How is ankylosing spondylitis treated?

Written by Yang Ya Meng
Rheumatology
Updated on December 01, 2024
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The treatment of ankylosing spondylitis mainly consists of three parts: The first part is anti-inflammatory and pain relief. For anti-inflammatory pain relief, non-steroidal pain relief medications are commonly chosen, such as slow-release diclofenac sodium tablets and celecoxib capsules. The second part involves the selection of medications to control the disease. Common drugs used to control the condition include sulfasalazine, thalidomide, and methotrexate tablets. The third part includes the most effective, yet most expensive, treatment option: biological agents. Common biological agents used are tumor necrosis factor antagonists. However, before using biological agents, strict screening for diseases such as hepatitis, tuberculosis, and cancer is required. Only after excluding these conditions can the treatment with biological agents be considered.

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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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Can people with ankylosing spondylitis have children?

Firstly, ankylosing spondylitis is an autoimmune disease and is chronic. This disease cannot be cured; rather, it is managed long-term through medications to alleviate symptoms, control the progression of the condition, and delay the onset of joint deformities, which is the main purpose of treatment. This disease is not hereditary, but there is a clear phenomenon of familial aggregation. For instance, if one or both parents have it, the incidence in their children is over 50%. Patients with ankylosing spondylitis can have children, but there is a very high probability that their children will also suffer from the disease. Additionally, it is advised not to conceive while on medication during the treatment period; one must stop taking the medication for more than three months before considering pregnancy.

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Written by Guan Jing Tao
Orthopedics
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How to exercise with ankylosing spondylitis

In the early stages of ankylosing spondylitis, when the impact on the sacral and other joints is minimal, normal activities such as swimming and jogging are acceptable. However, in the later stages of ankylosing spondylitis, as the disease progressively affects the sacral, hip, and knee joints, it becomes necessary to adjust the exercise regimen, mainly focusing on walking. It is important to avoid localized exposure to the cold and to take oral medications that nourish the joint cartilage. Daily local heat therapy for the joints or appropriate acupuncture can also help to some extent in delaying the erosion and damage of the joints by ankylosing spondylitis.

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Written by Li Jing
Rheumatology
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How is ankylosing spondylitis diagnosed?

Ankylosing spondylitis is an autoimmune disease that cannot be cured but can be managed primarily through medication. Its main typical symptoms include stiffness in the neck or pain in the lower back, with the pain becoming more apparent when at rest or after sitting for a long time. Symptoms tend to improve with movement. A typical occurrence is pain that awakens the patient at night. Peripheral joints like the knee joint and heel can also be affected. However, the main symptoms are stiffness in the neck and pain in the lower back. Diagnosing ankylosing spondylitis requires combining symptoms with a positive B27 blood test result, and imaging tests such as CT or MRI of the sacroiliac joints, showing signs of sacroiliitis, narrowing or damage in the sacroiliac joint space, to confirm the diagnosis.

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Written by Na Hong Wei
Orthopedics
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Can ankylosing spondylitis be cured?

Based on the current situation, it is very difficult to cure ankylosing spondylitis. Ankylosing spondylitis is a chronic disease primarily affecting the spine. It mainly involves the sacroiliac joints and spine, eventually causing spinal stiffness and restricted movement. Additionally, it can cause varying degrees of damage to multiple organs such as the eyes, lungs, cardiovascular system, and kidneys. Ankylosing spondylitis is commonly referred to as AS, where 'A' stands for fusion and 'S' for spine, hence the term means spinal fusion. Currently, the cause of the disease is unknown, and there are no specific clinical treatments. The basic treatment principle involves alleviating pain, preventing spinal deformities, and strengthening the back muscles. Typically, conservative treatment is used during the early or middle stages, while surgical correction may be considered in the later stages when significant spinal deformities occur. Generally, ankylosing spondylitis is very difficult to cure.