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What are the symptoms of ankylosing spondylitis? How do I exercise myself? The doctor tells you the answer

On April 6, 2016, Jay Chou officially sent out a Weibo, so that netizens are very worried about it, mainly because Jay Chou suffered from ankylosing spondylitis caused by chronic systemic immune system disorders, the so-called "rigidity", that is, stiff, forced erection meaning, spinal rigidity is mainly cervical spine, lumbar spine and other activities can not be moved at will, so that the head can not turn on its own, can not bend, nod and other activities. The disease is characterized by inflammation of the spine and sacribular area and the appearance of ossification.

On March 30, 2018, Pyeongchang's Winter Olympic champion Wu Dajing imitated actor Zhang Jiayi walking when he participated in the event, which also caused a lot of heated discussion on the Internet. Afterwards, Wu Dajing apologized for wantonly imitating because he did not understand the whole thing, and it is understood that Zhang Jiayi's walking and shaking, hunchback, etc. are not the "domineering exposed" that some netizens say, but also suffer from the same disease as Jay Chou - ankylosing spine, which is after Jay Chou, ankylosing spondylitis has once again entered people's field of vision.

What are the symptoms of ankylosing spondylitis? How do I exercise myself? The doctor tells you the answer

So, what are the symptoms of ankylosing spondylitis, and how can patients exercise themselves after suffering from ankylosing spondylitis?

1. Symptoms of ankylosing spondylitis

Ankylosing spondylitis in the early stage will not have a very obvious clinical manifestation, the onset is more insidious, patients will often be confused with overwork or trauma caused by low back pain, after the development of the disease, ankylosing spondylitis patients will have more obvious and more sustained low back stiffness and pain, especially in the early morning and night pain will be more intense.

Different patients also have different presenting features, for example, with significant heel pain. Many patients in the early stage of low back pain through painkillers to relieve pain, although there is a more obvious effect, but there is also a strong dependence, as long as do not take medicine, will continue to hurt, which also prompts people to pay attention to the possibility of suffering from ankylosing spondylitis, should go to the hospital as soon as possible for examination and treatment, to avoid missing the best time for treatment.

What are the symptoms of ankylosing spondylitis? How do I exercise myself? The doctor tells you the answer

2. The specific lesion type of ankylosing spondylitis

2.1 Characteristics of lumbar spine lesions

Patients will have low back pain, the waist in the back, forward flexion, sideways bending or rotation will be limited, with both hands touching the ground, the distance between the hands and the ground will increase significantly.

If it develops to an advanced stage, the normal physiological curvature of the patient's lumbar spine will gradually disappear, showing a flat state, and because of the spasm of the muscles next to the vertebrae, it will cause the lumbar spine to be dented in the middle, and the sides are bar-like bulges, and when contacted, it will feel very stiff, and the lumbar muscles may atrophy.

What are the symptoms of ankylosing spondylitis? How do I exercise myself? The doctor tells you the answer

2.2 Characteristics of thoracic spine lesions

Patients may feel pain in the chest, ribs, and back, and the expansion of the thoracic cage is limited, and the patient's lung function may have restrictive ventilation disorders. Ankylosing spondylitis progresses to an advanced stage, and patients may develop thoracic flexion that causes a humpback deformity.

2.3 Characteristics of cervical spine lesions

The patient will feel pain in the cervical spine, and there is obvious pain from the back of the head to the upper limbs, the neck movement is restricted, the neck is stiff, it is impossible to bow the head, turn the head and look up, etc., and it will also be restricted when turning back, and it needs to rotate with the body, which is caused by the neck rigidity lesion. When the patient goes to the hospital for examination, the distance between the patient's jaw handle is large, and the serious patient even has a severe anterior flexion deformity on the head and back, and the patient cannot look straight ahead, but can only see the instep of his feet.

3. Self-examination method of ankylosing spondylitis

Ankylosing spondylitis does not have obvious clinical symptoms in the early stages, but as long as attention is observed, it can still be found in the early stages of the disease.

Here's a relatively simple way to check yourself for ankylosing spondylitis: stand against a wall and observe whether there is no spacing between the back of the head and the wall when the heel is close to the wall root, and if there is a few centimeters between the back of the head and the wall, then be alert to whether you have ankylosing spondylitis. In addition, you should also measure your height regularly, and observing whether there is a change in height is also a good way to detect whether there is curvature in the spine in the early stage.

What are the symptoms of ankylosing spondylitis? How do I exercise myself? The doctor tells you the answer

4. Self-exercise method for patients with ankylosing spondylitis

For patients with ankylosing spondylitis, the most important thing is to ensure the physiological curvature of the spine, avoid muscle atrophy, skeletal deformities, and ensure that the chest range of motion can be maintained for normal respiratory function, which requires patients to exercise themselves in daily life. Studies in foreign countries have shown that long-term adherence to scientific and appropriate self-exercise can effectively avoid diseases of joint stiffness and rigidity, if you want to achieve a more ideal effect, it is not enough to have a scientific and correct exercise method, and it also requires the patient's long-term persistence.

4.1 Lower back exercises

Stretching the lower back helps to relax the muscles on both sides of the spine. The patient stands, clutches the maki with both hands, tries to keep it as wide as the shoulders, stretches the body as hard as possible into the air with both arms, and keeps his feet off the ground for about 15 seconds to 20 seconds, every 10 for a group, three groups a day.

4.2 Chest exercises

The patient stretches the chest, which can effectively improve the hunchback. First stand facing the corner, bend your elbows to 90°, stretch the pectoralis major muscles to the sides, lean forward and pay attention to exhale, hold the effect for 10 seconds to 15 seconds, repeat the exercise about 10 times, and practice every day.

Patients train their thoracic breathing to improve their respiratory function and avoid chest deformities. The patient sits upright, places his hands on the ribs on both sides of the chest, and gently presses to control breathing, try to ensure that breathing is even, press the pressure level is moderate, repeat the practice 10 times, and insist on practicing each time.

What are the symptoms of ankylosing spondylitis? How do I exercise myself? The doctor tells you the answer

4.3 Neck exercises

Rotating the neck of the patient can effectively help improve the range of motion of the neck. First of all, the patient remains standing, the feet are separated and shoulder width apart, the eyes are injected into the arms, the head is turned to the left or right, the arms are turned back, insist on ten seconds and then reset, 10 times each time, it should be noted that the speed of the whole process should be slow, the movement should be kept as uniform as possible, and during this period, pay attention to the chest extension technique, rotate when rotating, and inhale when the body recovers.

Patients may also perform telescopic neck movements that help maintain normal physiological curvature of the spine. After the patient sits up, protrudes the neck forward, slowly retracts, and maintains the force for about 10 seconds, during which the jaw is closed, and the action is repeated 10 to 15 times.

Muscle soreness or joint discomfort may occur at the beginning of a workout, and it can return to normal after a short period of rest after exercise. In the process of exercise, you can add or subtract the amount of exercise according to your own specific situation. But pay attention to step by step and perseverance.

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