Spondyloarthropathy: What should you know about it?

What is Spondyloarthropathy?

Spondyloarthropathy (or spondyloarthritis), is a group of inflammatory joint diseases (arthritis) with predominant spine and nearby large joint pain and inflammation. It is also known as SpA in short. Sometimes, Spondyloarthropathy also causes inflammation in the eyes, gastrointestinal tracts, skin, and areas where ligaments attach to the bones. It is classified as either axial (affecting pelvic joints and spine) or peripheral (affecting the limbs) Spondyloarthropathy. Axial SpA causes mostly back pain and peripheral SpA causes knee pain, ankle pain, etc.

What are the different types of Spondyloarthropathies?  What are their signs and symptoms?

Spondyloarthritis has the following types, which can fall under either axial or peripheral classification.

What causes Spondyloarthropathy?

The exact cause of Spondyloarthropathy is not known, although several genes have been linked to it.

The main gene involved in all these diseases is HLA B27. It does not cause the condition, though, but increases the risk of developing it.

Some research also suggests it may be due to an imbalance of the intestinal microbiome.

Psoriatic arthritis may be an autoimmune disease, while the cause of reactive arthritis is Chlamydia infection or food-borne infection.

How to make a diagnosis of Spondyloarthropathy?

The doctor may suspect Spondyloarthropathy based on signs and symptoms, medical history, and physical evaluation. For a formal diagnosis, the testing may include

What is the prognosis of Spondyloarthropathy

In most reactive arthritis patients, the prognosis is usually good as they recover within 2 to 3 months. But in 15 to 20 percent of them, it progresses to Spondyloarthropathy and ankylosing in the next 10 to 20 years.

There is no cure for Spondyloarthropathy, but as compared to rheumatoid arthritis, the long-term anti-inflammatory therapy shows better outcomes.

What are the treatments of Spondyloarthropathy?

Since there is no cure, treatment focuses on managing pain, improving mobility, and reducing complications. The available options are

What are the exercises for Spondyloarthropathy

Four main types of exercises recommended for Spondyloarthropathy are as follows