standing for long hours, missing work, difficulty doing physical tasks, and loss of productivity

AS affected their ability to function well at work more than men. Twenty nine percent of women said they were frequently late to work compared with 12 percent of men, for example. And 24 percent of women said they even had to switch their job as a result of AS, while only 15 percent of men said the same.

Patient always have Stress that something wrong occur to their health leads to Anxiety disorder.

If Anxiety not controlled leads to socil isolate patient seperate himself from friend ,family & society .Feels people mercy on his condition. 

Long term Anxiety leads to despair of recovery 
leads to depression of patient in AS.

Between 5 and 10% of cases of ankylosing spondylitis (AS) are associated with inflammatory bowel disease (IBD), either Crohn's disease or ulcerative colitis. A much larger percentage of AS patients have subclinical gut inflammation manifested either by endoscopic findings or by histology. The association with HLA-B27 is less strong in IBD-associated AS than in idiopathic AS, and there is evidence for an association between gut inflammation in AS with the Crohn's-disease-related CARD15 mutations. Despite the different genetics, the immunopathology suggests common inflammatory pathways in gut and joint inflammation in AS, and in gut inflammation in AS and IBD. Although this observation is of interest to unravel the pathophysiology of the disease, systematic screening of AS patients by ileocolonoscopy is not indicated in the absence of gut symptomatology as only a small proportion of AS patients with subclinical gut inflammation will develop overt IBD over time. Treatment of AS associated with IBD with non-steroidal anti-inflammatory drugs (NSAIDs) is problematic because of concerns of potential re-activation of IBD by NSAIDs. Major advances have been made in recent years with the establishment of anti-tumour necrosis factor (TNF) therapy in AS, the other spondyloarthritides and IBD. Anti-TNF agents are of particular relevance to AS patients with concomitant IBD who are at risk of exacerbation of the underlying bowel disease when treated with NSAIDs. In IBD, infliximab, unlike etanercept, is effective in treating clinical symptoms, inducing and maintaining remission, and mucosal healing. Adalimumab appears to be effective in treating both AS and IBD; however, official approval is pending. Currently, infliximab is the drug of choice for the treatment of patients with active AS associated with IBD.

Conditions Related to Leaky gut 

• Reflux/GERD – treating this alongside leaky gut can lead to some profound lifestyle improvements, as not only does the reflux reduce, but so does your absorption of the nutrients from the food you’re eating.

• Irritable Bowel Syndrome (IBS) – this is a real bedfellow of leaky gut, and when you take on the leaky gut recovery protocol  you will usually find great relief of IBS symptoms,

• Candida overgrowth – a surprising cause and maintainer of leaky gut, and definitely worth fighting if diagnosed. Keep in mind that candida overgrowth can take months and months to go away. So attacking it directly may be smart. Once it is fixed, it becomes a lot easier to completely repair your leaky gut.

• Parasites/intestinal infections – it is really essential to work with your doctor to see if this is in fact an issue, because parasites usually requires an advanced protocol, including potentially strong pharmaceutical drugs.

• Food intolerances – these are usually a sign of leaky gut.  Inversely, continuing to eat foods that you don’t tolerate will maintain permeability issues and thus slow down any leaky gut recovery protocol use alkali food avoid acidic food avoid Gluten & caesin .

• Autoimmune conditions LIKE ankylosis etc – they can be preexisting by leaky gut, or leaky gut itself can cause them to arise or at least be symptomatic / ‘felt’.  Tackling both simultaneously is thus essential.

• Small intestinal bacterial overgrowth (SIBO) – the symptoms of SIBO overlap so strongly with leaky gut, that the two could be called brothers in arms!  Treating an overgrowth of bad bacteria in the small intestine (often due to colonic bacteria making its way back up to the small intestine), is a crucial step to take.

• Bloating, gas, diarrhea – digestive distress are often a result of one or more of the conditions mentioned above clearly.  Working out  mentioned above conditions is leading to either or all of them is key to treating them.

Enthesopathy

The inflammation in AS tends to start at the places where joint capsules, ligaments or tendons are attached to bone, resulting in pain or tenderness at these sites . The name enthesis is given to these sites, and the inflammatory lesion is called enthesitis or sometimes enthesopathy.

Scarring and bone formation

 A process of healing and repair, which follows the enthesitis phase, results in gradual limitation of back motion due to scarring and subsequent bone formation. This process may, after many years, lead ultimately to complete spinal fusion.

Sclerosis of the bones

 The inflammatory changes affect the annulus fibrosus especially at its attachment to the corners of the vertebral bodies, resulting in increased bone density, called as sclerosis of these corners. The bone at these corners may subsequently disappear, and this may ultimately result in squaring of the vertebral bodies.

Syndesmophyte

Gradually a thin layer of vertical bony outgrowths at the edges of the vertebrae bridges the gap  between the two adjacent vertebral bodies, replacing the superficial layer of the annulus fibrosus of the disc. This intervertebral bony bridging that surrounds the disc is called a syndesmophyte.

Vertebral body squaring. Lateral radiograph shows squaring of L3 and L4 vertebral bodies, L3-L4 anterior syndesmophyte, and lumbar facet joint fusion.

Spinal fusion and Bamboo spine

 At the same time, inflammatory changes and slowly progressive bony fusion  may be going on in spinal joints called the apophyseal or facet joints. With severe disease, the inflammatory process of the spine may gradually, after many years, result in complete fusion  called as bony ankylosis  of the whole spine. The X-ray of the spine may ultimately look like a bamboo and is sometimes called bamboo spine.

 Bamboo spine. Frontal radiograph shows complete fusion of the vertebral bodies. Extensive facet joint ankylosis and posterior ligamentous ossification produce the trolley track appearance. Vertebral body squaring. Lateral radiograph shows squaring of L3 and L4 vertebral bodies, L3-L4 anterior syndesmophyte, and lumbar facet joint fusion.

Bilateral Spinal osteoporosis Spinal osteoporosis is also frequently observed among such patients, partly as a result of the lack of spinal mobility and aging.

Chest involvement

The inflammation of the costovertebral and costotransverse joints, and at the costochondral areas, can result in chest pain and tenderness. This pain can be aggravated by coughing or sneezing. Gradually in chest expansion may be decreased.

Leafy greens Leafy greens such as spinach, collard greens, kale, and Swiss chard contain magnesium, which is known to decrease inflammatory markers, says Gulisano. And these inflammation-fighting benefits are mostly found in foods containing magnesium, more than supplements, she adds. While it doesn’t matter whether you eat the greens raw or cooked, Gulisano suggests cooking the greens with a little garlic and olive oil for maximum benefit, as garlic also contains magnesium. Broccoli This vegetable, part of the cruciferous family, contains an antioxidant called sulforaphane, which may help reduce levels of inflammatory compounds. According to a study published in August 2013 in the journal Arthritis & Rheumatism, sulforaphane blocks enzymes that cause joint destruction by stopping a key inflammation-causing molecule. Not a fan of broccoli? You may just need to change up the way you cook it. Consider what kind of texture you favor, says Groppo. “Are you a crunchy texture person or more of a soft texture person?” she asks. For example, if you like mashed potatoes, what about replacing those with mashed cauliflower with a few broccoli florets thrown in? Try to think of ways to prepare the vegetable that aren’t a huge leap from what you’re used to, she suggests. “Maybe going straight to plain steamed broccoli is a hard move to make, but what about sautéed broccoli with a squirt of lemon juice and some parmesan cheese?” she says. Onions Onions, garlic, shallots, and leeks are all part of the allium family. “These foods are rich in sulfuric compounds, which have anti-inflammatory properties,” says Gulisano. Onions are also packed with quercetin, a flavonoid that helps inhibit inflammation-causing agents in fats. Apples are also a good source of quercetin, says Gulisano. Early morning- leuk warm water 1 liter you can use apple cedar vineager with honey Apple 🍎 Cornflakes Oats Breakfast- upma/ poha/ veg dalia/ stuffed roti without oil+ milk200ml Mid morning- fruit (papaya or apple or orange )100g Lunch- 2 roti Halki sabji( ghia or shalgum or kaddu)

Khichdi of dhuli dal Evening- tea + Marie biscuit Dinner- roti green leafy vegetables Sweet dish - saho kheer Food to be avoided-- -sabut dal ( rajmah, channe,maah ki dal) Fruits- like banana,chiku,grapes Food to be included -All green leafy vegetables but east them properly to reduce potassium content - milk and milk product500ml/day(Avoid strictly curd,lassi) -cook in iron kadai to increase iron content in food

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 good results.But leads to kidney failure & hepatitis on long term use of it .

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

Yes check patient with proof 

1st case AVN with sacroilitis 

2nd case Ankylosis with IBS 

If you are looking for Homeopathic permanent treatment how to acheive it.Dr Makkar Use latest technique to cure Ankylosis Spondolysis 

It's HLAB27. Again, it's part of the immune system. It's an antigen on the surface of the cell that can be recognized by T-cells, which can recruit things to attack it. So this is the autoimmune component of the disease. This HLA-B27 association actually exists for the seronegative spondyloarthropathies in general, but here, in particular, for AS you should remember that connection.

• An abnormal result may be caused by:
• Ankylosing spondylitis
• Arthritis related to Crohns disease or ulcerative colitis
• Psoriatic arthritis (arthritis associated with psoriasis)
• Reactive arthritis or Reiters syndrome
• Sacroiliitis (inflammation of the sacroiliac joint)
• Uveitis

And then, just a little background information on the group of people that tend to get this. Remember, nothing is absolute, but if we're looking for patterns, it's going to be males and relatively young ones, actually, really young ones, from 15 to 45 is going to be the mean or the biggest group of people who get AS or that's when it's diagnosed the most.

• Anaemia
• Osteoporosis
• Spinal fracture
• Quadriplegia
• Spondylodiscitis
• Spontaneous subluxation of the atlantoaxial joint
• Cauda equina syndrome
• Glomerulo-nephritis
• Acute iritis/ uveitis
• Conjunctivitis
• Depigmentation and scarring of iris
• Cardiomegaly
• Pericarditis
• Aortic incompetence
• Mitral incompetence
• Cardiac conduction defects
• Amyloidosis
• Apical pulmonary fibrosis with cavitation
• Prostatitis

Interesting thing about ankylosing spondylitis is that the exact cause of this condition has not been clearly understood till date though it has been the subject of numerous studies!

Ankylosing spondylitis is considered to be a genetic disorder in which the HLA-B27 gene in particular has an important role to play.

The risk factors that predispose a person to ankylosing spondylitis include:

• Testing positive for the HLA-B27 marker:- People with this particular gene have a significantly higher risk of developing ankylosing spondylitis. However, it must be noted that not every person who has the HLA-B27 gene develops this disorder. Thus there are some additional factors, probably environmental, that are involved in the development of this condition.
• A family history of Ankylosis- Patients with a family history of ankylosing spondylitis stand a greater chance to develop it as compared to those with no family history.
• In addition, gender Affinity has been strongly noticed in this condition. Males are almost 2 to 3 times more prone to develop this condition as compared to females. Ankylosis Spondolysis is more common in men, but occurs in women as well.
• AS commonly occurs in younger people, between the ages of 17-45.So restrict life style of these people. However, it can affect children and those who are much older.
• Frequent gastrointestinal infections:- The initial inflammation that activates the immune system is thought to be triggered by a bacterial or microbial infection. At a later stage, the immune system is unable to turn off this response which continues to attack the body’s own tissues now, in this case, the joints leading to arthritis. This explains the auto-immune nature of the disease.

• Backache and stiffness along the spine – usually worse in the mornings or after periods of inactivity
•           The joint pain (arthritis) experienced by the patient is often relieved by motion, applying local heat or taking a warm shower
•           Pain in the hips, buttock pain
•           Difficulty in bending down (inflexibility)
•           Stooping posture due to chronic back pain
•           Neck pain
•           Pain in heels
•           Affection of other joints leading to pain and stiffness – E.g. knee pain, shoulder pain, ankle pain
•           Expansion of the chest during breathing is restricted
•           Fatigue
•           Loss of appetite
•           Weight loss
•           Inflammation of the eyes (iritis) where there is redness of eyes and pain while looking at bright lights
•           Lungs may be affected by ankylosing spondylitis leading to breathing difficulty
•           Pain and stiffness in the back of the heel (Achilles tendinitis)
•           Inflammation of the tissues of the bottom of the foot causing pain (plantar fasciitis)
•           Rarely the electrical system of the heart may be affected leading to a slow heart rate – patient experiences symptoms of dizziness, fainting and shortness of breath in such cases
•           The kidney may also be affected leading to accumulation of the toxins in the body that causes nausea and chronic fatigue.

History: Individuals typically complain of a gradual onset of low back pain and associated muscle spasms experienced over several months. The pain is usually described as worse in the morning and improving during the day. It may have followed a gradual ascending pattern from the tailbone (sacrum) to the lower back (lumbar spine) to the chest region (thoracic spine) and finally to the neck (cervical spine). Individuals may also report pain and stiffness of the rib cage and/or pain beginning in the larger peripheral joints (e.g., knees, hips, shoulders). Eye pain may be reported as well as a loss of appetite, weight loss, and fatigue. A family history of ankylosing spondylitis may also be reported on questioning.

Physical exam: The exam may reveal tenderness over the area where the sacrum and hipbones meet (sacroiliac joints) and lumbar range of motion may be decreased. Chest expansion may be decreased to well below the 2 inch (5 cm). Evidence of eye inflammation (iritis) may be observed. Peripheral joints will be evaluated for tenderness, swelling, and restricted motion. Limited motion in the lumbar spine means that when the patient bends forward motion occurs by hip flexion, and very little or no lumbar spinal flexion occurs.

Tests: Routine laboratory tests, including complete blood count (CBC) and blood chemistries, may reveal a low-grade anemia, an elevated erythrocyte sedimentation rate (ESR) indicative of active inflammation, and an elevated serum alkaline phosphatase indicating active bone remodeling. Tissue typing (HLA typing) may be done to determine presence of HLA-B27 since AS is more likely if HLA-B27 is positive. X-rays of the pelvis may show characteristic fusion or inflammation of the sacroiliac joints (sacroiliitis). Lumbar x-rays may reveal fusion of the facet joints (anterior and lateral osteophytes bridge disc spaces and fuse motion segments into a "bamboo spine"). MRI will show evidence of inflammation in the sacroiliac joints.

Homeopathic treatment can contribute to an effective and safe cure in preliminary stage of Spondylosis. In chronic cases of Spondylosis, Homeopathy can reduce overcrowding of the spine, compression of the nerves and also conclude the progressive degenerative changes.

 In very advanced cases of structural damage like a badly deformed spine, Homeopathic remedies along with a correct posture can facilitate in living better without any complaints or pain. We can aim for near normal in all other cases. The outcome of Homoeopathy in managing Spondylosis will be remarkable compared to other system of medicines or surgical interventions.

Homeopathy can provide good relief to the patients and control the progress of Ankylosing spondylitis.We strive to give the patients of ankylosing spondylitis a better quality of life, free from the pain of arthritis - one that can be lived to the fullest.

 Homeopathic treatment is natural, safe, gentle and without side-effects. Another impressive thing about Homeopathy is that people on multiple medications can safely take Homeopathic medicines. Homeopathic drugs are non-habit forming and have no addictive characteristics. Homeopathy has an exceptional proven safety record with the FDA with 200 years of clinical effectiveness.

Since Homeopathy treats in totality, it leads to a permanent long-lasting cure, rather than a temporary suppression of symptoms, and you will be able to enjoy all kinds of food to the fullest. So, food lovers, you won't have to think anymore before eating.

• Hot showers will help in relieving pain.
•  Maintain a healthy weight - lose that extra weight, if any, to avoid worsening of the joint pain. Swimming, underwater exercises are good for people with ankylosing spondylitis
• Practicing good posture techniques will also help avoid some of the complications of AS including stiffness and flexion deformities  of the spine. While working, sit in a chair that has an upright firm back.

• Exercise in an integral part of any AS management program. Regular daily exercises can help create better posture and flexibility as well as help lessen pain. Most people with AS feel much better with exercise.

• Maintain good posture while sitting, standing and sleeping.

• Applying heat to stiff joints and tight muscles can help reduce pain and soreness. Applying cold to inflamed areas can help reduce swelling. Avoid violent massages.
• Eat a varied diet including plenty of calcium rich foods (sesame seeds, green leafy vegetables, ragi), whole grains, fruit and vegetables.Alcoholic beverages weaken bones. Consuming more than two alcoholic drinks per day increases a person's chances of developing weakened bones.Decrease your intake of saturated fats (dairy, red meat), salt and sugar
• Deep breathing exercises help improve as well as maintain the lung capacity.
• Avoid sports or any activities that involve the risk of falling.
• Sleep on a mattress that is firm (not hard). Avoid using thick pillows since they cause the neck to bend forward.
• A hot bath or shower in the morning may help reduce pain and stiffness.
• Stop smoking
• Bed rest when needed
•     Do not be in one position for a long time.
•     Avoid heavy lifting and activities that aggravate pain or other symptoms.
•     Use seat belts in vehicles and keep headrests at proper heights.
•     Try to keep your weight close to ideal.
•     Stop smoking.
•     Avoid cold exposures and cold bath
•     Avoid citrus fruits since they can precipitate pain.

Hence, every individual suffering from Spondylosis must consider Homeopathy to provide relief and/or lifetime cure. Homeopathic treatment can change a person’s life from one of distress to one of health.

• Blurry erosions (wearing away) or hardening/thickening of fibrous tissue (sclerosis) on both sacro-iliac joints.

• Space reduction in the facet joints, due to loss of cartilage. It can get fused and become indistinguishable.

• Kyphosis or lordosis.

• Spinal fracture anywhere in spinal column.

• Abnormal Square like appearance in the lumbar vertebrae due to erosion.

Bamboo Spine Appearance. 

Schober Test

To measure the degree of lumbar forward flexion. The patient is asked to touch the toe.Schober’s test is classically used to determine if there is a decrease in lumbar spine range of motion (flexion), most commonly as a result of ankylosing spondylitis.Schober's test assesses the amount of lumbar flexion. In this test a mark is made at the level of the posterior iliac spine on the vertebral column, i.e. approximately at the level of L5. The examiner then places one finger 5cm below this mark and another finger at about 10cm above this mark. The patient is then instructed to touch his toes. 

Interpretation

For both versions of the test, an increase of less than 5cm is a positive test and may indicate ankylosing spondylitis (AS). (Image shows region of spine mainly involved in AS)

Positive Schober’s Test

Less than 5cm increase in length with forward flexion: Decreased lumbar spine range of motion, ankylosing spondylitis

Gaenslen Test

 Gaenslen's Test is one of the five provocation tests that can be used to detect musculoskeletal abnormalities and primary-chronic inflammation of the lumbar vertebrae and Sacroiliac joint (SIJ). The subsequent tests include; the Distraction Test, Thigh Thrust Test, Compression Test and the Sacral Thrust Test.

Stresses sacro-iliac joints.The hip joint is extended in supine position.

The clinical prediction rule of three or more positive provocation tests that provoke familiar back pain and non-centralisation of pain is a useful tool to identify patients that are more likely to have SIJ pain than some other painful condition. Diagnostic accuracy of composites of SIJ tests improves when interpretation is confined to back pain patients whose symptoms cannot be made to ‘centralise’ with repeated movement testing. Centralisation is highly specific to discogenic pain and positive SIJ tests in these patients should be ignored.

Specifically, Gaenslen's test can indicate the presence or absence of a SIJ lesion, pubic symphysis instability, hip pathology, or an L4 nerve root lesion. It can also stress the femoral nerve.[4]

Technique

The patient begins positioned in supine with the painful leg resting on the edge of the treatment table. The examiner sagitally flexes the non symptomatic hip, while the knee also flexed (up to 90 degrees). The patient should hold the non-tested (asymptomatic) leg with both arms while the therapist stabilizes the pelvis and applies passive pressure to the leg being tested (symptomatic) to hold it in a hyperextended position. A downward force is applied to the lower leg (symptomatic side) putting it into hyperextension at the hip, while a flexion based counterforce is applied to the flexed leg pushing it in the cephalad direction causing torque to the pelvis.

If the patient’s normal pain is reproduced, the test is considered positive for a SIJ lesion, hip pathology, pubic synthesis instability, or an L4 nerve root lesion. Meanwhile the femoral nerve may also be stressed by this test.

Chin-Brow Measurement:

This is a method used to measure the spine's curve in the neck. Patient with AS often have necks that angle forward sharply as the spine stiffens. If the doctor is going to use the chin-brow measurement to monitor your angle, the first time he or she takes the measurement will be called your "baseline." After that, the doctor will compare each successive chin-brow measurement to the baseline to see if the angle is getting worse.

Chest Expansion:

When ankylosing spondylitis affects the mid-back region (thoracic spine), normal chest expansion may be compromised. The amount of chest expansion is measured from deep expiration to full inspiration. Measurements significantly less than one inch, which is normal chest expansion, could indicate AS.

Range of Motion:

To test how well and far your joints allow you to move, the doctor measures the degree to which you can perform movements of flexion, extension, lateral bending, and spinal rotation. Asymmetry may also be noted.

It is recommended to test both sides if the patient complains of pain bilaterally. Importantly, at least three positive signs of the SIJ provocation tests are required before possible diagnosis of SIJ pathology.Range of motion and asymmetry.

Besides some of the following ingredients, the product contains Dr Gurpreet Singh Makkar(punjab,India), Research based, highly effective medicines.The following Homoeopathic medicine may prove beneficial: Arsenic, Calcare carb, cal. Phos, Causticum, Cimcifuga, Guaicum, Phosphorus, Phosphoric acid, Pulsatilla, Silicea, Sulphur, etc.

Arsenic album
Burning pain the lower back with stiffness, worse between 12- 2 am. Persons who are extremely tidy in their nature, want everything neat and clean, and in order. Ankylosing spondylitis with recurrent chest infections, respiration difficult, has to sit down to get relief.

Calcarea carb
Ankylosing spondylitis in fair, fatty and flabby persons who are easily tired on walking, with much sweeting,cold extremities and sour smell of body, having longing for eggs and undigestable things.Pain is relived by lying on the painful side i.e on the back.

Causticum
Ankylosing spondylitis in dark complexioned and rigid-fibred persons. Restlessness at night and faint like sinking of strength. Emaciation is marked due to diseases, worry and of long standing. Pains are worse in clear fine weather, dry cold wind, while coming from cold air into a warm room. Pains are better in damp wet weather, warm air and heat of bed.

Cimcifuga
Ankylosing spondylitis in chilly patients, easily affected by cold, sensitive to cold and relieved by warmth.Fear, restlessness and anguish are well marked.Fear of death with great suspicion.Sensation as if a heavy, black cloud settled all over her and enveloped her head.There is illusion of a mouse running under her chair.Bad effects of anxiety, fright, disappointed love, bussiness failure, over-exertion. Severe pain in the uterine region, darting from side to side, sharp, lancinating, electric like pain.Bearing down sensation with relaxation of the parts.

Guaicum
Ankylosing spondylitis with contraction of limbs, with stiffness of lower back with immobility.Stinging pains in the limbs with feeling of heat in the affected part. Parts affected sensitive to touch with intolerance of pressure, can’t bear heat.

Phosphorus
Suitable to persons who craves cold food and icy- cold drinks, refreshing, juicy things, ice-cream relives the gastric pain. Ankylosing sponylitis in Children and young adults who grows rapidly.Pain and stiffness are worse in evening and before midnight, lying on left or painful side, during a thunderstorm, any change of weather. Ailments are better by lying on right side, from being rubbed or magnetized, from cold water and cold food and in darkness.
Phosphoric acid
Abashed, sad, despair of cure in person suffering from Ankylosing spondylitis with debility and emaciation.Patient is listless, apethetic and indifferent to the affairs of his own life, prostrated and stupefied with grief.

Pulsatilla
Ankylosing spondylitis with drwing, tensive pain in thighs and legs, with restlessness, sleeplessness and chilliness.Pain in limbs shifting rapidly, tensive pain, letting with a nap. Persons who are fair and beautiful-looking but inclined to be fleshy with fine hair and blue eyes, soft and lax muscles, anaemic and chlorotic with pale face.Full of tears, slow and indecisive.It is almost impossible for them to tell their symptoms without weeping.The patient likes open air, feels suffocated in a closed, stuffy and heated room.Wants sympathy, thirstlessness is well marked.

Silicea
Soreness in feet from instep through to the sole in patients of Ankylosing spondylitis, with cramps in calves and soles. Person is cold, chilly, hugs the fire, wants plenty warm clothing, hates drafts, hands and feet cold worse in winter.Great sensitiveness to taking cold.Intolerance of alcholic stimulants.Offensive sweat on feet, hands and axillae.The parts lain on go to sleep.

Sulphur
Ankylosing spondylitis in hot patients, who cannot walk erect, stoop shouldered.Stiffness of back, sensation as if vartebrae glided over each other.Immobility.Pains are worse at rest, when standing, warmth in bed, washing, bathing, in morning, 11am, night, from alcoholic stimulants. Pains are better in dry warm weather, lying on right side, from drawing up affected limbs.

HERBAL TIPS are idea to help people to recognize potential of homeopathic medicines.None of Homeopathic medicine should be used without consent of Qualified Physician.You can take medicine from professionally Qualified physician after full case taking for more detail please follow link .

Homoeopathic Complete repertory by Robin Murphy:

Clinical – ANKYLOSING, spondylitis

Rubrics from BTPB 

·        SENSATION, Rigidity: CHEL., DROS., KALM., LED., RHUS., Bell., Cic., Cimic., Colch., Hyos., Kre., Lith., Mos., Nux v., Phyt., Plat., Puls., Sec.c., Stram.

·        SENSATION, Pain, Dull: AGAR., HYOS., NUX V., Ant-c., Camph., Chin., Dulc., Guai., Hell., Hep., Ign., Kre., Laur., Mang., Mar., Meny., MERC., Mez., Mos., Puls., Sul., Zinc

Rubrics from Kent Repertory

·        BACK - ANKYLOSING spondylarthritis

·        BACK, Pain, aching, lumbosacral region: AESC., ONOS., CIMIC., PHOS.

·        BACK, Pain, aching, night: AESC.

·        BACK, Stiffness, morning: phyt., zinc.

·        BACK, Stiffness, painful: amm., calc., CAUST., helon., manc., nit-ac., puls., RHUS-T.

·        BACK, Curvature, cervical: calc., PHOS., SYMPH.

·        BACK, Curvature, dorsal: calc., calc-s., con., lyc., puls., rhus-t., sil., sulph., syph., bar-c., bufo, plb., thuj.

·        EXTREMITIES, Stiffness, hip, morning: arg-m., ars., chin-s., staph.

·        EXTREMITIES,  ANKYLOSIS

·        EXTREMITIES - ANKYLOSIS - Fingers - Distal joint

Rubric Ankylosis” can be found in:Complete Repertory 

·        BACK; ANKLOSING spondylitis (10) : 3Aesc., agar., 2arg., caust., cimic., 2con., kali-c., 3Kalm., 2nat-m., 2rhus-t.

·        BACK;STIFFNESS (394) : abrom-aug., acan-pl., 4ACON., adam., 3Adon., aego-p., 3Aesc., 3Agar., 4AGATH-A., alco-s., alli-m., 4ALLOX., aloe, 4ALUM., alum-p., 3Alum-sil., am-c., am-i., 4AM-M., 4AMBR., amet., 4ANAC., anan., 3Androc., 4ANG., ant-c., 2ant-t., 3Apis, apoc., apoc-a., aq-mar., aran., 3Aran-ix., ard-h., 3Arg., arg-n., arg-s., arge-p., arist-cl., 4ARS., ars-i., ars-s-f., arum-t., asaf., asar., aspart., astac., 3Aur., aur-m., 3Aur-m-n., 3Aur-s., aza., ba-sv., bad., 4BAMB-A., 3Bapt., bar-acet., 4BAR-C., bar-s., 4BELL., 3Bell-p., 3Benz-ac., 4BERB., bol., bos-s., 4BOV., brach., brass., 2brom., 4BRY., bufo, bung-f., but-ac., buth-aust., 3C-di-o., cact., calad., 4CALC., calc-acet., calc-ar., calc-caust., calc-f., 4CALC-P., 4CALC-S., 3Calc-sil., 3Camph., camph-br., cand-a., cann-i., 3Canth., 3Caps., carb-ac., 3Carb-an., 4CARB-V., 3Carl., 3Cassi-f., cast., caul., 4CAUST., 3Cedr., 3Cham., 4CHEL., 3Chin., chin-ar., chin-b., 3Chlorpr., 3Choc., chrysan., 3Cic., 4CIMIC., cina, cinnb., citl-l., clad-r., cob., 4COCC., coenz-a., colch., 3Coloc., com., 3Con., cop., cor-r., coriand., 2corv-c., crot-h., cupr., cupr-acet., 2cupr-ar., cupr-s., 2cur., 4CURC., cycl., cyg-c., cyni-c-g., cypra-e., dendro-p., 4DES-AC., dicha., 2dig., dios., diox., 3Dros., 4DULC., elaps, eup-pur., 4EUPH., euph-pu., 3Eupi., fago., 4FALCO-P., 2ferr., ferr-ar., 3Ferr-i., ferr-p., fic-i., fic-mac., 3Fl-ac., flag-l., form., fum., galeoc-c., 3Gels., geoc-c., get., 3Gink., gins., 2glon., 3Graph., gua., 4GUAI., guare., 3Haliae-lc., 3Harp., 3Hell., 2helod-c., 3Helon., 3Hep., herin., hippo-k., hura, 3Hydr., hydr-ac., 3Hydrog., hyos., 3Hyper., 4IGN., imp-w., 4IND., 3Iris, iris-foe., jac., joan., jug-c., 3Kali-ar., 3Kali-bi., 4KALI-C., 3Kali-chl., 3Kali-i., kali-m., 2kali-n., 3Kali-p., 3Kali-s., kali-sil., kalm., kreos., kres., 3Lac-ac., 2lac-c., 3Lac-cpr., lac-h., 3Lac-leo., lac-lup., lac-mat., lacer., 4LACH., 4LACHN., lamp-c., lap-a., lap-be-e., lap-c-b., larr-t., 3Lat-h., latex, laur., 4LED., 3Lim-b-c., lith-c., lob-c., 3Lob-s., 4LOXO-R., lsd, 4LYC., lycps., 2lyss., 3Mag-c., 4MANC., 3Mang., mang-acet., 3Mangi., mant-r., 4MED., mel-alt., 3Menth-pu., menthol, 3Meny., meph., 3Merc., merc-cy., merc-i-f., merc-i-r., meteo., methylp-h., 2mez., micro-a., mobil-ph., morg., morph., mosch., 2muc-nas., mur-ac., myric., nabal., 2nad, nat-ar., 3Nat-c., 4NAT-M., nat-ox., nat-p., 3Nat-s., nat-sil., nelu., 3Neon, nept-m., nic-r., nicot., nid., 4NIT-AC., nitro., 4NUX-V., ol-an., ol-j., olnd., onc-t., op., oro-ac., ox-ac., 4OZONE, pall., 2par., pele-o., perla, 4PETR., 3Ph-ac., phasc-c., 4PHOS., 2phys., 4PHYT., pimp., plan., 2plan-m., 4PLAT., plb., 4PLUT-N., 3Podo., por-m., 2posit., 3Prun., 3Psor., ptel., 4PULS., rad-br., 4RAT., 4RATT-N., rauw., 4RHEUM, 4RHOD., rhodi., rhus-g., rhus-r., 4RHUS-T., 3Rhus-v., ros-ca-a., ros-d., ros-g., ruta, sal-ac., sals-t., salx-f., 3Sang., sanguin-n., 3Sanic., 3Sarcol-ac., sec., 3Sel., senec-j., 4SEP., sia-c., 4SIL., sinusin., sol-n., spect., 4SPIG., 3Spong., 2squil., stann., 4STAPH., stel., 3Stict., 3Stram., 3Stry., 3Sul-ac., 3Sulo-ac., 4SULPH., syc-co., 3Syph., 3Tab., taosc., 2tarent., 3Tax., tax-br., teg-a., tela, tep., thio-ac., thlaspi, 4THUJ., torul., toxop-p., trif-p., trio., 2tub., tung., 2turq., ulm-c., 4URAN., uran-n., 3Uro-h., urt-u., uv-lux., valer., vanil., vario., ven-m., 3Verat., 3Vero-o., vichy-g., 3Vinc., visc., x-ray, xan., 4ZINC., zinc-p., zing.

·        BACK;STIFFNESS; Morning (25) : anac., ang., bamb-a., bar-c., calc., calc-s., 3Carb-v., choc., ferr-i., hydrog., ign., 3Lach., 3Led., mag-c., mel-alt., ox-ac., 3Phyt., sanic., sel., 3Sep., staph., stry., sul-ac., ven-m., 3Zinc.

·        BACK;STIFFNESS; Sacral region (33) : acon., aego-p., agath-a., aloe, am-m., ambr., apis, arg-n., bar-acet., 3Bar-c., 3Berb., 3Bry., 3Caust., des-ac., helon., 3Lach., lap-be-e., laur., 3Led., 3Lyc., manc., meph., petr., phos., prun., puls., rheum, 3Rhus-t., sil., 3Sulph., tax-br., thuj., ulm-c.

·        BACK;STIFFNESS; Lumbosacral articulation (23) : ambr., 2amet., anac., arg-n., ars., 3Bar-c., bell., carb-an., carb-v., cham., dios., guai., ign., kali-c., nat-m., nit-ac., nux-v., petr., pimp., plut-n., rhus-t., staph., valer.

·        BACK;STIFFNESS; Painful (43) : agath-a., 3Am-m., ang., ars., aza., 3Bamb-a., 3Calc., 2carl., 4CAUST., chlorpr., cimic., cocc., falco-p., gink., hell., 3Helon., lachn., led., 3Manc., mez., mosch., 3Nit-ac., nux-v., ol-j., ozone, phos., 3Prun., 3Puls., 4RHUS-T., 2sal-ac., salx-f., sang., sanic., sel., 3Sep., sulo-ac., 2thio-ac., thuj., trio., tub., uran., 3Vero-o., vinc

·        BACK;STIFFNESS; Rising (25) : 3Agar., am-m., 4AMBR., anac., ang., bamb-a., 3Bar-c., 4BELL., berb., 3Bry., carl., cassi-f., 4CAUST., cham., 3Hydr., ind., 3Led., 3Lyc., med., 3Petr., 3Puls., 4RHUS-T., 3Sil., 3Sulph., torul.

·        BACK;STIFFNESS; Motion; amel. (11) : allox., bamb-a., cassi-f., cupr-ar., dulc., kali-p., micro-a., rauw., 4RHUS-T., sanic., sul-ac.

·        BACK;BENDING; Forward (48) : acan-pl., 4AESC., asaf., boerh., bos-s., bufo, cadm.,

camph., carc., 2cassi-s., 2chel., 4CIMIC., citl-l., cocc., coriand., corn., cortiso., des-ac., diox., germ., gink., graph., haliae-lc., herin., hura, hyosin., kali-bi., lac-c., lac-mat., lith-c., lob., loxo-r., lyss., mobil-ph., nat-ar., nux-v., ol-j., pic-ac., puls., rad-br., ran-a., 3Rhus-t., samb., stann., stroph-s., tama., thuj., tylo-i.

·        EXTREMITIES;ANKYLOSIS (17) : acon., ant-s., arn., ars., 4BA-SV., bell., bor., bry., crot-h., fl-ac., kali-c., merc., rhus-t., ruta, sil., sulph., 2trach-v.

·        EXTREMITIES;STIFFNESS; Joints (148) : 2abrot., 3Acon., 2aesc., 3Agar., 3Alco-s., 2am-m., ambr., anac., ang., ant-s., apis, apoc-a., arist-cl., arn., 4ARS., ars-s-f., ars-s-r., asc-t., 2atro., 3Aur., aur-ar., bapt., bar-m., bar-s., 3Bell., bos-s., bov., brass., 2brom., 4BRY., cact., 3Calc., calc-f., 3Calc-sil., 2cann-i., canth., 3Caps., 3Carb-an., carb-v., card-b., 3Caul., 4CAUST., cham., 2chel., chin., 3Chin-s., cic., cimic., cina, 2clem., 3Cocc., 3Coff., 3Colch., 4COLOC., con., dig., dios., 2dros., dulc., ephe., euph., euphr., 2ferr., ferr-ar., 3Form., get., 3Gins., 3Graph., 3Guai., 4HELL., hep., hyos., 2ign., iod., kali-ar., 3Kali-bi., 3Kali-c., 3Kali-i., kali-n., kali-s., kali-sil., 2kalm., lac-ac., 3Lac-c., lac-leo., 3Lach., lap-c-b., lap-mar-c., 4LED., lim-b-c., 4LYC., m-aust., magn-gr., med., 3Merc., mez., 3Nat-ar., nat-c., 3Nat-m., nat-p., nat-s., nux-m., 3Nux-v., ol-j., 3Op., 3Ox-ac., 4PETR., ph-ac., 3Phos., phys., 3Phyt., pin-s., plat., plb., 3Prun., psor., 3Puls., ran-b., rheum, 2rhod., 4RHUS-T., ruta, sabad., 2sabin., salx-f., sars., 3Sec., 4SEP., 4SIL., 2stann., 3Staph., 3Stel., 3Stict., stry., succ., sul-ac., 4SULPH., syph., thal-s., thiosin., 3Thuj., trach-v., trio., tub., tub-r., verat., verb., 3Zinc

Phatak’s Repertory — Joints