Ankylosing Spondylitis and Chiropractic Care: What You Need to Know
Summary
TLDR视频中,Dr. Antonio Webb,一位位于德克萨斯州圣安东尼奥的骨科脊柱外科医生,讨论了强直性脊柱炎(ankle loing spondilitis)的相关问题。这是一种导致慢性炎症的关节炎,可导致脊柱和关节的骨融合,形成所谓的“竹节脊柱”。目前没有治愈方法,但有治疗、药物和疗法可以减缓病情,减轻疼痛和其他症状。对于强直性脊柱炎患者,不建议使用脊柱调整作为主要治疗手段,因为可能造成严重伤害。医生强调,这类患者应咨询有经验的医疗专业人员,以获得个性化的综合治疗。
Takeaways
- 😨 强直性脊柱炎是一种导致慢性炎症的关节炎,影响脊柱和关节。
- 🌟 随着病情发展,强直性脊柱炎可能导致骨头融合,形成所谓的“竹节脊柱”。
- 🚫 目前没有治愈强直性脊柱炎的方法,但有治疗可以减缓病情进展和减轻症状。
- 🤔 脊椎矫正治疗可能为某些背痛患者提供症状缓解,但对强直性脊柱炎患者可能并不适用。
- ⚠️ 研究表明,脊椎矫正治疗对强直性脊柱炎患者的疗效并不明确,且可能存在严重伤害的风险。
- 📢 专家强烈建议不要对强直性脊柱炎患者使用高速度推力进行脊椎调整。
- 💔 脊椎矫正可能导致强直性脊柱炎患者的脊柱或颈部骨折或脱位。
- 🔍 强直性脊柱炎患者可能难以识别骨折,通常需要使用MRI等高级影像学检查。
- 🏥 强直性脊柱炎患者可能伴有骨质疏松症,脊椎矫正治疗可能造成伤害,包括骨折和脊髓损伤。
- 👩⚕️ 强直性脊柱炎患者应咨询有经验的医疗专业人员,如风湿病专家和物理治疗师。
- 📝 在尝试任何补充治疗,包括脊椎矫正治疗之前,应始终咨询医疗保健提供者,特别是对于慢性疾病。
Q & A
什么是强直性脊柱炎?
-强直性脊柱炎是一种导致慢性炎症的关节炎类型,它影响脊柱和关节。随着病情发展,可能导致骨头融合,这种情况被称为“竹节脊柱”。
强直性脊柱炎的症状有哪些?
-强直性脊柱炎的症状包括慢性疼痛、僵硬,以及随着病情进展可能出现的骨头融合,导致活动受限。
强直性脊柱炎的治疗方法有哪些?
-目前没有治愈强直性脊柱炎的方法,但可以通过某些治疗、药物和疗法来减缓病情发展,减轻疼痛和其他症状。
为什么对于强直性脊柱炎患者来说,接受脊医治疗需要谨慎?
-脊医治疗可能包括脊柱的操纵和动员,但对于强直性脊柱炎患者,这些治疗的疗效并不明确,且存在潜在的严重伤害风险,如骨折或脱位。
为什么脊医的高速推力调整对强直性脊柱炎患者不推荐?
-因为这种高速推力调整可能会引起脊柱或颈部的骨折或脱位,特别是当骨头已经融合时,这会带来很大的风险。
强直性脊柱炎患者如何正确识别骨折?
-由于强直性脊柱炎患者可能存在椎间隙狭窄,使得骨折难以识别,通常需要使用高级影像学检查,如MRI,来评估颈椎骨折和寻找可能的硬膜外出血。
什么是硬膜外出血,为什么在强直性脊柱炎患者中需要特别注意?
-硬膜外出血是指在硬膜外空间发生的出血,这种情况在强直性脊柱炎患者中诊断出来时,具有很高的死亡率,并且通常需要手术干预。
为什么脊医治疗不推荐给有骨质疏松症的强直性脊柱炎患者?
-脊医治疗中的脊柱调整可能会对骨质疏松的患者造成骨折、脊髓损伤,甚至瘫痪的风险。
强直性脊柱炎患者应该如何选择合适的治疗方法?
-强直性脊柱炎患者应该咨询有经验的医疗专业人员,可能涉及风湿病专家、物理治疗师和其他专家,以提供针对个人需求的综合护理。
在尝试任何补充治疗,包括脊医治疗之前,强直性脊柱炎患者应该注意什么?
-在尝试任何补充治疗之前,患者应该总是咨询他们的医疗提供者,特别是如果有像强直性脊柱炎这样的慢性疾病。
为什么视频的演讲者强调不要由脊医进行某些治疗?
-演讲者强调这一点是因为某些脊医治疗方法对于强直性脊柱炎患者来说可能不仅无效,还可能带来严重的健康风险。
Outlines
🚫 关于强直性脊柱炎和脊柱矫正的风险
视频开头描述了一位患者因强直性脊柱炎(ankal loing spondilitis,原文可能有拼写错误,应为'ankylosing spondylitis')遭受的疼痛,特别是颈部和髋部。接着,Dr Antonio Webb,一位来自德克萨斯州圣安东尼奥的骨科脊柱外科医生,介绍了强直性脊柱炎是一种导致脊柱和关节慢性炎症的关节炎类型,病情发展可能导致脊椎骨融合,形成所谓的'竹节脊柱'。尽管没有治愈方法,但有治疗、药物和疗法可以帮助减缓病情进展和减轻疼痛。视频强调,对于强直性脊柱炎患者,脊柱矫正(Chiropractic Care)不应作为主要治疗方法,而应作为补充疗法。由于其在管理与强直性脊柱炎相关的炎症和结构变化方面的有效性尚未确立,且存在潜在的严重伤害风险,因此强烈建议不要对这类患者使用高速度推力进行脊柱调整。
Mindmap
Keywords
💡强直性脊柱炎
💡骨关节炎
💡脊柱融合
💡脊椎
💡骨质增生
💡脊医
💡脊柱调整
💡骨折
💡骨质疏松症
💡MRI
💡硬膜外出血
💡风湿病专家
Highlights
患者描述了从背部到颈部和臀部的慢性疼痛问题。
Dr. Antonio Webb介绍了自己是来自德克萨斯州圣安东尼奥的骨科脊柱外科医生。
Ankalosing spondylitis是一种导致脊柱和关节慢性炎症的关节炎类型。
随着病情发展,Ankalosing spondylitis可能导致骨头融合,形成所谓的“竹节脊柱”。
Ankalosing spondylitis没有治愈方法,但有治疗、药物和疗法可以减缓病情并减轻疼痛。
对于患有Ankalosing spondylitis的个体,Chiropractic Care(脊骨神经医学治疗)可以提供症状缓解。
Chiropractic Care通常包括脊柱操作、动员和旨在改善关节功能和减少不适的练习。
Chiropractic Care在管理Ankalosing spondylitis的炎症和结构变化方面的有效性尚未确立。
研究表明,Chiropractic Care对Ankalosing spondylitis患者的治疗效果证据不足。
存在Chiropractic Care可能对Ankalosing spondylitis患者造成严重伤害的证据。
专家小组强烈建议反对在Ankalosing spondylitis患者中使用高速推力进行脊柱调整。
Chiropractic Care可能导致脊柱或颈部的骨折或脱位。
Ankalosing spondylitis患者可能难以识别骨折,需要使用MRI等高级影像学检查。
诊断硬膜外出血或血肿具有很高的死亡率,通常需要手术干预。
许多Ankalosing spondylitis患者也有骨质疏松症,Chiropractic治疗可能造成伤害。
Chiropractic治疗可能导致骨折、脊髓损伤和瘫痪等风险。
患有Ankalosing spondylitis的个体应咨询有经验的医疗专业人员进行综合治疗。
在追求任何补充治疗,包括Chiropractic Care之前,应咨询医疗保健提供者。
视频最后强调了Ankalosing spondylitis患者不应接受Chiropractic Care治疗。
Transcripts
the first few years it was M my back but
here lately it's gotten up into my neck
really bad and my hips my hips probably
the
[Music]
worst there it was wow this is
absolutely insane if you have ankl oing
spondilitis you should never let a
chiropractor do this to you hi my name
is Dr Antonio web I'm an orthopedic
spine surgeon here in San Antonio Texas
so what is ankos and spondilitis this is
a type of arthritis that causes chronic
inflammation that affects your spine and
Joints as the disease progresses it can
lead to the bones fusing together which
we refer to as a bamboo spine you can
also have bone growth adding to the
really the pain and stiffness of this
disorder there's really no cure for
ankal loing spondilitis
but certain treatments medications
therapies can help slow down the
condition and help lessen the pain and
other symptoms that patients face while
Chiropractic Care can provide
symptomatic relief such as improve
Mobility reduce pain for some
individuals with back pain well those
with ankos and spondilitis it's very
crucial to take an approach that is
complimentary that is some type of
therapy rather than a primary treatment
Chiropractic Care often includes spinal
manipulation mobilization and exercises
aimed at improving your joint function
and reducing any
discomfort however its efficacy in
managing the underlying inflammation and
structural changes associated with ankos
and spondilitis is really not well
established researchers who have looked
at studies relating to treating ankos
and spondilitis
have found very little evidence that
chiropractic spinal adjustments help
these patients with this condition but
there is some evidence of potential
severe harm because of this the panel
issued a strong recommendation against
these high velocity thrust used for
spinal adjustments in patients with
ankal loing spondilitis so what's the
real issue here well the spinal
adjustments done by a chiropractor could
and intentionally cause a fracture or
dislocation in the spine or neck given
the way that their bones are fused
together this is really worrisome when
it comes to the neck patients also have
this oifc of the dis spaces which this
makes identifying fractures very hard we
often use Advanced Imaging studies like
an MRI u in these patient population to
evaluate for cervical fractures as well
as look for what's called an epidural
hemorrage or bleed obtaining a MRI is
very crucial in this setting the
diagnosis of epidural bleed or hematoma
carries a really high mortality rate and
often requires operative intervention
many people with anky losing spondilitis
also have
osteoporosis which is thinning of the
bones Chiropractic treatments are not
usually recommended if you have
osteoporosis these spinal adjustments
can cause harm since you may not even
know that this patient has
osteoporosis especially in the earlier
stages the risk include fractures
injuries to the spinal cord and often
paralysis so after watching this video I
don't know what the hell is going on but
if you have ankle loing spondilitis do
not have this done by a chiropractor so
it's important for individuals who have
anking spondilitis to consult with
Health Care Professionals who are
experienced in managing this condition
this may involve a rheumatologist a
physical therapist and other Specialists
who can provide comprehensive care that
is tailored to the individual's needs
always consult with your health care
provider before pursuing any
complimentary treatments including
Chiropractic Care especially if you have
a chronic condition like ankle loing
spondilitis
thank you for watching we'll see you
next
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time
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