How can one manage ankylosing spondylitis better?

Question

Hello doctor,

I am 56 years old. I have been dealing with some pretty bad stiffness in my back, especially along the spine, for a while now. I finally went for a scan, and the doctor said it was ankylosing spondylitis. Honestly, I am not sure what that really means. My back has been giving me trouble for years, but this sounds like something more serious. What exactly is ankylosing spondylitis? Is it something that gets worse over time, and is there any way to manage it better? I have been noticing the stiffness getting worse in the mornings, and on some days, I feel like I cannot even stand up straight without pain. I have tried painkillers, but they do not seem to be helping much anymore.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Ankylosing spondylitis (AS) is a type of inflammatory arthritis primarily affecting the spine, leading to pain and stiffness. It can cause the vertebrae to fuse over time, resulting in reduced flexibility and a hunched posture. Symptoms often include morning stiffness that improves with activity, pain in the lower back and hips, and fatigue. While AS can worsen over time, the severity varies greatly among individuals. Some people may experience significant progression, while others manage their symptoms effectively. Here are some strategies to help manage AS:

1. Physical therapy: A tailored exercise program can improve flexibility and reduce pain. Regular movement is crucial.

2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used, but if they are not effective, your doctor might prescribe biologics or disease-modifying antirheumatic drugs (DMARDs).

3. Lifestyle changes: Maintaining a healthy weight and avoiding smoking can help manage symptoms. Regular, low-impact exercise like swimming or cycling is beneficial.

4. Heat and cold therapy: Applying heat or cold can alleviate stiffness and pain.

5. Mind-body techniques: Practices like yoga, mindfulness, or meditation can help manage pain and improve overall well-being.

It is important to work closely with your healthcare provider to create a personalized treatment plan. If pain management strategies are not effective, discussing alternatives with your doctor can lead to better options.

I hope this information helps you.

Revert in case of queries.

Regards.