Dietary modifications
The internal cause of ankylosing spondylitis is the two deficiencies of the kidney vein Governor, external because of wind and cold, available food therapy.
1, pungent food: can resist wind and dampness to dispel cold, such as chili, onion, pepper, Chinese herbs, fennel, garlic has antiseptic, antiviral and other effects, can prevent intestinal infections and viral infections. Winter appropriate to take ginger soup to wet the stomach to disperse the cold. Depends on the condition.
2, beans: soybeans, black beans, soybeans, etc., rich in plant protein and trace elements, have to promote muscle, bone, joint, tendon metabolism, help repair the role of disease and damage. It can treat rheumatic bone pain mainly from wet and heavy, and is more effective for rheumatic diseases with heavy body, unfavorable joints, detained tendons or numbness, swollen and painful joints and heavy discomfort. Black beans can treat rheumatism pain, with black beans fried to half charred add yellow wine, the treatment of joint pain effective, with gastritis caution.
3, fruit food: chestnuts have the role of kidney strengthening tendons and bones, the tendons and bones, meridians, rheumatic paralysis, weakness of the waist and knees is extremely beneficial. Ankylosing spondylitis is caused by kidney deficiency of the tendons and bones, muscle and joint damage. It can be eaten raw or cooked, and taken for a long time will strengthen the tendons, bones and kidneys. Chestnut pounded on the affected area can cure tendon swelling and pain; fresh chestnut leaves pounded externally, can also reduce muscle, joint, skin inflammation.
4, fresh river shrimp 500 grams, 500 grams of yellow wine. Practice: the river shrimp washed and dipped in yellow wine for 15 minutes, picked up, stewed in water, eaten in portions, yellow wine and river shrimp can be eaten together. Effect: It has the effect of wetting the kidney and strengthening the yang, soothing the tendons and relieving pain.
Rehabilitation Exercises
Ankylosing spondylitis is a systemic disease of unknown origin, mainly involving the sacral joints, hip joints, intercolumnar joints, cribriform joints, with the most common lesions in the sacral joints, and about 1/3 of patients can see peripheral joint symptoms. Its treatment methods are mainly, drug therapy, physical therapy, surgery, etc. After the condition has improved, attention should be paid to the rehabilitation period of exercise.
1. Daily posture training
(1) Standing: keep the head in the middle position, lower stool is slightly closed, the ventricle is shrugged and not pendulous; the abdomen is slightly inward, the feet are as wide as the ventricle, the ankle, knee, hip and other joints are kept in natural position, the center of gravity should not be shifted.
(2) Sitting position: day sitting right angle hardwood chair, waist back straight, when tired can lean the hip back, waist back tight scarf in the back of the chair rest.
(3) lying position: day sleep on a hard bed, it is appropriate to lie on your back, side lying alternately, avoid maintaining a posture for a long time, the pillow should not be too high or not show pillow, in addition to the monthly morning or before bed can lie prone for 5 minutes.
2.Gongfu exercise ：
(1) gong method 1: supine feet and disturb, toes up, hands naturally placed on both sides of the body, transfer hold breathing for about 3 minutes, then first inhale, with the idea of sending gas into the lower Dantian, while the waist, hips upward arch, the force will be concentrated in the waist and shoulders back, exhale when the waist, hips down, so repeatedly several breath 10 times.
(2) Technique 2: Stand with your legs together (toes and heels together), cross your waist with both hands, turn your waist to the left, backward and to the right, turn forward 50 times and then reverse 50 times.
(3) gongfu 3: hands crossed waist, backward walking for 10 minutes.
The above gong method, the movement is relatively slow, the activity is not large. The gong method to increase the activity can be chosen from Yi Pan Jing, Five Animal Play, Crane Xiang Pile or Taijiquan, etc.
Posture care
Postural care for patients with ankylosing spondylitis directly determines whether the patient’s joints will recover well. With the exception of acute and severe pain, patients with ankylosing spondylitis should insist on postural correction and joint function exercises. Patients should try to maintain a normal posture when walking and standing, patients should sit upright, stand straight, do not bend to avoid low back pain or fatigue, how to do what is comfortable, which can accelerate the deformity of the spine in the long run.
In order to maintain the mobility of the spine and joints, patients should often carry out the neck, thoracic, lumbar vertebrae in all directions of forward flexion, backward, left and right rotation and other activities, in order to maintain the mobility of the thorax, patients should often deep breathing and chest expansion exercises, in order to maintain the mobility of the hip and knee joints, to prevent contracture deformity of the hip and knee joints, should often carry out squatting and other activities. Postural care for ankylosing spondylitis can effectively prevent stiffness of the spine, tendon contractures, muscle atrophy, loss of joint function and other symptoms. Other related exercise therapies in the editorial section Attention to orthopedic gymnastics Targeted orthopedic gymnastics is the main measure to prevent and correct spinal deformities when the condition permits. Simple and easy to perform are deep breathing exercises and chest expansion exercises. Both have the effect of expanding the thorax, preventing the straightening of the cribriform joints, increasing lung capacity, and indirectly preventing hunchback deformity due to the expansion of the thorax.
1, deep breathing: every morning, work breaks and before going to bed should be routine deep breathing exercises. Deep breathing can maintain the maximum mobility of the thorax and good respiratory function.
2, cervical spine exercise: the head and neck can be made forward, backward, left, right rotation, as well as head rotation movement to maintain the normal mobility of the cervical spine.
3, lumbar spine exercise: daily lumbar exercise, forward bending, backward leaning, lateral bending and left and right rotation of the torso, so as to maintain the normal mobility of the lumbar spine. 4, physical exercise: push-ups, diagonal bracing, lower limb forward bending and backward extension, chest expansion exercises and swimming, etc.. Swimming is not only good for limb movement, but also helps to increase lung function and keep the spine in physiological curvature, which is the most suitable whole-body exercise. However, patients with this disease are strictly prohibited from diving, so as not to cause injury to the cervical spine and cervical spinal cord.
5, hip and knee joints: exercise the same as rheumatoid arthritis.
6, two feet apart and shoulder width, both hands crossed, head up, look ahead, do chest breathing.
7, the same body position as before, inhale when the two hands become fists. Through the body side up and shoulder level, while lifting the chest, shoulders to the spine, head back, tiptoe, exhale when restored.
8, body position forward, inhalation of the two upper limbs straight through the body side up; exhale when the legs straight, the upper body forward flexion, hands touch the ground.
9, one meter from the corner, two hands on each side of the wall, and shoulder level, inhale when the body leaned forward, waist forward, do not lift the heel, exhale when restored.
10.Stand an arm’s length away from the wall, arms straight, brace the wall, slightly wider than shoulder width, inhalation, bend the elbows, forearms touch the wall, chest forward; exhale to restore.
11, hands raised to grab the bar suspension, with their own weight for traction, can also perform pull-ups, inhalation on, exhale to restore.
12, other exercise methods can refer to the osteoporosis exercise method three.
In addition, Taijiquan’s Da Yun Hand helps to increase the rotational activity of the spine; back extension exercises help to prevent hunchback deformity.
Patients can choose a few sections from the above exercise methods, and generally exercise 1-2 times a day, repeating each movement 8-10 times.
13, biofeedback therapy in ankylosing spondylitis: ankylosing spondylitis tends to cause ankylosis of the cervical spine, lumbar spine and hip joint, so it is necessary to strengthen the exercise of these parts. The following three areas can be measured once a month, and patients can personally see that their body functions are gradually improving after comprehensive treatment, thus increasing their confidence in fighting the disease.
(1) Cervical spine: Measure the mobility of the cervical spine, including forward flexion, back extension, lateral flexion, and rotation.
(2) Lumbar spine: the more convenient one is to measure the finger-ground distance, and the more accurate one is the modified Schober test. ① finger ground distance, refers to the standing position, both knees straight position, feet together, the body as far as possible to do flexion (bending), measuring the distance from the fingertips to the ground; ② modified Schober experiment, the midpoint of the line of the posterior superior iliac spine and its 10cm up a point connected to make a vertical line (that is, in the intersection of the belt and the spine to make a point, from this point up the spine 10cm to make a point), measuring forward flexion when The distance between the two points of extension, normal people can reach 16-22cm, while heavy ankylosing spondylitis only increases 1-2cm.
(3) Hip joint: Although the hip joint has a variety of movements, the flexion function is the most important for the patient. By maintaining hip flexion, patients with ankylosing spondylitis are maintaining the ability to care for themselves. A simple method is to measure the hip-to-ground distance, which refers to the vertical distance from the anus to the ground when the patient is squatting.
(4) moderate work and rest: overexertion, prompting the destruction of the bone and joint, easy to form a disability; excessive emphasis on rest, easy to make the bone and joint loss of mobility, will also cause disability. According to clinical experience, when the pain is tolerable, pay attention to the functional activities of the joint, which is conducive to the recovery of the disease, and also to maintain the function of the joint, and prevent or reduce the occurrence of disability. Patients should generally not take a full rest, and should insist on doing some general work. At the same time, avoid the attack of wind, cold and dampness, cold and trauma, long-term bending work, appropriate physical therapy and recuperation.
Precautions
1. Develop the habit of daily exercise. In principle, the movement of the joints, such as swimming, soft exercise, dance can be. Sports that do not move the spine, such as bicycling, or sports that will impact and contact, such as judo and basketball, should be avoided. As for jogging is not encouraged, because jogging may lead to inflammation of the soles of the feet or heel tendons, making it difficult to walk.
2, to maintain a good posture and sitting posture, daily and regular deep breathing, chest expansion, torso straightening and other movements to strengthen the back and abdominal flexibility and stretching exercises are very important. These exercises can soften the stiffness, maintain joint extension and slow down the development of lesions.
3.If you already have a fused spine or a bamboo spine, you need to avoid excessive stress or bending of the spine.
4.Since the patient’s weight-bearing capacity is reduced, you should avoid strong weight-bearing, which may aggravate the lesion. Avoid maintaining a posture for a long time (such as lying on the sofa to watch TV, or prolonged Internet access), and if you have to sit for a long time, get up at least every hour for ten minutes to move. Do not use a lumbar back restraint (it will reduce the activity), making the spondylitis worse.
5. Sleep disturbance is one of the main common problems. Avoid pillows and do not sleep on soft beds. It is best to sleep flat on your back to keep it upright.
6.When you wake up with a stiff back in the early morning, you can take a hot bath to improve it. Hot compresses are also partially effective in relieving local pain.
7, do not smoke, so as not to cause injury to the lungs.
8, careful to prevent trauma, be sure to wear a seat belt when driving, do not ride a motorcycle.
9, in the cold, wet season, more should prevent the recurrence of symptoms.
10. Pay attention to the following symptoms that may be related to rigid spondylitis. Lower back pain and morning stiffness, peripheral joint pain and limited range of motion (especially wrist joints), bloody urine or burning pain in urine, dysentery, thoracic and cervical spine symptoms, redness or blurring of the eyes, sudden weakness of the limbs or difficulty in urination.
11. Infections of the gastrointestinal tract and urinary tract often induce spondylitis, so attention should be paid to dietary hygiene, drinking more boiled water, eating more vegetables and fruits, holding urine and constipation.
12. Pay attention to whether other family members have symptoms of rigid spondylitis, such as lower back pain and morning stiffness. If so, you should seek medical attention as soon as possible.