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Adhesive Arachnoiditis: An Old Disease Re-Emerges in Modern Times

Handbook to Live Well With Adhesive Arachnoiditis

 

REPORTS – Click on the link to download reports

2020 AA Update Report

Abstract

Adhesive arachnoiditis (AA) is an inflammatory disease of the lower spinal canal that involves cauda equina nerve roots and the arachnoid-dural covering (meninges) of the spinal canal. While once a rare disease, it is now emerging in every community. Diagnostic and treatment protocols have been developed and are presented here. A clinical profile of 80 MRI-confirmed cases show that AA is primarily a disease of mid to late-age females. The most common underlying cause is a structural disorder of the spine. Genetic connective tissue/collagen disorders of the Ehlers-Danlos Syndrome type appear to be the second most common cause of AA. Multiple surgeries and spinal interventions were common in these cases. A symptom profile of AA is quite uniform and includes pain relief on change of position, jerks or tremors in the legs, urinary dysfunction, and sensations of insects crawling or water dripping on the skin. Treatment specifically directed at suppressing neuroinflammation, promoting tissue regeneration, and providing aggressive pain management Is the most successful approach for halting the progression of the disease, restoring function, and enhancing patient quality of life.

Anabolic Therapy for Combined AA-EDS

Anabolic Therapy Precis
Some adhesive arachnoiditis (AA) patients who seek treatment for this condition will also have an Ehlers-Danlos/Hypermobility Syndrome. In order to provide comfort, maintain stability and retard connective tissue complications, we found it necessary to administer anabolic hormones.

The Way Forward for AA: Confronting An Urgent Public Health Issue

Summary for The Way Forward
Adhesive arachnoiditis (AA) has become an urgent public health issue. It now affects millions and is increasing in number. Unlike other causes of back pain, AA is an inflammatory disease inside the spinal canal which, if untreated and unchecked, may cause unbearable pain, dysfunction of legs and internal organs, dementia, a generalized autoimmune disorder, and adrenal failure. All its complications can lead to a suffering, shortened lifespan. This report calls for immediate action to diagnose, treat, and prevent AA.