What are the best ways to manage ankylosing spondylitis?

Question

Hello doctor,

My 28-year-old brother was recently diagnosed with ankylosing spondylitis, and it has been heartbreaking to see how much it is affecting him. He used to be active, energetic, and full of life, but now the pain and stiffness in his back are slowing him down, mornings are especially difficult, as he struggles to get out of bed. On top of that, the fatigue is taking a toll on him.

What steps can we take to help him manage the pain and stiffness?
Are there treatments available that can slow the progression of this disease and support him in maintaining his active lifestyle?

I just want to see him feel like himself again.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

I am sorry to hear about your brother's diagnosis. Ankylosing spondylitis can be challenging, but there are ways to help him manage his symptoms and maintain an active lifestyle.

Consult with a rheumatologist: He must have a specialist who can provide tailored treatment options, including medications and therapies.

Medications:

NSAIDs: Nonsteroidal anti-inflammatory drugs can help reduce pain and stiffness.
Biologics: Medications like TNF inhibitors or IL-17 inhibitors can help slow disease progression and reduce symptoms.
DMARDs: Disease-modifying antirheumatic drugs may be recommended if he has peripheral arthritis.

Physical therapy: A physical therapist can develop a customized exercise program focusing on flexibility, posture, and strengthening core muscles, which can alleviate pain and stiffness.

Regular exercise: Encourage gentle activities like swimming, walking, or cycling. Regular movement can help improve mobility and reduce stiffness.

Heat and cold therapy: Applying heat can ease morning stiffness, while cold packs can help with inflammation after activity.

Healthy lifestyle: A balanced diet, adequate hydration, and good sleep hygiene can help manage fatigue and overall health.

Support groups: Connecting with others who have AS can provide emotional support and practical advice.

Mind-body techniques: Practices like yoga, tai chi, or meditation can help manage pain and reduce stress.

Encourage your brother to discuss these options with his healthcare team to find a comprehensive plan that works for him. Your support and understanding will also make a big difference in his journey.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.