Bechterew's disease is a condition that develops as an inflammatory process of the intervertebral joints, leading to their fusion. The spine in such patients significantly restricts freedom of movement. The number of patients in different countries ranges from 0.5 to 2 percent of the total population. The disease develops at a young age, most often in men aged 15 to 30 years. The disease can affect both the spine and the joints of the limbs.
Causes
Bechterew's disease has genetic roots. It is caused by specific properties of the immune system. Adverse factors also include chronic infections (in the intestines and urinary tract). Trauma, nervous strain, and sexually transmitted infections can provoke the development of the disease. Since the onset of the disease is associated with immune system dysfunction, it is referred to as autoimmune.
Symptoms of Bechterew's Disease
It should be noted that the disease may begin with joint involvement in the arms or legs, with eye inflammation, or heart involvement. The disease can progress so slowly that it is only detected during a routine radiological examination.
In general, the disease is characterized by the following symptoms:
- Pain in the heel bones
- Pain and stiffness in the thoracic spine
- Elevated ESR levels in blood tests.
Night pains are very common with this disease. Pain in the sacral area may radiate to the buttocks and limbs.
Diagnosis of Bechterew's Disease in Israel
Bechterew's disease can be identified in its early stages using MRI. This is where the diagnosis begins in Israel. X-ray examinations can distinguish the ankylosis of the joints characteristic of this disease. In later stages, the disease is easily identified, but late diagnosis is a problem for all affected by this condition.
Treatment of Bechterew's Disease in Israel
Currently, Bechterew's disease cannot be completely cured. The main task of specialists in Israel is to stop the progression of the disease. Without adequate treatment and physical exercises, all joints of the patient become immobilized. Additionally, the disease may have associated conditions – eye inflammation, pulmonary tuberculosis, peptic ulcer disease (due to the intake of a large number of medications). Treatment should be comprehensive. Anti-inflammatory drugs and glucocorticoids may be used as part of the medication therapy. It is essential to incorporate gymnastics, manual therapy, and breathing exercises.