What exercises help manage non-radiographic spondyloarthritis?

Question

Hello doctor,

My friend, who is 36, was recently diagnosed with non-radiographic spondyloarthritis. She always complains of lower back pain, especially in the mornings. It gets better when she moves around. The doctor mentioned something about inflammation. Could that be causing the pain? She also feels very stiff, like her back is locked. What can she do to relieve it? Can this condition spread to her hips or knees too? Is it possible to stop the progression of the disease, or will it worsen with age? She is also worried about taking medications long-term. Are there any side effects? What type of exercise is safe for her to do? Should she see a physical therapist regularly?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Non-radiographic spondyloarthritis (nr-axSpA) is a form of inflammatory arthritis that primarily affects the spine and sacroiliac joints. The morning stiffness and lower back pain your friend experiences are due to inflammation in these areas. As the inflammation decreases with movement, the pain improves.

Regular physical activity is crucial to relieve stiffness. Stretching and strengthening exercises, along with activities like swimming or walking, help maintain mobility and reduce pain. A tailored physical therapy program to improve posture, flexibility, and spinal alignment can also be helpful, and a physical therapist can provide guidance on proper exercises. The progression of nr-axSpA varies from person to person. While the disease may worsen over time, early diagnosis and treatment can slow progression and help prevent severe joint damage.

Medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or biologics, may be used to manage inflammation. While long-term medication use can have side effects, such as gastrointestinal issues or a higher risk of infections, they are generally manageable under a doctor’s supervision. Encourage your friend to stay active, follow her treatment plan, and monitor any concerns with her healthcare provider for the best outcomes.

I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.