Ankylosing spondilitis is a chronic form of arthritis known to affect around 1 in 200 people (over 1 million sufferers in the USA alone). No cure has yet been found for the disease, however, early diagnosis and proper medical management can be important in reducing the risk of disability and deformity. Ankylosing spondilitis: the facts is the first mass market book to be published on this important disease. It provides clear and accessible information on treatment, diagnosis, genetic counselling, and daily life with this illness. Professor Khan is one of the leading experts in the world on AS, while also suffering from it. This combination of scientific knowledge and personal experience of a debilitating disorder results in a unique book which will prove invaluable for sufferers wishing to know more about their condition, and those that share their lives.
Ankylosing spondylitis (AS), currently grouped under the term axial spondyloarthritis (axSpA), is a chronic form of arthritis that causes inflammatory back pain and can gradually result in impaired spinal mobility. It can also cause eye inflammation (uveitis), arthritis of limb joints, inflammation at sites of bony attachments of tendons and ligaments (enthesitis), and associated psoriasis and inflammatory bowel disease. No cure has yet been found; however, early diagnosis and proper medical and lifestyle management are very important in reducing the risk of deformity and disability. Written by a leading expert on the subject who himself has been living with AS since age 12, this book provides clear and practical information on the clinical symptoms and signs, underlying causes, genetic predisposition, diagnosis, treatments, and impact on daily life. The combination of scientific knowledge and personal experience results in a unique book which will prove invaluable for patients and their families and friends, as well as allied health professionals and students wishing to know more about the condition. The second edition has been fully updated to cover the tremendous advancements made in the clinical recognition and effective management since the first edition in 2002. It also includes a glossary of medical terms and links to sources of further information to give patients the tools they need to understand and manage the condition effectively.
Ankylosing spondylitis, the third most common form of chronic arthritis, is a systemic rheumatic disorder characterized by inflam mation of the axial skeleton (spine and sacroiliac joints), and a host of systemic manifestations. With comprehensive care, the vast majority of patients can lead full, productive lives. However, management can succeed only with patient education and exercise. Recent communication from my co-editor, Carson Dick, serves to remind me that there are several unresolved issues concerning drug therapy in ankylosing spondylitis. Clearly, in spite of my views, there are others who do not believe that the non-steroidal anti-inflammatory drugs (NSAIDs) alter favorably the course of disease and they must be administered for prolonged periods and in anti-inflammatry quan tities to be effective. I would agree with Carson Dick that aspirin and phenylbutazone are way down the list of drug priorities following the marketing of other NSAIDs that are effective and safer. I am grateful to my contributors to this volume, all recognized authorities on their particular topic. It has been a privilege col laborating with them on this particular volume. ABOUT THE EDITOR John J. Calabro, MD, is Professor of Medicine and Pediatrics at the University of Massachusetts Medical School and Director of Rheumatology at Saint Vincent Hospital, both in Worcester, Mas sachusetts, USA. He is the author of over 260 scientific articles, including several monographs and a book on arthritis for patients.
Axial Spondyloarthritis is a timely addition to the Oxford Textbooks in Rheumatology series, providing a comprehensive reference to this rapidly evolving field. The conceptual framework of the disease has now evolved beyond ankylosing spondylitis to encompass a broader concept of axial inflammation. Earlier recognition has opened the door to earlier intervention, and the understanding of the biologic basis of axial SpA has seen significant advances in recent years. The first textbook to cover axial spondyloarthritis in this level of detail from a global perspective, this volume offers a practical and complete resource compiled by a multidisciplinary and multinational team of experts. Beginning with a historical perspective on the disease, the textbook provides a comprehensive background in the epidemiology, diagnosis, and classification of axial spondyloarthritis. Immune mechanisms and genetics are covered, along with imaging and a detailed section on the range of treatments options currently available. A section on extra-articular manifestations provides a comprehensive knowledge base for the clinician treating patients with spondyloarthritis, and chapters on the economics of the disease, physical functioning, and patient registries complete the broad coverage of the topic. Practical, easy to use, yet detailed with respect to pathophysiology, diagnostics, and management, this textbook provides a comprehensive reference for rheumatologists, general practitioners, internists, and paediatricians managing patients with axial spondyloarthritis.
LEARN HOW EXERCISE CAN . . . * Increase bone health * Offer relief for arthritis and back pain * Lower your risk of developing certain cancers * Lower high cholesterol and improve triglyceride levels * Treat heart disease * Slow (and even reverse) aging * Burn fat and build muscle * Reduce your risk of developing glaucoma * Elevate your mood and fight depression * Boost your energy level Do you have the time to exercise 90 to 120 minutes a week (that's just 30 to 40 minutes three times a week)? If you do, medical studies indicate that you can accomplish a death-defying act. You will feel better, roll back your physiological clock, and gain more benefits than from any potion or pill ever invented. In The Healing Power of Exercise, Drs. Linn Goldberg and Diane Elliot--two of the top medical experts in the field of exercise therapy--share with everyone their vast knowledge about the medical benefits of physical exercise. This book is based on the authors' groundbreaking medical textbook, Exercise for Prevention and Treatment of Illness, which opened eyes in the medical industry to the benefits of exercise. Packed with fascinating true-life stories and engaging writing, The Healing Power of Exercise explains exactly why "exercise is the best medicine." The authors cover more than ten common illnesses, discussing how exercise can help prevent or treat them. They clearly show you which exercises (and how much) are right for what ails you. With fascinating and informative medical sidebars, step-by-step photos, and detailed advice, Drs. Goldberg and Elliot help you tailor your own personal exercise program and get you motivated to start on it--and stay on it. For life.
Addressing the growing number of individuals who suffer from this often debilitating ailment, this indispensable reference explains how to manage chronic or acute arthritis in straightforward language. Descriptions of the most common forms of arthritis and how they affect the body and its joints guide arthritis sufferers through the symptoms and show them how to manage their own treatment with the help of a health-care team. Self-management is emphasized and chapters cover topics such as pain management, working with health-care professionals, medication, exercise, surgery options, intimacy issues, emotional health, social interaction, and alternative treatments.
Pain: Clinical Manual advocates an interdiciplinary approach to the care of patients with often under-treated pain. This book makes the application to scientific knowledge to the development of practical tools and guidelines for the care of patients in all clinical settings and all age groups. * Provides ready-to-use forms and recommendations for pain care committees to assist health care facilities to prepare for JCAHO inspections. * Includes two FREE pocket-size, laminated cards: equianalgesic charts to assist clinicians with dose calculations when changing routes of administration or analgesics, and dosing guides to commonly used adjuvants and nonopioids. * Includes FREE access to Mosby's PAIN WEBSITE. * The most clinically useful book ever published on pain, written by authorities who helped establish the pain management movement. * Includes 11 new chapters and five expanded and updated chapters to provide the most accurate, up-to-date, and comprehensive pain management information. * Includes icons to alert the reader to important, need-to-know information, such as pediatric content, patient examples, and reproducible material. * Features over 200 boxes and tables to help quickly locate key information and apply complex concepts at the bedside. * Presents a unique, multidisciplinary perspective. * Provides ready-to-use, practical, proven, and reproducible tools, pain assessment and documentation forms, and guides to analgesic use. * Contains patient information handouts on analgesics and nondrug methods of pain relief to educate the patient/family/caregiver about the patient's specific pain management. * Includes reproducible key policies, procedures, and protocols to assist the clinician in implementing patient focused interdisciplinary pain management. * Presents pharmacology content in four chapters - the three analgesic groups and an overview of how to combine them - to provide a readily understandable reference and practical resource. * Includes quick guides with illustrations of selected pain problems, such as pain related to sickle cell disease, peripheral neuropathy, and fibromyalgia. * Contains pain rating scales in over 20 languages to enhance patient/clinician communication in culturally diverse populations.
