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Disease SPONDYLOARTHROPATHIES (SPA)
   
Quotation For all happiness mankind can gain is not in pleasure but in relief from pain.
   
Definition Sero-negative inflammatory arthritis of the below 40 age group, affecting the spine and the large peripheral joints can with  striking associating with HLA-B27.
   
Prognosis Symptoms persist over decades with a small number experiencing remission over long periods.
   
General Measures Physiotherapy to include breathing exercise, postural training, mobility exercises of spine and joints Recreational activities like swimming Occupational therapy. 
   
Advice to Patient Importance of compliance on part of patient in every phase of therapy. Adherence to physiotherapy regimes for steady improvement.
   
Follow Up Monitoring clinical response to therapy on a regular schedule. Surveillance for complications of therapy.
   
Inadequate Response Depends upon the nature of underlying disorder. Often would need specialist attention.
   
Reference From Website: www.medicine.ucsd.edu/peds/Pediatric%20Links/Links/Rheumatology
   

 

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