Does ankylosing spondylitis hurt?

Written by Li Jing
Rheumatology
Updated on September 28, 2024
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Ankylosing spondylitis primarily targets the axial joints, manifesting as a chronic autoimmune disease. The most common clinical symptoms include stiffness in the neck and pain in the lumbar and back regions, areas particularly associated with axial joint involvement, predominantly affecting the spine. Additionally, symptoms can also appear in areas outside of the joints, such as pain in the peripheral joints, heels, wrists, and shoulders. Moreover, some individuals may experience eye inflammation, including recurrent uveitis and corneal ulcers. While spinal pain, neck stiffness, and lumbar or back pain are the most commonly observed clinical manifestations, hip joint pain is also frequently noted.

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Written by Yang Ya Meng
Rheumatology
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How is ankylosing spondylitis treated?

The treatment of ankylosing spondylitis mainly consists of three types: The first is anti-inflammatory pain relief, primarily using non-steroidal pain relief medications, such as sustained-release diclofenac sodium tablets. The second is the selection of disease control medications, mainly involving drugs like sulfasalazine tablets. For ankylosing spondylitis, the most effective and economically expensive treatment is biological agents therapy. We commonly use drugs such as tumor necrosis factor antagonists. Patients with ankylosing spondylitis during acute pain periods are advised not to engage in intense exercise. However, during remission periods, appropriate functional exercises are recommended to prevent the adhesion and stiffness of spinal joints.

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Written by Li Jing
Rheumatology
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Ankylosing Spondylitis Exercise Methods

Ankylosing spondylitis is an autoimmune disease that primarily affects the axial joints and currently has no curative treatment. Its treatment includes general measures, medication, and surgery. General measures mainly involve abstaining from alcohol, quitting smoking, avoiding carbonated drinks and coffee, which can lead to osteoporosis. In addition, it is important to focus on exercise; functional exercises are a crucial part of its treatment. Regular activities such as swimming, walking, and running are recommended, and chest-expanding exercises can improve muscle rigidity. Moreover, it is advisable to sleep on a hard bed to keep the spine level. Swimming is the best form of exercise for patients with ankylosing spondylitis as it does not overload the joints while also enhancing the coordination and flexibility of the limb muscles.

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Written by Li Jing
Rheumatology
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Does ankylosing spondylitis spread by contagion?

Ankylosing spondylitis is a systemic autoimmune disease of unknown cause, primarily affecting the axial joints, mainly involving the sacroiliac joints, and commonly occurring in young and middle-aged males. The symptoms of this disease are severe, progress rapidly, and there is a genetic predisposition, but it is not a contagious disease and does not have infectivity. If a patient with ankylosing spondylitis also contracts another infectious disease, it is because the other disease is infectious, not because ankylosing spondylitis is. It belongs to autoimmune diseases and cannot be cured, but can only be managed with medication to delay the onset of joint deformity.

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Written by Li Jing
Rheumatology
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Does ankylosing spondylitis cause buttock pain?

Ankylosing spondylitis may cause buttock pain. It primarily affects the axial joints, and can be accompanied by extrarticular manifestations. This condition leads to stiffening and deformity of the spine, and it cannot be cured, only managed with medication to slow the progression of the disease, delay joint deformity, improve quality of life, and reduce disability rates. Its clinical manifestations vary widely, and its onset is often insidious. Men are more commonly affected and tend to experience more severe symptoms. The most common symptoms include stiffness in the neck or pain in the lumbar and back areas. However, some people may experience pain in the lower back, accompanied by morning stiffness, or alternating pain in the buttocks, or radiating pain from the groin to the lower limbs. This pain is often worse at night or after prolonged sitting, but symptoms can lessen after activity.

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Written by Yang Ya Meng
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What to do about ankylosing spondylitis pain?

The methods for treating pain in ankylosing spondylitis primarily include non-steroidal anti-inflammatory drugs, such as sustained-release diclofenac sodium tablets; secondly, biologics can be considered for pain relief, but before using biologics, it is necessary to rigorously rule out diseases such as hepatitis, tuberculosis, and tumors. During the painful periods of ankylosing spondylitis, patients are advised to rest appropriately to alleviate joint inflammation. However, after the pain subsides, it is recommended that patients engage in functional exercises to prevent complications such as further adhesion and stiffening of the spinal joints. (Specific medications should be taken under the guidance of a physician.)