How to manage ankylosing spondylitis associated pain?

Question

Hello doctor,

I am a 32-year-old woman, and I have been dealing with ankylosing spondylitis for about a year now. I am currently on medication, taking Etanercept to manage my symptoms, but I am still experiencing significant stiffness and pain in my lower back, especially in the mornings. I am concerned about the long-term impact on my mobility and whether my treatment plan needs adjusting. Could you advise on managing the inflammation and pain more effectively, as well as any lifestyle changes or physical therapy options that could help improve my condition and prevent further joint damage?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Since you are on Etanercept, a biologic that targets the immune system to reduce inflammation, it is effective but may take some time to reach optimal results.

If you are still experiencing pain and stiffness, need to review your treatment plan with your doctor to see if adjustments are needed, such as adding or switching medications. In addition to medication, physical therapy can be crucial for managing stiffness and improving flexibility, but be gradual with those.

Regular stretching and strengthening exercises focused on your spine, hips, and lower back can help reduce pain and maintain mobility. Consider working with a therapist to create a tailored exercise routine.

Incorporate lifestyle changes, such as staying active with low-impact activities, like swimming or walking, maintaining good posture, and using heat or cold therapy to manage flare-ups. These steps can improve both your pain management and mobility over time.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.