What is the treatment for ankylosing spondylitis?

Question

Hi doctor,

I am a 33-year-old woman with ankylosing spondylitis. The pain is unbearable some days. I have already had hip surgery, and they were talking about fusing part of my spine. I am terrified of becoming immobile. I am a dance teacher but had to stop working. The medicines help a bit, but the side effects are awful. Are there any new treatments? I have heard about biologics - are they worth trying? Also, I am worried about having kids someday. Is it safe to get pregnant with this condition? Any advice on managing the pain naturally? I am tired of taking so many pills.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I want to reassure you that there are options, including newer treatments and natural pain management strategies, that may help improve your quality of life.

Biologics: These medications target specific parts of your immune system to reduce inflammation and can slow the progression of ankylosing spondylitis. You must discuss this with your rheumatologist. Regarding pregnancy, many women with ankylosing spondylitis go on to have healthy pregnancies. It is important to work closely with both your rheumatologist and an obstetrician. Some medications for ankylosing spondylitis, including certain biologics, are considered safe to use during pregnancy, but others may need to be adjusted or stopped.
Gentle movement is important for mobility and reduces stiffness including stretching.
Hot and Cold Therapy: Heat can help relax stiff muscles and reduce pain, while cold packs can reduce inflammation. Many people with ankylosing spondylitis find alternating heat and cold therapy to be useful, particularly during flare-ups.
A diet rich in anti-inflammatory foods, like omega-3 fatty acids, leafy greens, and whole grains, can help reduce inflammation in the body. Avoiding processed foods, sugar, and excessive alcohol may also help control.

A physical examination by your doctor is essential.

I hope this information will help you.

Thanks.