How can one manage non-radiographic spondylar arthritis?

Question

Hello doctor,

I have just been diagnosed with something called non-radiographic spondyloarthritis. I am 57 years old and am a bit confused about what to do next. I have had all kinds of advice thrown at me from people around me. Some say physiotherapy is enough, and others talk about medications or lifestyle changes. It is overwhelming. What is the best way to go about treating this? I do not want to end up trying random things without understanding what will help. The stiffness and pain have been a real burden, especially in the mornings, and it is affecting my day-to-day life. Should I be focusing on specific exercises, or are there medications that work better?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I understand that receiving a diagnosis like non-radiographic spondyloarthritis can be confusing and overwhelming.

Here is a breakdown of how to approach managing your condition:

1. Rheumatologist: If you have not already, it is crucial to see a rheumatologist. They specialize in inflammatory conditions and can tailor a treatment plan for you.

2. NSAIDs: NSAIDs (non-steroidal anti-inflammatory drugs) can help reduce pain and inflammation.

3. DMARDs: DMARDs (disease-modifying antirheumatic drugs) may be considered, especially if your symptoms are persistent.

4. Biologics: In more severe cases, biologic medications can target specific inflammatory pathways.

5. Tailored exercises: A physical therapist can design a specific exercise program focusing on flexibility and strengthening, which can alleviate stiffness and improve mobility. Regular exercise is essential, especially in the mornings.

6. Posture and alignment: Learning proper posture techniques can help reduce strain on your spine and joints.

7. Regular exercise: Low-impact activities like swimming, walking, or cycling can help maintain joint function.

8. Diet: An anti-inflammatory diet rich in fruits, vegetables, whole grains, and healthy fats may help manage symptoms.

9. Weight management: Keeping a healthy weight reduces stress on your joints.

10. Heat and cold therapy: Using heat pads or cold packs can provide relief for stiffness and pain.

11. Mindfulness and relaxation techniques: Practices such as yoga or meditation may help manage pain and improve overall well-being.

12. Keep regular follow-ups with your rheumatologist to monitor your condition and adjust your treatment as needed.

Start with a rheumatologist to establish a solid medication plan, incorporate physical therapy for guided exercises, and focus on lifestyle changes that support your overall health. Avoid jumping into random treatments without professional guidance, as a structured approach will yield the best results for managing your symptoms.

I hope this information helps you.

Revert in case of queries.

Regards.