Remedy Rheumatology: Typical Treatment Regimen for Ankylosing Spondylitis
Ankylosing Spondylitis: What to Expect
Ankylosing spondylitis (AS) is a chronic inflammatory condition that primarily affects the spine and sacroiliac joints. Over time, this disease can lead to pain, stiffness, and reduced mobility—significantly impacting quality of life. At Remedy Rheumatology, we provide comprehensive, individualized treatment plans to help patients manage symptoms, slow disease progression, and maintain function.
What Is Ankylosing Spondylitis?
Ankylosing spondylitis is a form of inflammatory arthritis that causes the immune system to attack the joints of the spine. This leads to chronic inflammation, pain, and, in severe cases, fusion of the spinal vertebrae. Early diagnosis and appropriate treatment are critical to preventing long-term damage and maintaining spinal flexibility.
Learn more about inflammatory arthritis conditions here.
Goals of Ankylosing Spondylitis Treatment
While there is no cure for AS, the treatment regimen focuses on:
Reducing inflammation and pain
Maintaining spinal mobility and posture
Preventing structural damage
Improving quality of life
Typical Treatment Regimen for AS
A successful AS treatment plan usually involves a combination of medications, physical therapy, and lifestyle modifications tailored to the patient’s disease activity and health status.
1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
First-line therapy for most AS patients, NSAIDs such as naproxen or ibuprofen help relieve pain and stiffness by reducing inflammation. Regular use may be necessary, but long-term use should be monitored due to potential side effects.
2. Biologic Medications
For moderate to severe cases, TNF inhibitors (like adalimumab or etanercept) or IL-17 inhibitors (such as secukinumab) are used to target the underlying immune response.
These medications can:
Reduce joint inflammation
Prevent disease progression
Improve physical function
Find out how biologics work in rheumatic conditions.
3. Physical Therapy and Exercise
A tailored physical therapy program plays a vital role in preserving flexibility and posture. Exercises focus on:
Spinal extension to avoid a hunched posture
Stretching routines to maintain joint range of motion
Low-impact aerobic activities, such as swimming or walking
Our clinic offers in-house physical therapy and referrals for long-term rehabilitation. Schedule a physical therapy consultation.
4. Lifestyle Modifications
Posture awareness and ergonomic adjustments
Smoking cessation, as smoking can worsen AS symptoms
Healthy weight management to reduce joint stress
Regular Monitoring and Adjustments
Managing AS is a long-term process. Patients at Remedy Rheumatology benefit from regular assessments to adjust their treatment as needed. We track disease activity through imaging, lab tests, and functional scoring systems to ensure optimal care.
When to Seek Specialist Help
If you're experiencing chronic back pain, especially morning stiffness that improves with movement, it's time to consult a rheumatologist. Early intervention can make a dramatic difference in disease progression and symptom control.
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