Bruce Rothschild
Northeast Ohio Medical University and Biodiversity Institute,
Lawrence, KS 66006
Tanzania
Review Article
Mechanical/Enthesial Origin for Ankylosing Spondylitis Axial Involvement? Clues from a Therapeutic Viewpoint
Author(s): Bruce RothschildBruce Rothschild
Choices for therapeutic intervention for ankylosing spondylitis have been traditionally predicated on its classification as a form of inflammatory arthritis. While this approach is effective for management of peripheral joint disease and may reduce back pain, the nature of axial joint disease is controversial. New information suggests that the latter is predominantly mechanical in nature (e.g., related to enthesial stresses) with any inflammation representing a part of the normal response to injury. Introduction of an extension exercise program, with modification of contributing aspects of activities of daily living, and avoidance of flexion activities usually resolved back discomfort and assures the best possible residual posture (as the spinal fusion progresses). No intervention is known to slow that process. Rheumatology perhaps started as codification empirical approaches. Approac.. View More»
