{"id":22089,"date":"2026-11-12T23:04:43","date_gmt":"2026-11-12T22:04:43","guid":{"rendered":"https:\/\/www.faktorzdravlje.com\/?page_id=22089"},"modified":"2026-11-13T00:41:57","modified_gmt":"2026-11-12T23:41:57","slug":"upalne-reumatske-bolesti","status":"publish","type":"page","link":"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/upalne-reumatske-bolesti\/","title":{"rendered":"Inflammatory rheumatic diseases"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"22089\" class=\"elementor elementor-22089\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ccb9398 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ccb9398\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0d9d57b\" data-id=\"0d9d57b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa68e0d elementor-widget elementor-widget-heading\" data-id=\"aa68e0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Inflammatory rheumatic diseases<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-af6c5a3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"af6c5a3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f96fa49\" data-id=\"f96fa49\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9366c18 elementor-widget elementor-widget-text-editor\" data-id=\"9366c18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<style>.fz-kr h2{font-size:24px;line-height:1.3;font-weight:500;text-align:left;margin:28px 0 12px;scroll-margin-top:140px}.fz-kr h2 a{color:inherit;text-decoration:none}.fz-kr h2 a::after{content:\" \\2192\";color:#8f6a42}.fz-kr h2 a:hover{color:#8f6a42}.fz-kr li p{margin:0}.fz-kr .fz-kr-teme{margin:36px 0 0}.fz-kr .fz-kr-teme a{color:inherit;text-decoration:none}.fz-kr .fz-kr-teme a:hover{color:#8f6a42}.fz-kr .fz-kr-teme li a::after{content:\" \\2192\";color:#8f6a42}.fz-kr .fz-kr-teme-naslov a::before{content:\"\\2190  \";color:#8f6a42}<\/style>\n<div class=\"fz-kr\"><h2 id=\"ankilozantni-spondilitis-i-aksijalni-spondiloartritis\"><a href=\"https:\/\/www.faktorzdravlje.com\/en\/ankilozantni-spondilitis\/\">Ankylosing spondylitis and axial spondyloarthritis<\/a><\/h2><p>Axial spondyloarthritis is a chronic inflammatory disease of the sacroiliac joints and the spine. It includes a radiographic form (ankylosing spondylitis, Bechterew\u2019s disease) and a non-radiographic form. The leading symptom is inflammatory back pain: gradual onset before the age of 45, morning stiffness lasting longer than 30 minutes, improvement with activity and night pain in the second half of the night. The disease often also shows signs in other organs and organ systems, such as the skin, eyes, lungs and bowel.<\/p><p>The diagnosis is made according to the ASAS criteria, on the basis of the clinical picture, HLA-B27, CRP and MRI of the sacroiliac joints. Treatment includes non-steroidal anti-inflammatory drugs and, in active disease, biological drugs (TNF and IL-17 inhibitors) or JAK inhibitors. Rehabilitation is a permanent part of treatment: spinal extension and mobility exercises, and breathing exercises to expand the chest. The disease is described in detail in the section of the website on inflammatory rheumatic diseases.<\/p><h2 id=\"psorijaticni-i-enteropatski-spondiloartritis\">Psoriatic and enteropathic spondyloarthritis<\/h2><p>Inflammatory involvement of the spine and sacroiliac joints in people with psoriasis or inflammatory bowel disease (Crohn\u2019s disease, ulcerative colitis), often asymmetrical. Rehabilitation is carried out in step with rheumatological treatment and the activity of the underlying disease. These diseases are described in detail in the section of the website on inflammatory rheumatic diseases.<\/p><h2 id=\"reumatoidni-artritis-vratne-kraljeznice\">Rheumatoid arthritis of the cervical spine<\/h2><p>Involvement of the craniovertebral junction, with possible atlantoaxial instability and subaxial subluxation. Before any mobilisation the doctor assesses stability on functional X-rays, and manipulation is contraindicated.<\/p><h2 id=\"stanje-nakon-spondilodiscitisa\">After spondylodiscitis<\/h2><p>Rehabilitation after a cured infection of an intervertebral disc and the adjacent vertebrae, whether bacterial or tuberculous. It is carried out only after antimicrobial treatment has been completed and inflammatory markers have returned to normal, under medical supervision.<\/p><nav aria-label=\"Spine\" class=\"fz-kr-teme\"><p class=\"fz-kr-teme-naslov\"><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/\">Spine<\/a><\/p><ul><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/degenerativne-bolesti-kraljeznice\/\">Degenerative diseases of the spine<\/a><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/bolni-sindromi-i-funkcionalni-poremecaji\/\">Pain syndromes and functional disorders<\/a><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/stanja-nakon-operacije-prijelomi-i-ozljede\/\">Conditions after surgery, fractures and injuries<\/a><\/li><li><span aria-current=\"page\">Inflammatory rheumatic diseases<\/span><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/metabolicke-bolesti\/\">Metabolic diseases<\/a><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/razvojna-i-prirodena-stanja\/\">Developmental and congenital conditions<\/a><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/kronicna-bol-i-psihosocijalni-cimbenici\/\">Chronic pain and psychosocial factors<\/a><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/neuroloske-bolesti-s-posljedicama-na-kraljeznici\/\">Neurological diseases with effects on the spine<\/a><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/kada-bol-u-ledima-nije-samo-kraljeznica\/\">When back pain is not just the spine<\/a><\/li><li><a href=\"https:\/\/www.faktorzdravlje.com\/en\/kraljeznica\/rjeda-stanja-koja-dijagnosticiramo-i-rehabilitiramo\/\">Less common conditions we diagnose and rehabilitate<\/a><\/li><\/ul><\/nav><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f703d0b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f703d0b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f703d0c\" data-id=\"f703d0c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f703d0d elementor-widget elementor-widget-html\" data-id=\"f703d0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>.fz-nar{margin:36px 0 8px;color:#404041}.fz-nar h2{font-size:24px;line-height:1.3;font-weight:500;margin:0 0 12px}.fz-nar p{margin:0 0 8px}.fz-nar a{color:inherit;text-decoration:none}.fz-nar .fz-nar-x{white-space:nowrap}.fz-nar .fz-nar-dalje{margin:12px 0 0}.fz-nar .fz-nar-dalje a{font-weight:600;display:inline-block;padding:10px 0}.fz-nar .fz-nar-dalje a::after{content:\" \\2192\"}.fz-nar .fz-nar-dalje a:hover,.fz-nar .fz-nar-dalje a:focus{color:#8f6a42}.fz-nar a:focus-visible{outline:2px solid #8f6a42;outline-offset:2px}<\/style><div class=\"fz-nar\" id=\"narucivanje\"><h2>Appointments<\/h2><p>An examination by a physiatrist does not require a referral. Please bring all your test results, scans and discharge letters to your first appointment.<\/p><p><span class=\"fz-nar-x\"><strong>Phone:<\/strong> <a href=\"tel:+38513737333\">01 3737 333<\/a><\/span> \u00b7 <span class=\"fz-nar-x\"><strong>Mobile:<\/strong> <a href=\"tel:+385993737333\">099 3737 333<\/a><\/span> \u00b7 <span class=\"fz-nar-x\"><strong>Email:<\/strong> <a href=\"mailto:info@faktorzdravlje.com\">info@faktorzdravlje.com<\/a><\/span><\/p><p>Faktor Zdravlje Polyclinic, Domobranska 25, Zagreb. We are open Monday to Friday from 8 am to 8 pm and on Saturdays from 9 am to 1 pm.<\/p><p class=\"fz-nar-dalje\"><a href=\"https:\/\/www.faktorzdravlje.com\/en\/cjenik\/\">Price list<\/a><\/p><p class=\"fz-nar-dalje\"><a href=\"https:\/\/www.faktorzdravlje.com\/en\/fizikalna-terapija\/\">More about physiotherapy in Zagreb<\/a><\/p><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Upalne reumatske bolesti Ankilozantni spondilitis i aksijalni spondiloartritis Aksijalni spondiloartritis je kroni\u010dna upalna bolest sakroilijakalnih zglobova i kralje\u017enice. Obuhva\u0107a radiografski oblik (ankilozantni spondilitis, Bechterewljeva bolest) i neradiografski oblik. Vode\u0107i simptom je upalna bol u le\u0111ima: postupan po\u010detak prije 45. godine, jutarnja uko\u010denost dulja od 30 minuta, pobolj\u0161anje pri aktivnosti i no\u0107na bol u drugoj polovici [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":15627,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-22089","page","type-page","status-publish","hentry","clearfix"],"_links":{"self":[{"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/pages\/22089","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/comments?post=22089"}],"version-history":[{"count":2,"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/pages\/22089\/revisions"}],"predecessor-version":[{"id":22117,"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/pages\/22089\/revisions\/22117"}],"up":[{"embeddable":true,"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/pages\/15627"}],"wp:attachment":[{"href":"https:\/\/www.faktorzdravlje.com\/en\/wp-json\/wp\/v2\/media?parent=22089"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}