Treatment of Ankylosing Spondylitis

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dr. simi paknikar
Medically Reviewed by dr. simi paknikar, MD
Last Updated on Sep 24, 2014
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Treatment of Ankylosing Spondylitis

Treatment of ankylosing spondylitis is aimed to relieve pain, preserve joint mobility and prevent deformity of the spine.

Treatment of ankylosing spondylitis includes:

Medical Treatment

  • Non-steroidal anti-inflammatory drugs (NSAIDS) are used to relieve pain.
  • Corticosteroid therapy such as prednisone reduces inflammation.
  • Tumor necrosis factor (TNF) inhibitors like etanercept, adalimumab, infliximab and golimumab can be used if painkillers, exercise and stretching are not enough to control the ankylosing spondylitis.
  • Disease modifying anti-rheumatic drugs (DMARDs) like sulfasalazine or methotrexate are prescribed if other joints in the body are affected.

Surgical Treatment

Surgical treatment comes into play when the joints are severely affected and the patient has no relief with medical treatment.

The types of surgery used in the treatment of ankylosing spondylitis are -

  • Joint replacement surgery - This is a surgical operation, where the affected joint is removed and replaced by suitable artificial joint structures.
  • Lumbar spinal osteotomy - This surgery is done to correct the permanently bent posture of the patient in advanced stages of ankylosing spondylitis.

Exercise / Physiotherapy

Exercise and physiotherapy is essential in reducing symptoms of patients with ankylosing spondylitis.

  • Physiotherapy - Physiotherapy is aimed to relieve pain, mobilize joints, minimize deformity and to regain fitness in individuals affected with ankylosing spondylitis.
  • Hydrotherapy - Hydrotherapy is a treatment where exercises are performed under water to relieve pain and to aid better movement.
  • Breathing exercises - Breathing exercises improve the lung capacity and help the person to breathe effectively and without any difficulty. It also aids in relaxation of both mind and body.
  • Spinal exercises - Spinal exercises help in better mobility of the lower back, chest and pelvic regions, and ease joint stiffness.
  • Hot packs - Specialized fabric packs are immersed into hot water of moderate and bearable temperature and are placed over the painful areas to relieve pain.

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tutu22

I am 67 years of age now, when I turned 60 I suddenly started get stiff in my lower limbs and my right hip joint would pain if I sat in one place long or when I used to drive for 2/3 hours at a stretch. Just after my 63rd birthday I fell ill with very high temperature going upto 103 for almost 3/4 days and had to be moved to a hospital, even after all the possible tests nothing came out but I had excruciating pain in my body below the hips and could not even walk without help. After consulting a lot of doctors and research institutions I was discovered with AS condition. After trying all the allopathic medicines in the World finally one Ayurvedic 'Pudia' to start the day with warm water, that I got from a hakim in Murthal sitting at a Dhabba "Ahuja No-1" by the name of Vijay Rohila 09896732553, has turned my life into a new World, not only me I have now started giving to anybody, free of cost, who complains of such a problem and hundreds have started thanking me for it. Trying as a last resort does not cost too much it might turn your life aswell!!

ravishah20

I am 19 year old, but my father's friend suffering from this problem that's why i have great knowledge of this. This AS is very slowly growth . u does not know your growth is where rich in your body that why i suggest to you must do swimming and tack medicine INDOCAP-SR, or DONICA-SR and you must tack care of your spine and at night you never tack cousin below the your head, if u ignore this then your spine will damage rapidly.

i am 27yrs of age...n have been diagnosed AS 4yrs back. i am taking Sulfasalazine regularly but the stiffness is increasing day by day....now i m having problem in breathing...i cant sleep properly and the capacity to do work is decreasing day by day..... Due to that pain some times i felt fever,fatigue,nausea.I have the pain in lumber,hip region,shoulder,chest pain,both legs and extreme pain in neck. And intake of medicines is causing gastroenteritis. please suggest something that can be more helpful..and how good is steam cell treatment.

nash21

hello, i m 4m pune. I am suffering by AS from last 8 years. I had concerned rheumatologist they had given me endomethacin tablets.Rite now i am taking the endomethacine medicines, physiotherapy and also doing the excersize regularly,but from last 3 months I have extream pain and I cant sleep properly in night for more than 3 hours. My age 24. I have the pain in lumber,hip region,shoulder,chest pain,both legs and extream pain in neck. Due to that pain some times i felt fever,fatigue,nausea. So please refer me something that will be helpful for me,so i will get pain relief. Thanks

patelcd

hi, came 2 know abt ur problem, i m patel c d, frm aurangabad practicing pranic healing, doing treatment on a person age 40 since 6 mnths, he is feeling better now, i suggest u 2 find a pranic healer in pune and get treated from them also...

You are young to have ankylosing spondylitis this severe. Other drug options may not be any easier on you. Many patients find measurable relief from yoga or Pilates. Also many patients find some relief from omega e fatty acids.

Rusty


Nida_28

hi i m Nida...i m a patient of A.S.doctors suggest me to the surgery of hip joints replacment.i want to know that is it harmfull for me?my age is 25 now...

guest

your age is only 25y.i suggest dat u go 2 the physiotherapy rehabilitation and do ex. regurely.

I m also a sufferer of AS since past 5 years.I had a very bad condition I started swimming and it helped Me a lot.also dont do the surgery if it is not needed as I consulted it from a doctor.becoz ur age is still less increase ur span as much as u can and then do it when it is unbearable.it is a frank opinion

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