Can biologic therapy help manage spondyloarthritis?

Question

Hi doctor,

I am a 33-year-old woman with non-radiographic axial spondyloarthritis. Lately, I have been experiencing increased stiffness and pain in my lower back and hips, especially in the morning. Does this suggest my condition is worsening? I am curious about the potential benefits of starting biologic therapy. Are there any exercises or stretches you would recommend to help me in alleviating my symptoms and improve my overall mobility?

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com

I can understand your concern. Increased stiffness and pain, particularly in the morning, can be common in axial spondyloarthritis and might indicate a flare or worsening of your condition. It is essential to discuss these changes with your rheumatologist, who can evaluate your symptoms and consider whether biologic therapy might be appropriate for you. Biologics can help reduce inflammation and improve symptoms for many patients with axSpA.

For managing symptoms and improving mobility, incorporating regular exercises and stretches is beneficial. Here are some general recommendations:

Exercises:

Gentle aerobic exercise: Activities like walking, swimming, or cycling can improve overall fitness and help reduce stiffness.
Strength training: Focus on strengthening core muscles to support your spine. Bodyweight exercises, resistance bands, or light weights can be effective.

Stretches:

Knees-to-chest stretch: Lying on your back, bring your knees toward your chest to relieve lower back tension.
Cat-cow stretch: On hands and knees, alternate between arching your back (cat) and lowering it (cow) to improve spinal flexibility.
Hip flexor stretch: Lunging forward with one leg while keeping the other knee on the ground can help stretch the hip flexors.

Consider practicing good posture and ergonomic setups at work. Engage in activities that promote movement throughout the day. Always consult with your healthcare provider or a physical therapist before starting any new exercise program to ensure it is safe and suitable for your condition. They can provide personalized recommendations based on your specific needs.

Hope I have solved your query. I will be happy to help you further.

Thank you.