What is the best way to manage ankylosing spondylitis?

Question

Hello doctor,

My 38-year-old husband was diagnosed with ankylosing spondylitis last year, and it has been heartbreaking to watch him live with constant pain and stiffness. His back and neck often feel like they belong to someone much older. This condition is affecting his mobility, sleep, and even his mood. We have tried different treatments, but the pain never fully goes away, and the flares seem to come out of nowhere. Is there a better way to manage this condition so he can get back to living without the constant fear of pain? We are looking for treatments that offer real relief without causing more side effects.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I am really sorry to hear about what your husband is going through. Ankylosing spondylitis (AS) can be particularly challenging to manage, but there are various strategies and treatments that might help improve his quality of life.

Physical therapy: A tailored physical therapy program can be crucial. It focuses on improving flexibility, posture, and strength, which can help manage pain and maintain mobility.
Regular exercise: Engaging in regular low-impact exercise, such as swimming, yoga, or walking, can be beneficial. These activities help reduce stiffness and improve overall fitness.
Medications: While non-steroidal anti-inflammatory drugs (NSAIDs) are common first-line treatments, biologics (such as tumor necrosis factor (TNF) inhibitors) have shown great effectiveness in reducing inflammation and managing pain for many people with AS. It is important to discuss potential options with a rheumatologist.
Dietary changes: Some patients find relief by adopting an anti-inflammatory diet. Foods rich in omega-3 fatty acids (such as fish and flaxseeds), fruits, vegetables, and whole grains can help reduce inflammation.
Mind-body techniques: Practices like mindfulness, meditation, and cognitive-behavioral therapy can help manage pain and improve mental well-being.
Alternative therapies: Some patients report benefits from acupuncture or chiropractic care, though it is important to ensure that practitioners are experienced with AS.
Support networks: Connecting with others who understand what he is going through can provide emotional support and practical tips.

It is essential to work closely with his healthcare team to find a comprehensive plan that addresses his specific symptoms and lifestyle. Regular follow-ups and adjustments to the treatment plan may be necessary as his condition changes.

Take care and follow up with the investigations.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.