Ankylosing Spondylitis; Symptoms, Treatments, Causes And More

Primary Goals Of Treating AS

According to the American College of Rheumatology (ACR), the primary goals of treatment are to "reduce symptoms, maintain spinal flexibility and normal posture, reduce functional limitations, maintain workability, and decrease disease complications." Doctors recommend non-steroidal anti-inflammatory drugs (NSAIDs) as the first line of defense. Analgesics like opioids and acetaminophen are prescribed when NSAIDs do not circumvent tolerable pain. Anti-rheumatic drugs may also be included in the treatment protocol. Anti-TNF medications may be used in patients whose disease is resistant to other treatment with NSAIDs and physical therapy. Physiotherapy involves practicing stretching techniques, learning how to protect the affected joints and deep tissue massage as well as the use of alternating hot and cold compresses. Muscle performance with an increase in strength and mobility is emphasized.

Nutrition And Things To Avoid

Individuals with AS have a higher risk of developing osteoporosis which leads to bone thinning and subsequent risk for bone fractures. Alcohol should be avoided, as it may interfere with calcium and other nutrient absorption. Calcium intake should be adequate to support new bone formation. Calcium needs vary from person to person and can be determined by a medical care provider. Vitamin D is also an essential nutrient for proper absorption of calcium. Consuming a well-balanced diet that includes plenty of fruits, vegetables, and whole-grain products. Since AS is an inflammatory disease, eliminating or minimizing processed food from the diet is essential as well since these foods often contribute to inflammation.