How to manage non-radiographic axial spondyloarthritis?

Question

Hi doctor,

I have been diagnosed with non-radiographic axial spondylarthritis, and I am struggling with the chronic back pain and stiffness it causes. Since it does not show up on X-rays, I sometimes feel like people do not take my condition seriously, but the pain is real.

What treatments are available to help manage the inflammation and improve my mobility?
Are there lifestyle changes or specific exercises that could help reduce the symptoms and possibly prevent progression to full ankylosing spondylitis?

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

In non-radiographic axial spondyloarthritis (nr-axSpA), the goal is to control inflammation, alleviate pain, maintain mobility, and reduce the long-term effects of inflammation and aging on the joints and spine to help prevent progression to ankylosing spondylitis (AS).

Treatment options:

Medications for inflammation and pain will reduce both inflammation and pain.
Biologics may be advised if NSAIDs do not provide enough relief. These medications target specific immune pathways involved in the inflammation process and have shown benefits in reducing symptoms and potentially slowing disease progression.
Gentle exercises that stretch the spine, hips, and shoulders can help alleviate stiffness.
Smoking is linked to a faster progression of spondyloarthritis to AS, so quitting can be one of the best preventive steps.
Maintaining good posture while sitting, standing, and sleeping can help minimize strain on the spine.
Adopt an anti-inflammatory diet.
Applying warmth to the lower back or stiff areas can help relax muscles and improve circulation.
Use cold packs if there is a flare-up with swelling or sharp pain, as they can help reduce inflammation.
Regular follow-ups should be done with an orthopedic specialist.

Regular follow-ups should be done with an orthopedic specialist.

Hope I have solved your query. I will be happy to help you further.

Thank you.