Adhesive Arachnoiditis
ICD-10 G03.9 · ICD-11 8E40.3

What Is the Treatment for Adhesive Arachnoiditis? A Structured First-Line Protocol

This page describes the structure of a first-line treatment protocol for adhesive arachnoiditis. The protocol is organised around a foundational baseline of diet and exercise, combined with three defined treatment components — each targeting a distinct aspect of the condition's clinical burden.

The baseline establishes daily nutritional support and two categories of specific physical activity before any of the three components are applied. The three components then work in parallel to address the inflammatory and autoimmune process, to support tissue and neural regeneration, and to manage pain — including provision for acute flares and for central pain patterns.

Protocol overview (partial)

The approach begins with a structured anti-inflammatory dietary plan and targeted daily exercise, then layers three therapeutic components addressing inflammation suppression, regenerative support, and pain relief. The specific agents within each component, the selection criteria among alternatives, and the stepwise approach to dose adjustment are detailed in the full protocol.

References

  • A daily protein, low carbohydrate, anti-inflammatory diet.
  • A daily amino acid supplement plus vitamins C, B-12, D, and one of these minerals: magnesium, selenium, boron.
  • Muscle/nerve strengthening and protection: walking, extending and flexing extremities, light weightlifting.
  • Spinal fluid flow: rocking, arm swings, deep breathing.
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