Ankylosing spondylitis is a chronic inflammatory disease of the attachment points between tendons, ligaments, or capsule and bone. It causes arthritis of the joints, mainly the spine and pelvis (sacroiliac joints). Ankylosing spondylitis can also cause inflammation of the eyes, lungs, or heart valves.
In severe cases, new bone may develop between the spinal bones. This can cause some areas of the spine to fuse. This fusion will decrease the flexibility and movement of the spine.
There is no cure for ankylosing spondylitis. Treatment is aimed at providing education and relieving the symptoms.
Treatments may include:
Medication may help to control pain and inflammation. They may include:
Over-the-counter medication such as nonsteroidal anti-inflammatory drugs (NSAIDs)
Prescription medication that suppresses the inflammation such as:
Disease-modifying antirheumatic drugs (DMARDs)
Tumor necrosis factor (TNF)-inhibitors
Physical therapy may help prevent progression and worsening of symptoms. Treatment may include:
Learning proper posture and the best positions for sleeping
Exercise program that includes:
Abdominal and back exercises (to decrease back stiffness and maintain good posture)
Breathing exercises (in cases where the rib cage is affected)
In severe cases,
hip or joint replacement
surgery may be needed. It will be done to relieve pain and help you move around easier. In some instances, spinal surgery is needed to allow an upright posture.
Ankylosing spondylitis. Spondylitis Association of America website. Available at: http://www.spondylitis.org/About-Spondylitis/Ankylosing-Spondylitis. Accessed November 10, 2017.
Ankylosing spondylitis. University of Washington Orthopedics and Sports Medicine Department website. Available at: http://www.orthop.washington.edu/?q=patient-care/articles/arthritis/ankylosing-spondylitis.html. Accessed November 10, 2017.
10/2/2009 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T143424/Ankylosing-spondylitis: FDA approves new drug to treat psoriasis. US Food and Drug Administration website. Available at: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm183851.htm. Updated April 17, 2013. Accessed December 17, 2014.
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