Spondyloarthropathies

Spondyloarthropathies are a group of arthritic diseases that do not fit into the previous two classifications. Ankylosing spondylitis, Reiter's syndrome, and psoriatic arthritis are the most common arthropathies, with ankylosing spondylitis being the most prevalent'it affects one to two percent of the population. The causes of ankylosing spondylitis are unknown, though risk factors include male gender, age, Caucasian race, and family history. Like rheumatoid arthritis, ankylosing spondylitis is systemic and causes complications throughout the body, for example in the cardiac and pulmonary systems. Joints of the spine are primarily involved, with some unilateral involvement in other large joints. Inflammation occurs in other tissues, especially at ligamentous attachments. Initial symptoms are backache and stiffness, more so in the morning. The trunk and neck become symptomatic over time and the individual may also complain of weight loss, excessive fatigue, and fever.

As noted in the introduction, there are over 100 types of arthritis, with the three that I have outlined composing the bulk of the diagnoses. The joint pain and stiffness inherent with all types can be significantly reduced with regular exercise. In the next section I discuss the importance of working with your physician. Your doctor will identify not only what type of arthritis you have, but also issues related to your personal arthritis history, which will determine the type of program you pursue.