Clin Pain.  2019 Dec;18(2):121-125. 10.35827/cp.2019.18.2.121.

Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain

Affiliations
  • 1Department of Rehabilitation Medicine and Research Institute, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea. pjyblue511@gmail.com

Abstract

Arthritis of hip joints deteriorates the quality of life in ankylosing spondylitis (AS) patients. Secondary to the articular inflammatory process, the shortened hip-girdle muscles contribute to the decreased joint mobility which may lead to the functional impairment. As the limitation of range of motion (ROM) usually progress slowly, clinicians regard it as a chronic condition and prescribe long-term therapy. However, by short-term intensive multimodal treatment, a 20-year-old man diagnosed as AS with severely limited hip joint ROM who relied on crutches doubled the joint angle and could walk independently only within 2 weeks. The combination included intra-articular steroid injection, electrical twitch obtaining intramuscular stimulation, extracorporeal shock wave therapy, heat, manual therapy, and stretching exercises. The management focused on the relaxation of hip-girdle muscles as well as the direct control of intra-articular inflammation. Hereby, we emphasize the effectiveness of intensive multimodal treatment in improving the function even within a short period.

Keyword

Ankylosing spondylitis; Muscle relaxation; Multimodal treatment

MeSH Terms

Arthritis*
Combined Modality Therapy
Crutches
Exercise
Hip Joint*
Hip*
Hot Temperature
Humans
Inflammation
Joints
Muscle Relaxation
Muscles
Musculoskeletal Manipulations
Quality of Life
Range of Motion, Articular
Relaxation
Shock
Spondylitis, Ankylosing*
Young Adult
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