Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) — such as ibuprofen (Advil, Motrin IB, others). These medications can relieve pain and stiffness
If NSAIDs aren’t helpful, your doctor might suggest starting a tumor necrosis factor (TNF) blocker or an interleukin-17 (IL-17) inhibitor. These drugs are injected under the skin or through an intravenous line.
Therapy
Physiotherapy is an important part of treatment and can provide a number of benefits, from pain relief to improved strength and flexibility.
You will be taught
- Range-of-motion and stretching exercises
- Strengthening exercises for abdominal and back muscles
- Proper sleeping and walking positions
Surgery
Most people with ankylosing spondylitis don’t need surgery. Surgery may be recommended if you have severe pain or if a hip joint is so damaged that it needs to be replaced
Lifestyle and home remedies
Lifestyle choices can also help manage ankylosing spondylitis.
- Stay active: Exercise can help ease pain, maintain flexibility and improve your posture. Obesity and excess weight puts pressure on joints and bones, so exercises help to maintain your weight.
- Don’t smoke: If you smoke, quit.
- Practice good posture: Practicing standing straight in front of a mirror can help you avoid some of the problems associated with ankylosing spondylitis
Remember that even if you have AS and are experiencing only mild symptoms, which you are able to manage well, it is important to see your rheumatologist once a year in order to detect and treat any underlying complications.