Bechterew's disease in women: features, symptoms, causes and treatment

Bechterew's disease( or ankylosing spondylitis) is a rather difficult disease, especially if it affects representatives of the beautiful half of humanity. Often, when diagnosing and treating, there are quite a lot of questions that only a high-level specialist can answer.

The essence of this pathology is the development of rheumatic damage to bones, cartilage and ligaments, which ultimately leads to the immobility of the joint.

Reasons for

Until now, science does not know the true causes of this disease. However, there are suggestions that some factors still increase the risk of encountering it.

So, Bechterew's disease in women most often develops with the following attendant factors:

  • Hereditary predisposition, genetic characteristics( antigen HLA B27);
  • Systemic diseases, viral infections, severe injuries of internal organs;
  • Permanent or short-term, but very strong, stress;
  • Streptococcal infection, diseases of the genitourinary tract inflammatory.

How does the disease manifest in women?

Many pathological conditions have sufficiently blurred symptoms, one of them is Bekhterev's disease. Symptoms in women can be completely different. Much depends on the age and the associated diseases.

However, most often one of the first symptoms is soreness in the spine, which occurs with small loads and is located mainly in the sacrum. Less often there are cases when the disease first affects the peripheral joints. There were situations when the first signal was an inflammatory process in the eye area.

Over time, all women who have experienced this disease begin to complain of pain in the neck and back, some have a "morning stiffness" in the joints and spine, passing by the evening. Happens, there is pain in the heels, especially in the Achilles tendon.

As a rule, soreness is manifested in the form of attacks, the duration of which can be from several hours to several months. Often the pain intensifies at night. Also there are pronounced signs of the inflammatory process.

Features of the development of the disease in women

Bechterew's disease is most clearly revealed in women. In this case, the following features of its development are observed:

  • First shoulder joints are affected;
  • Polyarthritis, or multiple joint damage;
  • Inflammatory process of moderate severity. In most cases, the remission of the disease occurs even in the absence of treatment;
  • The asymmetric lesion of the largest joints;
  • Pathological processes predominantly localized in the region of the sacral and thoracic spine;
  • Ankylosis is extremely rare.


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The main method used by doctors to make an accurate diagnosis is considered an X-ray study. In addition, the following criteria are taken into account:

  • Soreness in the lumbar region and sacral spine, observed at rest and passing during active movement;
  • Restriction of mobility of ribs and sternum, which affects the decrease in the depth of breathing;
  • Inflammatory process affecting both sacroiliac joints.

In the presence of two of the above criteria, the question of the possible development of a woman's disease Bechterew.


Treatment of Bechterew's disease in women does not have any peculiarities. Like men, it continues throughout the rest of his life. The tactics of combating this disease are largely determined by the stage and nature of the current. Treatment can be prescribed only by a doctor, all other methods are not acceptable, since they can cause huge harm to the body as a whole.

To date, the main drugs for Bechterew's disease are non-steroidal anti-inflammatory drugs. Their dosage and frequency of reception is determined only by the doctor for each specific case.

In addition, multivitamin complexes and preparations are also prescribed, which facilitate the restoration of ligaments and joints.

If the disease is severe enough( there is a fever, pronounced swelling of the joints), then the treatment is performed in a hospital using cytostatics and steroid anti-inflammatory drugs.

Osteochondrosis or Bechterew's disease?

People are often interested in how to distinguish osteochondrosis from ankylosing spondylitis. The following diagnostic test will help to answer this question:

  1. The patient should try to make slopes in both directions: with ankylosing spondylitis it is almost impossible, and with osteochondrosis such exercises are performed quite easily;
  2. Taking NSAIDs with Bechterew's disease through already allows you to almost completely get rid of the pain, and with osteochondrosis such anesthesia does not give results.
doctor examines x-ray