Ankylosing Spondylitis: Prevention and Treatment as Per Ayurveda

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Ankylosing Spondylitis is a chronic inflammation of one or more of the vertebrae of the spine and sacroiliac joints, which can cause some of the spinal column to fuse. This fusing makes the spine less flexible and results in a hunched-forward posture and case ribs are affected, it may result in difficulty to breathe deeply. Although it can occur at any age, most often strikes men in their teens and twenties.

According to Ayurveda, Ankylosing Spondylitis is induced due to inflamed vata dosha takes place under the broader perspective of Ama Vata. But sometimes can be because of the imbalance of the three Doshas as well. This imbalance causes degeneration & inflammation of the spine and may even serve to disability in the future. In this auto immune disorder, the disc between the vertebrae gets swollen up leading to regulation of movement.

The traditional Spondylitis classification system – makes six separate diseases and,

The newer Spondylitis classification system – with two wider categories

  1. Ankylosing Spondylitis (as) – Inflammation in the spine and/or pelvis leads to pain. After some time, this inflammation can lead to ankylosis — new bone formation in the spine
  2. Enteropathic arthritis (EnA) – Arthritis correlated with inflammatory bowel syndrome In extension to inflammatory back and/or joint pain, inflammation of the intestine, which includes the bowel, is a predominant feature of Enteropathic arthritis. Symptoms may include chronic diarrhea/ blood in the stool, abdominal pain, and weight loss
  3. Psoriatic arthritis (PSA) – frequently causes pain and swelling in the small joints of the hands and feet associated with a psoriasis skin rash.
  4. Reactive arthritis (rea) – An infection in the intestine or urinary tract usually occurs before inflammation in the joints. It causes inflammation associated with pain in the joints, eyes, skin, bladder, mucus membranes, and genitals.
  5. Undifferentiated Spondyloarthritis (uspa) – People with uspa have symptoms and disease features consistent with Spondyloarthritis, but their disease doesn’t fit into another category of the spa.
  6. Juvenile Spondyloarthritis (jspa) – Symptoms begin in childhood. Enthesitis-inflammation, where tendons or ligaments meet bone is seen as a dominating feature.
  7. Axial Spondyloarthritis (axspa) – Axial spa causes inflammation in the spine or pelvis that typically brings on inflammatory back pain.
  8. Peripheral Spondyloarthritis (pspa) – Peripheral spa commonly causes inflammation in joints or tendons outside the spine or sacroiliac joints.

Symptoms of Ankylosing Spondylitis:

In the early stages

  • Stiffness and pain in the lower back, severe in the early morning that lasts at least 30 minutes and then eases through the day or with activity
  • Pain that wakes you in the night
  • Pain in one/both buttocks and sometimes in the backs of the thighs

Other possible symptoms include:

  • soreness at the heel & foot arch
  • pain and swelling in a finger/toe
  • tenderness at the pelvis
  • Chest pain or tightness
  • Inflammation of the bowel (IBD)
  • Fatigue
  • Depression and anxiety
  • either uveitis or iritis

Ayurvedic Treatment for Ankylosing Spondylitis:

Main procedure:

In Ayurveda, no disease is considered organ-specific. It believes in treating the patient as a whole rather than the disease

  • Ayurvedic treatment aims at digesting the ama by giving dipana/pachana herbs and balancing aggravated vata.
  • External Therapy such as Lepanam, Pichu, Kati Basti, and sarvangadhara, patrapinda svedana are beneficial.
  • Panchakarma Therapy such as Nasyam, Snehavasthy, Virechanam, Vaitharana vasthy, Kashayavasthy is also recommended.

Ayurvedic Diet and Lifestyle advice for Ankylosing Spondylitis:

  • Eat Food that pacifies Vata and Pitta
  • Include ghee in your diet.
  • Take light food and avoid oily foods & curds.
  • Ensure proper evacuation of bowels and avoid the cause for constipation
  • Apply heat pads on  affected areas to l help  relieve pain and stiffness.
  • Avoid sleeping during the daytime
  • Yoga Asanas such as Pawana muktasana, Dhanurasana, Bhujangasana, Paschimottasana, are beneficial for this disease.
  • Practice Pranayama such as Chandrabhedi, Nadi shodhana Sheethali & Bhramari.


The effectiveness of Ayurveda in the area of spine and joint treatments is globally accepted and appreciated as it works on the root cause of an issue/condition and it offers excellent therapies for treating Ankylosing spondylitis. Treatment is usually aggressive, long-term, and requires regular follow-ups. Ayurvedic remedies can be followed in general and will be beneficial. It’s advised to get a complete check-up and a customized Ayurvedic treatment for Ankylosing Spondylitis other health conditions. Contact our expert online Ayurvedic doctors at Total Ayurveda Care today.

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