Rheumatologist Questions Ankylosing Spondylitis

Anything I can do for ankylosing spondylitis?

My doctor said that the pain in my back was due to ankylosing spondylitis, but has only given me NSAIDs for treatment. I still have pain in my back. Do you think I can also benefit from physical therapy?

3 Answers

Thank you for your question. Ankylosing spondylitis is a condition that can cause inflammatory back pain because of inflammation involving the sacroiliac joints. Additionally, the condition condition can progress and involve the lower back, mid back, and sometimes the cervical spine. The condition can be associated with extra-articular manifestations, including anterior uveitis or eye inflammation. Patience with psoriasis or inflammatory bowel disease can develop enclosing spondylitis or certainly a condition mimicking that If the patient with ankylosing spondylitis does not respond to a trial of two non-steroid anti-inflammatory drugs, it is generally felt that the next step would be the addition of an anti-TNF biological therapy, these medicines include, Humira, Remicade, CIMZIA, and SIMPONI. Additionally, other medication can be considered for treatment, including drugs, like TALTZ, and COSENTYX as well as Jack inhibitors like XELJANZ and RINVOQ. I want to emphasize that we can treat this condition so much better because of these newer medications. Importantly, I would advise you to see your rheumatologist and ask about the medication's that I have listed Best wishes and I hope you feel better.
Hi, You may need treatment with medication to manage the underlying autoimmune disease, in addition to gaining better comntro; of the inflammation. A full work-up of the condition is warranted for sure. D. Lynch
I do think physical therapy is appropriate and very helpful for ankylosing spondylitis but this should be managed with a Rheumatologist.