Ankylosing Spondylitis

Ankylosing Spondylitis (AS) is a chronic, progressive inflammatory arthritis that primarily affects the spine and sacroiliac joints. Over time, inflammation can lead to stiffness, pain, and fusion of the spinal vertebrae, resulting in reduced flexibility and a stooped posture. It may also involve other joints, eyes, and organs.

Our center provides comprehensive management for Ankylosing Spondylitis through an integrated, evidence-based approach that combines medical therapy, physiotherapy, lifestyle modification, and patient education to relieve symptoms and maintain spinal mobility.

Our Approach

Effective management of Ankylosing Spondylitis focuses on controlling inflammation, relieving pain, and preserving spinal movement. Our approach includes:

• Accurate diagnosis using blood tests (HLA-B27), imaging (X-ray/MRI), and clinical evaluation

• Tailored treatment plans according to disease severity and patient needs

• Regular monitoring for disease progression and treatment response

• Rehabilitation to maintain posture and flexibility

Symptoms We Manage

• Chronic pain and stiffness in the lower back and hips, especially in the morning or after inactivity

• Pain that improves with exercise but worsens with rest

• Reduced spinal mobility and flexibility

• Stooped or forward-bent posture

• Fatigue and general discomfort

• Joint pain in shoulders, hips, or knees

• Eye inflammation (uveitis) in some cases

Treatment Options

Medical Management

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): First-line therapy to reduce pain and inflammation

• Disease-Modifying Antirheumatic Drugs (DMARDs): For peripheral joint involvement

• Biologic Agents (Anti-TNF or Anti-IL-17 drugs): Targeted therapies for moderate to severe disease

• Corticosteroid Injections: For localized pain relief in affected joints

• Regular monitoring: To assess medication response and manage side effects

Physiotherapy and Rehabilitation

• Postural correction exercises to maintain upright alignment

• Stretching and strengthening exercises for spine, hips, and shoulders

• Deep breathing exercises to preserve chest expansion

• Hydrotherapy and aerobic conditioning for flexibility and endurance

• Ergonomic and functional training for daily activities

Lifestyle and Supportive Management

• Education about self-management and long-term condition awareness

• Regular physical activity, including swimming and yoga

• Smoking cessation, as smoking can worsen spinal fusion and lung function

• Nutritional counseling for weight management and bone health

• Stress management and psychological support

Our Multidisciplinary Ankylosing Spondylitis Care Team

Our team includes:

• Rheumatologists and spine specialists

• Physiotherapists specialized in musculoskeletal rehabilitation

• Occupational therapists

• Pain management specialists

• Nutritionists and counselors

This collaborative approach ensures comprehensive and continuous care tailored to every patient’s needs.

Goals of Ankylosing Spondylitis Management

Our objectives are to:

• Relieve pain and stiffness

• Control inflammation and prevent spinal fusion

• Maintain posture, flexibility, and joint function

• Enhance lung capacity and overall fitness

• Improve quality of life through education and empowerment