Ankylozujące zapalenie stawów kręgosłupa
Zapobieganie i profilaktyka

Ankylozujące zapalenie stawów kręgosłupa (ZZSK) to przewlekła, zapalna spondyloartropatia osiowa, charakteryzująca się zapaleniem kręgosłupa i stawów krzyżowo-biodrowych, prowadzącą do sztywności, bólu i potencjalnych deformacji kręgosłupa. Diagnostyka opiera się na kryteriach ASAS, rozróżniających radiograficzną i nieradiograficzną postać osiowej spondyloartropatii, a wczesne rozpoznanie, zwłaszcza u pacjentów z bólem pleców trwającym ponad 3 miesiące przed 45. rokiem życia i dodatkowymi kryteriami klinicznymi, jest kluczowe dla skutecznego leczenia. Leczenie farmakologiczne obejmuje przede wszystkim ciągłe stosowanie NLPZ w dawce terapeutycznej przez minimum 4 tygodnie, a w przypadku nieskuteczności – terapię inhibitorami TNF-α. Czynniki ryzyka progresji choroby to m.in. podwyższone CRP, obecność syndesmofitów, palenie tytoniu oraz długi czas trwania choroby.

Wprowadzenie do Ankylozującego Zapalenia Stawów Kręgosłupa

zapalenie stawów kręgosłupa” class=”to-tag” data-termid=”115056″>Ankylozujące zapalenie stawów kręgosłupa (ZZSK) to przewlekła choroba zapalna dotycząca głównie kręgosłupa i stawów krzyżowo-biodrowych, która może prowadzić do znacznych deformacji kręgosłupa i niepełnosprawności. Jest to rodzaj zapalenia stawów, które powoduje sztywność i bolesność kręgosłupa, klatki piersiowej i szyi.123

ZZSK to choroba o podłożu genetycznym, której nie można całkowicie zapobiec. Przyczyny nie zostały jeszcze jednoznacznie wyjaśnione, ale znaczący wpływ genów jest pewny. W rozwoju choroby wydają się odgrywać rolę zarówno czynniki genetyczne, jak i środowiskowe.4567

Chociaż nie ma znanego sposobu na zapobieganie ZZSK, wdrożenie zdrowych zmian w stylu życia może pomóc zapobiec lub opóźnić wystąpienie objawów. Co więcej, wczesna diagnoza i odpowiednie leczenie mogą pomóc spowolnić postęp choroby, zmniejszyć ryzyko powikłań i pomóc w utrzymaniu dobrej jakości życia.89

Znaczenie wczesnej diagnozy i leczenia

Wczesna diagnoza i odpowiednie leczenie ZZSK są kluczowe dla zapobiegania lub opóźniania rozwoju choroby oraz zmniejszania ryzyka trwałych uszkodzeń stawów. Nie czekaj na pogorszenie objawów przed wizytą u lekarza – im wcześniej rozpoczniesz leczenie, tym lepsze mogą być wyniki.1011

Nowe kryteria klasyfikacyjne opracowane przez Międzynarodowe Towarzystwo Oceny Spondyloartropatii (ASAS), które rozróżniają radiograficzną spondyloartropatię osiową (SpA) od nieradiograficznej osiowej spondyloartropatii (nr-axSpA), prawdopodobnie przyczynią się do osiągnięcia celu, jakim jest wcześniejsze rozpoczęcie leczenia, aby zapobiec utracie funkcji.12

Około 10 lat temu opublikowano nowe wytyczne, które pozwalają lekarzom na wcześniejszą diagnozę pacjentów. Im wcześniej zostanie postawiona diagnoza, tym szybciej można rozpocząć leczenie, które może pomóc złagodzić objawy, zmniejszyć stan zapalny i prawdopodobnie zapobiec trwałemu uszkodzeniu stawów.13

Wszystkim pacjentom z podejrzeniem osiowej spondyloartropatii, którzy mieli bóle pleców przed 45. rokiem życia trwające dłużej niż trzy miesiące, zaleca się skierowanie do reumatologa, jeśli występują u nich również co najmniej cztery z następujących kryteriów: ból pleców występujący przed 35. rokiem życia; budzenie się w nocy w celu złagodzenia objawów; ból pośladków; złagodzenie bólu podczas ruchu lub w ciągu dwóch dni od przyjęcia NLPZ; występowanie spondyloartropatii u członka rodziny pierwszego stopnia; lub obecne lub wcześniejsze zapalenie stawów, zapalenie przyczepów ścięgnistych lub łuszczyca.14

Utrzymanie aktywności fizycznej i ćwiczenia

Regularna aktywność fizyczna jest jednym z najważniejszych aspektów profilaktyki i zarządzania ZZSK. Ćwiczenia mogą pomóc w poprawie postawy i zakresu ruchu kręgosłupa, zapobiegając jego usztywnieniu i bolesności.1516

Fizjoterapia jest kluczowym elementem leczenia ZZSK. Wszyscy pacjenci ze zdiagnozowaną osiową spondyloartropatią powinni zostać skierowani do specjalisty w celu udziału w ustrukturyzowanym programie ćwiczeń.171819

Zalecane rodzaje ćwiczeń

Idealny program ćwiczeń dla osób z ZZSK powinien zawierać następujące elementy:2021

  • Rozciąganie – może poprawić elastyczność i zmniejszyć sztywność mięśni, obrzęk i ból. Może również zminimalizować ryzyko zrostu stawów.
  • Ćwiczenia wzmacniające – pomagają utrzymać siłę kręgosłupa i mięśni brzucha.
  • Ćwiczenia aerobowe – poprawiają ogólną kondycję i wydolność organizmu.
  • Ćwiczenia równoważne – pomagają w utrzymaniu stabilności.
  • Ćwiczenia wykonywane w ciepłej wodzie (hydroterapia) – mogą być szczególnie korzystne.

222324

Rekomendowane są aktywne interwencje, takie jak nadzorowane ćwiczenia, zamiast interwencji pasywnych, takich jak masaż, ultradźwięki i ciepło.25

Programy ćwiczeń o łagodnym charakterze, takie jak joga, mogą być korzystne dla ZZSK, ponieważ zawierają elementy rozciągania.26

Regularne ćwiczenia mogą poprawić siłę, wytrzymałość i elastyczność. Pomimo że regularne ćwiczenia nie zapobiegną ZZSK, mogą pomóc w zwiększeniu siły, wytrzymałości i elastyczności.2728

Znaczenie utrzymania prawidłowej postawy

Prawidłowa postawa ciała jest kluczowa dla osób z ZZSK, ponieważ choroba może wpływać na kręgosłup. Jednym z najlepszych sposobów radzenia sobie z ZZSK jest dbanie o prawidłową postawę, utrzymując głowę uniesioną, barki wyrównane i prosty kręgosłup podczas siedzenia, stania lub chodzenia. Taka postawa może pomóc zmniejszyć napięcie i naprężenie kręgosłupa, co z kolei może złagodzić niektóre objawy związane z ZZSK.2930

Należy być świadomym swojej postawy podczas siedzenia, stania, a nawet leżenia. Ciało powinno być prawidłowo ułożone, ale jednocześnie luźne i elastyczne.31

Warto wstawać i poruszać się, jeśli przez dłuższy czas siedziało się lub stało w jednej pozycji (na przykład w pracy lub podczas podróży).32

Modyfikacje stylu życia i diety

Zaprzestanie palenia tytoniu

Palenie tytoniu zostało zidentyfikowane jako istotny czynnik ryzyka wystąpienia i progresji ZZSK. Jeśli masz ZZSK i palisz, rzucenie palenia byłoby jedną z najlepszych rzeczy, jakie możesz zrobić dla swojego zdrowia.3334

Pacjenci powinni zostać poinformowani i zachęceni do zaprzestania palenia, ponieważ palenie papierosów jest niezależnym czynnikiem ryzyka progresji radiologicznej ZZSK.35

Palenie nie tylko pogarsza objawy ZZSK, ale również zwiększa ryzyko związanych z nim powikłań. Zaprzestanie palenia poprawia także ogólny stan zdrowia.3637

Utrzymanie zdrowej wagi

Badania wykazały, że zarówno niedowaga, jak i otyłość mogą nasilać objawy u osób z ZZSK.38

Stowarzyszenie ds. Spondyloartropatii w Ameryce zauważa, że utrzymanie umiarkowanej wagi jest ważne dla osób z ZZSK, ponieważ nadmierna waga obciąża kości i stawy organizmu. Może to nasilić objawy.39

Dieta przeciwzapalna

Pokarmy, które spożywasz, mogą pomóc zapobiegać lub przyczyniać się do stanu zapalnego w organizmie. Przyjęcie diety przeciwzapalnej może pomóc zmniejszyć stan zapalny w organizmie. Pokarmy w tym typie diety są podobne do tych w diecie śródziemnomorskiej.4041

Pomocna może być dieta bogata w owoce i warzywa oraz uboga w przetworzoną żywność, aby zmniejszyć stan zapalny i ból.42

Następujące produkty mogą pomóc zmniejszyć stan zapalny:43

  • Produkty bogate w kwasy tłuszczowe omega-3, takie jak ryby tłuste, orzechy i nasiona
  • Pełne ziarna
  • Produkty bogate w wapń dla wzmocnienia kości
  • Produkty bogate w witaminę D

Następujące produkty mogą nasilać stan zapalny i pogarszać objawy ZZSK:44

  • Produkty o wysokiej zawartości soli
  • Czerwone mięso
  • Nasycone tłuszcze i kwasy tłuszczowe omega-6
  • Produkty zawierające gluten (u niektórych osób)
  • Alkohol

Produkty spożywcze, które wywołują ból i inne objawy ZZSK, różnią się u poszczególnych osób. Prowadzenie dziennika żywieniowego przez miesiąc może pomóc zidentyfikować produkty, które wydają się pogarszać objawy.45

Inne modyfikacje stylu życia

Oto kilka innych modyfikacji stylu życia, które mogą pomóc w zarządzaniu ZZSK:4647

  • Odpowiedni sen: Sen przez siedem godzin w nocy może pomóc każdemu poprawić samopoczucie i poziom energii, ale zdobycie odpowiedniej ilości snu może być szczególnie pomocne, gdy masz ZZSK. Właściwy sen może pomóc organizmowi zmniejszyć stres i zmęczenie, które mogą nasilać objawy, powodując większy ból i stan zapalny.
  • Zarządzanie stresem: Stres może nasilać objawy i pogarszać samopoczucie.
  • Ciepłe kąpiele lub prysznice: Mogą rozluźnić sztywne mięśnie i stawy, zwiększając przepływ krwi do obszaru i podnosząc temperaturę.
  • Pozostawanie zaangażowanym w zwykłe czynności domowe, a także pracę, wypoczynek i aktywność społeczną: Połączenia społeczne są niezwykle ważne.

Medyczne strategie profilaktyczne

Farmakoterapia w zapobieganiu progresji ZZSK

Celem zarówno niefarma kologicznych, jak i farmakologicznych terapii jest zatrzymanie progresji choroby, określonej przez objawy kliniczne, zmiany radiograficzne i marke ry zapalne w surowicy.48

Obecne zalecenia dotyczą leczenia objawowych pacjentów z ZZSK ciągłymi NLPZ w odpowiedniej dawce terapeutycznej. Pacjenci z aktywnym ZZSK powinni wypróbować co najmniej dwa NLPZ przez co najmniej 4 tygodnie lub dłużej, aby przeprowadzić odpowiednią próbę.49

U pacjentów, którzy wykazali niewystarczającą odpowiedź na co najmniej dwa NLPZ stosowane przez 4 tygodnie lub dłużej, inhibitory czynnika martwicy nowotworów alfa (TNF-α) są drugą linią leczenia ZZSK.50

Ocena czynników ryzyka pacjenta dotyczących progresji choroby jest ważna przy określaniu terapii leczniczej. Niezależne czynniki ryzyka progresji radiologicznej obejmują podwyższone markery zapalne (CRP), obecność syndesmofitów na początku, palenie papierosów i dłuższy czas trwania choroby.51

Regularne monitorowanie i wizyty lekarskie

Jeśli masz ZZSK, zalecamy regularne wizyty u lekarza. Powinieneś także upewnić się, że robisz wszystko, co w twojej mocy, aby zarządzać chorobą, w tym przyjmować leki zgodnie z zaleceniami, regularnie ćwiczyć i unikać czynności, które mogą pogorszyć objawy.52

Jeśli cierpisz na początkowe, być może tylko rozproszone objawy, badanie lekarskie może wyjaśnić, czy masz ZZSK we wczesnym stadium.53

Holistyczne podejście do profilaktyki ZZSK

Chociaż ZZSK nie można całkowicie zapobiec, holistyczne podejście, które łączy zdrowy styl życia, regularną aktywność fizyczną i odpowiednie leczenie medyczne, może pomóc zarządzać objawami i zapobiegać powikłaniom.5455

Oto kilka zaleceń, które mogą pomóc w radzeniu sobie z ZZSK:56

  • Dowiedz się więcej o swojej chorobie – Wiedza na temat ZZSK pomoże ci podejmować świadome decyzje dotyczące opieki zdrowotnej i aktywnie uczestniczyć w zarządzaniu nią.
  • Ćwicz i pozostań aktywny – Fizjoterapeuci i specjaliści od ćwiczeń fizycznych mogą zaprojektować program ćwiczeń dostosowany do twoich potrzeb.
  • Zarządzaj stresem – Stres może nasilać objawy i pogarszać samopoczucie.
  • Bądź świadomy swojej postawy – Zwracaj uwagę na prawidłową postawę podczas siedzenia, stania i leżenia.
  • Stosuj zdrową, zbilansowaną dietę – Dla ogólnego dobrego samopoczucia.
  • Szukaj wsparcia u innych – Może być pomocne skontaktowanie się z grupami wsparcia dla osób z ZZSK.

Naturalne strategie wspomagające

Chociaż terapie naturalne nie mogą zastąpić tradycyjnego leczenia ZZSK, mogą być stosowane razem z tradycyjnymi metodami leczenia, aby złagodzić objawy.57

Oto kilka naturalnych terapii, które mogą pomóc złagodzić objawy:58

  • Łagodne programy ćwiczeń, takie jak joga, które zawierają elementy rozciągania.
  • Dbanie o prawidłową postawę.
  • Rzucenie palenia.
  • Stosowanie diety przeciwzapalnej.
  • Terapia ciepłem (ciepłe kąpiele lub prysznice).

Ważne jest, aby skonsultować się z lekarzem na temat przyjmowanych leków oraz wszelkich naturalnych środków zaradczych lub alternatywnych metod leczenia, które rozważasz.59

Podsumowanie i znaczenie wczesnej interwencji

Chociaż ZZSK nie można całkowicie zapobiec, wczesna diagnoza i leczenie mogą pomóc zatrzymać lub spowolnić jego progresję. Utrzymanie zdrowego stylu życia, w tym regularne ćwiczenia i zbilansowana dieta, może pomóc zapobiec uszkodzeniu stawów i zmniejszyć powikłania ZZSK.60

Nie ma lekarstwa na ZZSK, ale leczenie może pomóc złagodzić objawy i zarządzać postępem choroby. Leczenie może również pomóc opóźnić lub zapobiec procesowi łączenia się (zrastania) kręgosłupa i jego usztywnieniu.61

Wczesna diagnoza i właściwe leczenie mogą pomóc spowolnić postęp choroby, zmniejszyć ryzyko powikłań i pomóc w utrzymaniu dobrej jakości życia. Nie czekaj na pogorszenie objawów przed wizytą u lekarza.6263

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  1. 13.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Ankylosing spondylitis | Symptoms, causes, treatments
    https://versusarthritis.org/about-arthritis/conditions/ankylosing-spondylitis/
    Ankylosing spondylitis (AS) (ank-ee-lo-zing spon-dee-li-tus) is a type of arthritis that mainly affects the back, by causing inflammation in the spine. This can make your back, rib cage and neck stiff and painful. […] You can reduce the risk of this happening, if you: keep active, have effective medical treatment, try to maintain a good posture. […] Keeping active and paying attention to your posture can greatly help you minimise the long-term effects of this condition. […] Regular exercise is good for the range of movement of your back and to stop your spine from stiffening. […] If you have ankylosing spondylitis and you smoke, stopping smoking would be one of the best things you can do. […] Having ankylosing spondylitis, or any kind of spondyloarthritis, can make you more at risk of having a heart attack or stroke. […] Taking drugs to reduce inflammation, as well as eating a healthy diet, not smoking and exercising regularly will reduce this risk.
  • #2 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Ankylosing spondylitis (AS) is a chronic inflammatory disease with prominent involvement of the spine and sacroiliac joints which frequently leads to significant spine deformity and disability. […] Recent significant advances in the diagnosis and treatment of AS are leading to a shift in emphasis toward the goal of achieving low disease activity or remission. New classification criteria developed by the Assessment of SpondyloArthritis International Society (ASAS) that distinguish radiographic axial spondyloarthritis (SpA) from non-radiographic axial spondyloarthritis (nr-axSpA) will likely also further the goal of initiating treatment earlier in the course of disease to prevent loss of function. […] The goal of both non-pharmacologic and pharmacologic therapy is to halt disease progression as determined by clinical symptoms, radiographic disease, and serologic inflammatory markers. Exercise remains the cornerstone of non-pharmacologic intervention.
  • #3
    https://umiamihealth.org/en/treatments-and-services/arthritis-(rheumatology)-/ankylosing-spondylitis
    Ankylosing spondylitis is a type of arthritis that causes swelling, pain, and stiffness in the joints and ligaments along the spine. Over time, the spinal vertebrae (bones) can grow together, called fusion, and cause the spine to become inflexible. […] Your care team will educate you about lifestyle changes to manage your condition better, such as regular exercise, good posture, and quitting smoking if you’re a smoker. […] You can get the latest approaches to stop pain from acupuncture and biofeedback to ultrasound-guided injections, neurostimulation, radiofrequency ablation, and more. We draw from a full range of noninvasive and minimally invasive therapies to relieve back pain and stiffness.
  • #4 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Don’t wait for things to worsen before seeing a healthcare provider if you experience AS symptoms. Early diagnosis and treatment can help slow disease progression, reduce the risk of complications, and help you maintain a good quality of life. […] There’s no known way to prevent AS. A combination of genetic and environmental risk factors seem to play a role in the development of the disease. Implementing healthy lifestyle changes can prevent or delay the onset of AS symptoms.
  • #5 Ankylosing Spondylitis: Prevention of Pain and Joint Damage
    https://www.verywellhealth.com/ankylosing-spondylitis-prevention-6827129
    Ankylosing spondylitis (AS) cannot be prevented. However, with proper and prompt diagnosis and treatment, it can certainly be managed. Managing symptoms well decreases the chance for long-term complications. […] While ankylosing spondylitis cannot be prevented, due to advances in modern medicine, it can certainly be managed and well-controlled. […] Proper and early management can help prevent long-term and permanent joint damage and complications. […] AS is a hereditary disease and while there is no way to prevent AS from developing in a genetically predisposed person, it can be properly managed with medications and physical therapy.
  • #6 Ankylosing spondylitis – USZ
    https://www.usz.ch/en/disease/ankylosing-spondylitis/
    The causes of ankylosing spondylitis have not been conclusively clarified, but a major influence of genes is certain in any case. Prevention in the classical sense is therefore not possible. However, the disease often progresses with mild symptoms anyway and therefore often remains undetected. A healthy diet and plenty of exercise are important. […] If you are suffering from initial, possibly only diffuse symptoms, a medical examination can clarify whether you have ankylosing spondylitis at an early stage.
  • #7 Ankylosing spondylitis – symptoms, diagnosis and treatment | healthdirect
    https://www.healthdirect.gov.au/ankylosing-spondylitis
    Can ankylosing spondylitis be prevented? […] As we dont know exactly what causes ankylosing spondylitis, you cant stop it occurring. […] There are many treatments that can help you manage your ankylosing spondylitis symptoms.
  • #8 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Don’t wait for things to worsen before seeing a healthcare provider if you experience AS symptoms. Early diagnosis and treatment can help slow disease progression, reduce the risk of complications, and help you maintain a good quality of life. […] There’s no known way to prevent AS. A combination of genetic and environmental risk factors seem to play a role in the development of the disease. Implementing healthy lifestyle changes can prevent or delay the onset of AS symptoms.
  • #9 New Treatments for Ankylosing Spondylitis
    https://www.webmd.com/arthritis/features/as-treatments-next
    Thankfully, new guidelines were released about 10 years ago that allow us doctors to diagnose patients sooner. […] Remember, the earlier you get diagnosed, the more quickly you’ll be able to start treatments that can help improve symptoms, ease inflammation, and possibly prevent permanent joint damage. […] While our treatments get better and better, I tell my patients they aren’t enough. Lifestyle is key when it comes to controlling symptoms and improving mobility. Daily range of motion and stretching exercises are particularly important. These improve flexibility and reduce stiffness, swelling, and pain. You’ll also need to exercise regularly, which includes strength and balance activities. […] I also stress to my patients that if they smoke, they need to quit. Smoking is bad for everyone’s health, but it’s particularly bad for people with inflammatory diseases like axSpA and AS. Research shows it can worsen symptoms like pain and mobility problems.
  • #10 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Ankylosing spondylitis (AS) is not preventable, but early diagnosis and treatment can help stop or slow its progression. […] Maintaining a healthy lifestyle like exercising regularly and eating a balanced diet can help prevent joint damage and reduce complications of AS. […] Researchers have not yet identified a surefire way to prevent AS. There are still several ways to help reduce your risk, from avoiding tobacco use to exercising regularly. […] Smoking has been identified as a significant risk factor for the onset and progression of AS. […] Regular exercise won’t prevent AS, but it can help you increase strength, endurance, and flexibility. […] Research has shown that being underweight or having obesity can worsen symptoms in people with AS. […] The foods you eat can help prevent or contribute to inflammation in your body.
  • #11 New Treatments for Ankylosing Spondylitis
    https://www.webmd.com/arthritis/features/as-treatments-next
    Thankfully, new guidelines were released about 10 years ago that allow us doctors to diagnose patients sooner. […] Remember, the earlier you get diagnosed, the more quickly you’ll be able to start treatments that can help improve symptoms, ease inflammation, and possibly prevent permanent joint damage. […] While our treatments get better and better, I tell my patients they aren’t enough. Lifestyle is key when it comes to controlling symptoms and improving mobility. Daily range of motion and stretching exercises are particularly important. These improve flexibility and reduce stiffness, swelling, and pain. You’ll also need to exercise regularly, which includes strength and balance activities. […] I also stress to my patients that if they smoke, they need to quit. Smoking is bad for everyone’s health, but it’s particularly bad for people with inflammatory diseases like axSpA and AS. Research shows it can worsen symptoms like pain and mobility problems.
  • #12 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Ankylosing spondylitis (AS) is a chronic inflammatory disease with prominent involvement of the spine and sacroiliac joints which frequently leads to significant spine deformity and disability. […] Recent significant advances in the diagnosis and treatment of AS are leading to a shift in emphasis toward the goal of achieving low disease activity or remission. New classification criteria developed by the Assessment of SpondyloArthritis International Society (ASAS) that distinguish radiographic axial spondyloarthritis (SpA) from non-radiographic axial spondyloarthritis (nr-axSpA) will likely also further the goal of initiating treatment earlier in the course of disease to prevent loss of function. […] The goal of both non-pharmacologic and pharmacologic therapy is to halt disease progression as determined by clinical symptoms, radiographic disease, and serologic inflammatory markers. Exercise remains the cornerstone of non-pharmacologic intervention.
  • #13 New Treatments for Ankylosing Spondylitis
    https://www.webmd.com/arthritis/features/as-treatments-next
    Thankfully, new guidelines were released about 10 years ago that allow us doctors to diagnose patients sooner. […] Remember, the earlier you get diagnosed, the more quickly you’ll be able to start treatments that can help improve symptoms, ease inflammation, and possibly prevent permanent joint damage. […] While our treatments get better and better, I tell my patients they aren’t enough. Lifestyle is key when it comes to controlling symptoms and improving mobility. Daily range of motion and stretching exercises are particularly important. These improve flexibility and reduce stiffness, swelling, and pain. You’ll also need to exercise regularly, which includes strength and balance activities. […] I also stress to my patients that if they smoke, they need to quit. Smoking is bad for everyone’s health, but it’s particularly bad for people with inflammatory diseases like axSpA and AS. Research shows it can worsen symptoms like pain and mobility problems.
  • #14 Spondyloarthritis: NICE Releases Guidelines on Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/1115/p677.html
    All patients diagnosed with axial spondyloarthritis should be referred to a subspecialist for a structured exercise program. […] For this reason, the National Institute for Health and Care Excellence (NICE) released a guideline on diagnosing and treating spondyloarthritis. […] All patients with axial spondyloarthritis should be referred to a subspecialist for a structured exercise program. […] Referral to a rheumatologist should be made for patients suspected of having axial spondyloarthritis who have had back pain since before 45 years of age that has lasted more than three months if they also have at least four of the following criteria: back pain occurring before 35 years of age; waking at night to alleviate symptoms; buttock pain; improved pain when moving or within two days of taking an NSAID; a first-degree family member with spondyloarthritis; or current or previous arthritis, enthesitis, or psoriasis.
  • #15
    https://www.nhs.uk/conditions/ankylosing-spondylitis/treatment/
    There’s no cure for ankylosing spondylitis (AS), but treatment is available to help relieve the symptoms. […] Treatment can also help delay or prevent the process of the spine joining up (fusing) and stiffening. […] Keeping active can improve your posture and range of spinal movement, along with preventing your spine becoming stiff and painful. […] As well as keeping active, physiotherapy is a key part of treating AS. […] The National Ankylosing Spondylitis Society (NASS) has detailed information about different types of exercise to help you manage your condition.
  • #16 Ankylosing spondylitis | Symptoms, causes, treatments
    https://versusarthritis.org/about-arthritis/conditions/ankylosing-spondylitis/
    Ankylosing spondylitis (AS) (ank-ee-lo-zing spon-dee-li-tus) is a type of arthritis that mainly affects the back, by causing inflammation in the spine. This can make your back, rib cage and neck stiff and painful. […] You can reduce the risk of this happening, if you: keep active, have effective medical treatment, try to maintain a good posture. […] Keeping active and paying attention to your posture can greatly help you minimise the long-term effects of this condition. […] Regular exercise is good for the range of movement of your back and to stop your spine from stiffening. […] If you have ankylosing spondylitis and you smoke, stopping smoking would be one of the best things you can do. […] Having ankylosing spondylitis, or any kind of spondyloarthritis, can make you more at risk of having a heart attack or stroke. […] Taking drugs to reduce inflammation, as well as eating a healthy diet, not smoking and exercising regularly will reduce this risk.
  • #17
    https://www.nhs.uk/conditions/ankylosing-spondylitis/treatment/
    There’s no cure for ankylosing spondylitis (AS), but treatment is available to help relieve the symptoms. […] Treatment can also help delay or prevent the process of the spine joining up (fusing) and stiffening. […] Keeping active can improve your posture and range of spinal movement, along with preventing your spine becoming stiff and painful. […] As well as keeping active, physiotherapy is a key part of treating AS. […] The National Ankylosing Spondylitis Society (NASS) has detailed information about different types of exercise to help you manage your condition.
  • #18 Spondyloarthritis: NICE Releases Guidelines on Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/1115/p677.html
    All patients diagnosed with axial spondyloarthritis should be referred to a subspecialist for a structured exercise program. […] For this reason, the National Institute for Health and Care Excellence (NICE) released a guideline on diagnosing and treating spondyloarthritis. […] All patients with axial spondyloarthritis should be referred to a subspecialist for a structured exercise program. […] Referral to a rheumatologist should be made for patients suspected of having axial spondyloarthritis who have had back pain since before 45 years of age that has lasted more than three months if they also have at least four of the following criteria: back pain occurring before 35 years of age; waking at night to alleviate symptoms; buttock pain; improved pain when moving or within two days of taking an NSAID; a first-degree family member with spondyloarthritis; or current or previous arthritis, enthesitis, or psoriasis.
  • #19 Recommendations for the Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis | APTA
    https://www.apta.org/patient-care/evidence-based-practice-resources/cpgs/recommendations-for-the-treatment-of-ankylosing-spondylitis-and-nonradiographic-axial-spondyloarthritis
    Physical therapy is strongly recommended for patients with active or stable ankylosing spondyloarthritis. […] The reviewers conditionally recommend active interventions like supervised exercise over passive interventions like massage, ultrasound, and heat.
  • #20 Ankylosing Spondylitis (AS): Symptoms, causes, and more
    https://www.medicalnewstoday.com/articles/248217
    There is currently no cure for AS. However, treatment can help relieve symptoms and manage the conditions progression. […] Physical therapy and exercises can help treat the symptoms and prevent or delay mobility limitations. […] People can practice self-care by: learning about the disease and its treatments, seeking support for the physical and mental effects of AS, communicating with health teams to enable the best care for their condition. […] The SSA notes that an ideal exercise program includes the following four elements: Stretching can improve flexibility and reduce muscle stiffness, swelling, and pain. It can also minimize the risk of joint fusion. […] Doctors might also recommend specific diets, foods, or nutrients to help a person manage the symptoms of AS. This may include: an anti-inflammatory diet based on whole foods, such as the Mediterranean diet, weight loss, if needed, to reduce stress on the bones and joints, avoiding foods that promote inflammation, such as ultra-processed foods.
  • #21 Ankylosing spondylitis | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ankylosing-spondylitis
    There is no cure for AS, however it can be effectively managed with medication and lifestyle changes. […] If you have AS, the most important thing you can do is regular exercise, which helps to keep your spine mobile and flexible. […] While theres currently no cure for AS, there are many things you can do to help control your symptoms and most people with AS can lead full and active lives. […] Although exercise is important for general wellbeing, its especially important in managing AS. Exercise can be used to relieve pain, but is also important for keeping your spine mobile and flexible. […] Specific strengthening exercises help to maintain strength through the spine. Exercises performed in warm water (hydrotherapy) can also be beneficial. […] For your overall wellbeing, do general strengthening and aerobic exercises. You may find it helpful to see a physiotherapist or exercise physiologist to have an exercise program designed for your specific needs. Some physiotherapists have a special interest in treating AS.
  • #22 Ankylosing spondylitis | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ankylosing-spondylitis
    There is no cure for AS, however it can be effectively managed with medication and lifestyle changes. […] If you have AS, the most important thing you can do is regular exercise, which helps to keep your spine mobile and flexible. […] While theres currently no cure for AS, there are many things you can do to help control your symptoms and most people with AS can lead full and active lives. […] Although exercise is important for general wellbeing, its especially important in managing AS. Exercise can be used to relieve pain, but is also important for keeping your spine mobile and flexible. […] Specific strengthening exercises help to maintain strength through the spine. Exercises performed in warm water (hydrotherapy) can also be beneficial. […] For your overall wellbeing, do general strengthening and aerobic exercises. You may find it helpful to see a physiotherapist or exercise physiologist to have an exercise program designed for your specific needs. Some physiotherapists have a special interest in treating AS.
  • #23 Ankylosing Spondylitis – Lone Star Arthritis & Rheumatology Associates, P.C.
    https://www.lsarthritis.com/ankylosing-spondylitis/
    There is no cure for Ankylosing Spondylitis, so the goal of treating this disease is to relieve pain and stiffness and prevent or delay spinal deformity. The earlier the disease is caught, the sooner treatment can begin to avoid irreversible damage. […] Physical Therapy is an integral part of treatment and can provide many benefits that assist with pain relief by improving strength and flexibility. PT can provide range of motion and stretching exercises, strengthening exercises for abdominal and back muscles, and proper sleeping and walking positions.
  • #24 Ankylosing Spondylitis (AS): Symptoms, causes, and more
    https://www.medicalnewstoday.com/articles/248217
    There is currently no cure for AS. However, treatment can help relieve symptoms and manage the conditions progression. […] Physical therapy and exercises can help treat the symptoms and prevent or delay mobility limitations. […] People can practice self-care by: learning about the disease and its treatments, seeking support for the physical and mental effects of AS, communicating with health teams to enable the best care for their condition. […] The SSA notes that an ideal exercise program includes the following four elements: Stretching can improve flexibility and reduce muscle stiffness, swelling, and pain. It can also minimize the risk of joint fusion. […] Doctors might also recommend specific diets, foods, or nutrients to help a person manage the symptoms of AS. This may include: an anti-inflammatory diet based on whole foods, such as the Mediterranean diet, weight loss, if needed, to reduce stress on the bones and joints, avoiding foods that promote inflammation, such as ultra-processed foods.
  • #25 Recommendations for the Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis | APTA
    https://www.apta.org/patient-care/evidence-based-practice-resources/cpgs/recommendations-for-the-treatment-of-ankylosing-spondylitis-and-nonradiographic-axial-spondyloarthritis
    Physical therapy is strongly recommended for patients with active or stable ankylosing spondyloarthritis. […] The reviewers conditionally recommend active interventions like supervised exercise over passive interventions like massage, ultrasound, and heat.
  • #26 10 Ankylosing Spondylitis Natural Treatments: Exercise and More
    https://www.healthline.com/health/ankylosing-spondylitis-natural-treatment
    Theres no cure for ankylosing spondylitis, but stretching, heat therapy, and other natural approaches may help to ease symptoms. […] Both natural and traditional treatments are available to help address AS symptoms. […] Natural treatments may be used alongside traditional AS treatments. […] These 10 natural therapies may help relieve symptoms: […] Gentle exercise programs such as yoga can be beneficial for AS because they incorporate stretching. […] Practicing good posture is critical with AS since it can affect your back. […] Quitting smoking not only helps reduce AS damage but also improves your overall health. […] Although most people require some type of medical therapy for AS, natural remedies may also help reduce symptoms. […] Its important to consult your doctor about your medications and any natural remedies or alternative treatments youre considering.
  • #27 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Ankylosing spondylitis (AS) is not preventable, but early diagnosis and treatment can help stop or slow its progression. […] Maintaining a healthy lifestyle like exercising regularly and eating a balanced diet can help prevent joint damage and reduce complications of AS. […] Researchers have not yet identified a surefire way to prevent AS. There are still several ways to help reduce your risk, from avoiding tobacco use to exercising regularly. […] Smoking has been identified as a significant risk factor for the onset and progression of AS. […] Regular exercise won’t prevent AS, but it can help you increase strength, endurance, and flexibility. […] Research has shown that being underweight or having obesity can worsen symptoms in people with AS. […] The foods you eat can help prevent or contribute to inflammation in your body.
  • #28 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Ankylosing spondylitis (AS) is a chronic inflammatory disease with prominent involvement of the spine and sacroiliac joints which frequently leads to significant spine deformity and disability. […] Recent significant advances in the diagnosis and treatment of AS are leading to a shift in emphasis toward the goal of achieving low disease activity or remission. New classification criteria developed by the Assessment of SpondyloArthritis International Society (ASAS) that distinguish radiographic axial spondyloarthritis (SpA) from non-radiographic axial spondyloarthritis (nr-axSpA) will likely also further the goal of initiating treatment earlier in the course of disease to prevent loss of function. […] The goal of both non-pharmacologic and pharmacologic therapy is to halt disease progression as determined by clinical symptoms, radiographic disease, and serologic inflammatory markers. Exercise remains the cornerstone of non-pharmacologic intervention.
  • #29 Ankylosing Spondylitis: Steps To Prevent It From Getting Worse
    https://www.dallasspine.com/blog/ankylosing-spondylitis-self-care-steps
    One of the best ways to help with living with Ankylosing Spondylitis is to practice good posture, by keeping your head up, shoulders squared, and spine straight, while sitting, standing or walking. Practicing good posture can help reduce strain and stress on the spine, which can help relieve some of the symptoms associated with AS. […] Those with ankylosing spondylitis can benefit tremendously by exercising daily, as doing so can not only help ease pain, but also promote flexibility, strengthen muscles, and improve posture. […] Sleeping for seven hours a night can help anyone improve their wellbeing and energy levels, but getting your zzzs can be especially helpful when you have Ankylosing Spondylitis. Proper sleep can help your body reduce stress and fatigue, both of which can exacerbate your symptoms, creating more pain and inflammation.
  • #30 10 Ankylosing Spondylitis Natural Treatments: Exercise and More
    https://www.healthline.com/health/ankylosing-spondylitis-natural-treatment
    Theres no cure for ankylosing spondylitis, but stretching, heat therapy, and other natural approaches may help to ease symptoms. […] Both natural and traditional treatments are available to help address AS symptoms. […] Natural treatments may be used alongside traditional AS treatments. […] These 10 natural therapies may help relieve symptoms: […] Gentle exercise programs such as yoga can be beneficial for AS because they incorporate stretching. […] Practicing good posture is critical with AS since it can affect your back. […] Quitting smoking not only helps reduce AS damage but also improves your overall health. […] Although most people require some type of medical therapy for AS, natural remedies may also help reduce symptoms. […] Its important to consult your doctor about your medications and any natural remedies or alternative treatments youre considering.
  • #31 Ankylosing spondylitis | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ankylosing-spondylitis
    There are many things you can do to help yourself, including: learn more about your condition knowing as much as possible about your AS means that you can make informed decisions about your healthcare and play an active role in managing it […] exercise and stay active as much as possible talk with a physiotherapist or an exercise physiologist for specific advice about a daily exercise and stretching program […] manage your stress stress can aggravate your symptoms and make you feel worse […] get up and move if youve been sitting or standing in one position for long periods at a time (for example at work or while travelling) […] stay involved in your usual home activities, as well as work, leisure and social activities social connections are extremely important […] be aware of your posture when sitting, standing and even lying down. Your body should be in correct alignment but also loose and flexible […] eat a healthy, well balanced diet for overall good health […] seek support from others you might find it helpful to contact the Ankylosing Spondylitis Group of Victoria and speak to other people who have AS and know what youre going through.
  • #32 Ankylosing spondylitis | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ankylosing-spondylitis
    There are many things you can do to help yourself, including: learn more about your condition knowing as much as possible about your AS means that you can make informed decisions about your healthcare and play an active role in managing it […] exercise and stay active as much as possible talk with a physiotherapist or an exercise physiologist for specific advice about a daily exercise and stretching program […] manage your stress stress can aggravate your symptoms and make you feel worse […] get up and move if youve been sitting or standing in one position for long periods at a time (for example at work or while travelling) […] stay involved in your usual home activities, as well as work, leisure and social activities social connections are extremely important […] be aware of your posture when sitting, standing and even lying down. Your body should be in correct alignment but also loose and flexible […] eat a healthy, well balanced diet for overall good health […] seek support from others you might find it helpful to contact the Ankylosing Spondylitis Group of Victoria and speak to other people who have AS and know what youre going through.
  • #33 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Ankylosing spondylitis (AS) is not preventable, but early diagnosis and treatment can help stop or slow its progression. […] Maintaining a healthy lifestyle like exercising regularly and eating a balanced diet can help prevent joint damage and reduce complications of AS. […] Researchers have not yet identified a surefire way to prevent AS. There are still several ways to help reduce your risk, from avoiding tobacco use to exercising regularly. […] Smoking has been identified as a significant risk factor for the onset and progression of AS. […] Regular exercise won’t prevent AS, but it can help you increase strength, endurance, and flexibility. […] Research has shown that being underweight or having obesity can worsen symptoms in people with AS. […] The foods you eat can help prevent or contribute to inflammation in your body.
  • #34 Ankylosing spondylitis | Symptoms, causes, treatments
    https://versusarthritis.org/about-arthritis/conditions/ankylosing-spondylitis/
    Ankylosing spondylitis (AS) (ank-ee-lo-zing spon-dee-li-tus) is a type of arthritis that mainly affects the back, by causing inflammation in the spine. This can make your back, rib cage and neck stiff and painful. […] You can reduce the risk of this happening, if you: keep active, have effective medical treatment, try to maintain a good posture. […] Keeping active and paying attention to your posture can greatly help you minimise the long-term effects of this condition. […] Regular exercise is good for the range of movement of your back and to stop your spine from stiffening. […] If you have ankylosing spondylitis and you smoke, stopping smoking would be one of the best things you can do. […] Having ankylosing spondylitis, or any kind of spondyloarthritis, can make you more at risk of having a heart attack or stroke. […] Taking drugs to reduce inflammation, as well as eating a healthy diet, not smoking and exercising regularly will reduce this risk.
  • #35 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Patient education and counseling about abstinence and smoking cessation are also key non-pharmacologic interventions for AS because cigarette smoking has been shown to be an independent risk factor for radiographic progression. […] Assessment of patient’s risk factors for disease progression is important in determining treatment therapy. Independent risk factors for radiographic progression include elevated inflammatory markers (CRP), presence of syndesmophytes at baseline, cigarette smoking, and longer duration of disease. […] Current recommendations are to treat symptomatic AS patients with continuous NSAIDs at an adequate therapeutic dose. Patients with active AS should be trialed on at least two NSAIDs for at least 4 weeks or more for an adequate trial. […] For patients who have had inadequate response to at least two NSAIDs used for 4 weeks or more, tumor necrosis factor-alpha (TNF-) inhibitors are the second line of treatment for AS. […] These developments represent a significant advance in the management of this debilitating condition.
  • #36 10 Ankylosing Spondylitis Natural Treatments: Exercise and More
    https://www.healthline.com/health/ankylosing-spondylitis-natural-treatment
    Theres no cure for ankylosing spondylitis, but stretching, heat therapy, and other natural approaches may help to ease symptoms. […] Both natural and traditional treatments are available to help address AS symptoms. […] Natural treatments may be used alongside traditional AS treatments. […] These 10 natural therapies may help relieve symptoms: […] Gentle exercise programs such as yoga can be beneficial for AS because they incorporate stretching. […] Practicing good posture is critical with AS since it can affect your back. […] Quitting smoking not only helps reduce AS damage but also improves your overall health. […] Although most people require some type of medical therapy for AS, natural remedies may also help reduce symptoms. […] Its important to consult your doctor about your medications and any natural remedies or alternative treatments youre considering.
  • #37 New Treatments for Ankylosing Spondylitis
    https://www.webmd.com/arthritis/features/as-treatments-next
    Thankfully, new guidelines were released about 10 years ago that allow us doctors to diagnose patients sooner. […] Remember, the earlier you get diagnosed, the more quickly you’ll be able to start treatments that can help improve symptoms, ease inflammation, and possibly prevent permanent joint damage. […] While our treatments get better and better, I tell my patients they aren’t enough. Lifestyle is key when it comes to controlling symptoms and improving mobility. Daily range of motion and stretching exercises are particularly important. These improve flexibility and reduce stiffness, swelling, and pain. You’ll also need to exercise regularly, which includes strength and balance activities. […] I also stress to my patients that if they smoke, they need to quit. Smoking is bad for everyone’s health, but it’s particularly bad for people with inflammatory diseases like axSpA and AS. Research shows it can worsen symptoms like pain and mobility problems.
  • #38 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Ankylosing spondylitis (AS) is not preventable, but early diagnosis and treatment can help stop or slow its progression. […] Maintaining a healthy lifestyle like exercising regularly and eating a balanced diet can help prevent joint damage and reduce complications of AS. […] Researchers have not yet identified a surefire way to prevent AS. There are still several ways to help reduce your risk, from avoiding tobacco use to exercising regularly. […] Smoking has been identified as a significant risk factor for the onset and progression of AS. […] Regular exercise won’t prevent AS, but it can help you increase strength, endurance, and flexibility. […] Research has shown that being underweight or having obesity can worsen symptoms in people with AS. […] The foods you eat can help prevent or contribute to inflammation in your body.
  • #39 Diet tips for managing ankylosing spondylitis
    https://www.medicalnewstoday.com/articles/317610
    Ankylosing spondylitis (AS) is a chronic inflammatory condition and a type of arthritis. Some people may find symptom relief by adopting an anti-inflammatory diet, including whole grains and calcium-rich foods, though the evidence is limited. […] There is currently no cure for ankylosing spondylitis. However, getting an early diagnosis and using appropriate management techniques can help a person cope with the symptoms and reduce their risk of complications. […] However, people with AS can try using diet alongside conventional treatments to reduce the symptoms. Unless a person has food intolerances or allergies, these dietary changes should be safe to try. […] The Spondylitis Association of America notes that maintaining a moderate weight is important for people with AS, as excess weight places stress on the bones and joints of the body. This can make the symptoms worse.
  • #40 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Ankylosing spondylitis (AS) is not preventable, but early diagnosis and treatment can help stop or slow its progression. […] Maintaining a healthy lifestyle like exercising regularly and eating a balanced diet can help prevent joint damage and reduce complications of AS. […] Researchers have not yet identified a surefire way to prevent AS. There are still several ways to help reduce your risk, from avoiding tobacco use to exercising regularly. […] Smoking has been identified as a significant risk factor for the onset and progression of AS. […] Regular exercise won’t prevent AS, but it can help you increase strength, endurance, and flexibility. […] Research has shown that being underweight or having obesity can worsen symptoms in people with AS. […] The foods you eat can help prevent or contribute to inflammation in your body.
  • #41 Diet tips for managing ankylosing spondylitis
    https://www.medicalnewstoday.com/articles/317610
    Adopting an anti-inflammatory diet may help reduce inflammation in the body. The foods in this type of diet are similar to those of the Mediterranean diet. […] The Arthritis Foundation recommends that people with rheumatoid arthritis (RA) follow an anti-inflammatory diet. These foods may also benefit those with AS, which is a similar inflammatory condition. […] The following foods may help reduce inflammation. […] A 2020 review notes that more research is necessary to confirm how effective omega-3 fatty acids are for reducing inflammation in people with AS. However, the authors note that older studies, such as a small clinical trial in 2006, found that high doses of omega-3 fatty acid supplementation may decrease the disease activity of AS. […] According to a 2018 meta-analysis, whole grains may also help reduce inflammation across the body.
  • #42 Ankylosing Spondylitis: Steps To Prevent It From Getting Worse
    https://www.dallasspine.com/blog/ankylosing-spondylitis-self-care-steps
    It can be helpful to eat a diet rich in fruits and vegetables and low in processed foods to reduce inflammation and pain. […] Taking warm baths or showers can loosen these stiff muscles and joints by increasing blood flow to the area and raising the temperature. This can help to relax the muscles and reduce inflammation, which can help maintain your flexibility and range of motion.
  • #43 Diet tips for managing ankylosing spondylitis
    https://www.medicalnewstoday.com/articles/317610
    Adopting an anti-inflammatory diet may help reduce inflammation in the body. The foods in this type of diet are similar to those of the Mediterranean diet. […] The Arthritis Foundation recommends that people with rheumatoid arthritis (RA) follow an anti-inflammatory diet. These foods may also benefit those with AS, which is a similar inflammatory condition. […] The following foods may help reduce inflammation. […] A 2020 review notes that more research is necessary to confirm how effective omega-3 fatty acids are for reducing inflammation in people with AS. However, the authors note that older studies, such as a small clinical trial in 2006, found that high doses of omega-3 fatty acid supplementation may decrease the disease activity of AS. […] According to a 2018 meta-analysis, whole grains may also help reduce inflammation across the body.
  • #44 Diet tips for managing ankylosing spondylitis
    https://www.medicalnewstoday.com/articles/317610
    AS weakens the bones, which is why calcium-rich foods are so important. Calcium is essential for improving bone strength. […] One 2015 review reports that higher levels of vitamin D are associated with a lower risk of developing AS. Also, people with higher vitamin D levels are less likely to have symptoms related to the condition. […] The following foods that trigger inflammation may worsen AS symptoms. However, as noted previously, there is limited evidence to support a link between diet and AS. […] As AS is an autoimmune disease, reducing salt intake may be a good idea to help manage the condition. […] Eating less or no red meat may help reduce the symptoms of AS. However, there is limited evidence to support this link. […] The Arthritis Foundation recommends limiting types of fat that cause inflammation, including saturated fats and omega-6 fatty acids.
  • #45 Diet tips for managing ankylosing spondylitis
    https://www.medicalnewstoday.com/articles/317610
    A gluten-free diet is helpful for some individuals with RA, and it may also benefit those with AS. […] People with AS should try to limit their alcohol intake or completely avoid it. […] It is usually safe to make dietary changes to manage the symptoms of AS, especially when a person does this alongside taking the medication or other treatments that a doctor has recommended. […] Foods that trigger pain and other symptoms of AS vary from person to person. Keeping a food diary for a month can help a person pinpoint any foods that seem to make their symptoms worse. […] Keeping active and regularly exercising may help prevent peoples spines from becoming stiff and painful. […] A workout routine involving each of these types of exercises can help relieve symptoms. […] While managing AS with diet alone is not advisable, some people may find that certain foods trigger the symptoms of AS, and it can help to avoid them. […] However, they should talk with a doctor before doing so to ensure they will consume enough nutrients and calories to support their immune system and promote their overall health.
  • #46 Ankylosing spondylitis | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ankylosing-spondylitis
    There are many things you can do to help yourself, including: learn more about your condition knowing as much as possible about your AS means that you can make informed decisions about your healthcare and play an active role in managing it […] exercise and stay active as much as possible talk with a physiotherapist or an exercise physiologist for specific advice about a daily exercise and stretching program […] manage your stress stress can aggravate your symptoms and make you feel worse […] get up and move if youve been sitting or standing in one position for long periods at a time (for example at work or while travelling) […] stay involved in your usual home activities, as well as work, leisure and social activities social connections are extremely important […] be aware of your posture when sitting, standing and even lying down. Your body should be in correct alignment but also loose and flexible […] eat a healthy, well balanced diet for overall good health […] seek support from others you might find it helpful to contact the Ankylosing Spondylitis Group of Victoria and speak to other people who have AS and know what youre going through.
  • #47 Ankylosing Spondylitis: Steps To Prevent It From Getting Worse
    https://www.dallasspine.com/blog/ankylosing-spondylitis-self-care-steps
    One of the best ways to help with living with Ankylosing Spondylitis is to practice good posture, by keeping your head up, shoulders squared, and spine straight, while sitting, standing or walking. Practicing good posture can help reduce strain and stress on the spine, which can help relieve some of the symptoms associated with AS. […] Those with ankylosing spondylitis can benefit tremendously by exercising daily, as doing so can not only help ease pain, but also promote flexibility, strengthen muscles, and improve posture. […] Sleeping for seven hours a night can help anyone improve their wellbeing and energy levels, but getting your zzzs can be especially helpful when you have Ankylosing Spondylitis. Proper sleep can help your body reduce stress and fatigue, both of which can exacerbate your symptoms, creating more pain and inflammation.
  • #48 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Ankylosing spondylitis (AS) is a chronic inflammatory disease with prominent involvement of the spine and sacroiliac joints which frequently leads to significant spine deformity and disability. […] Recent significant advances in the diagnosis and treatment of AS are leading to a shift in emphasis toward the goal of achieving low disease activity or remission. New classification criteria developed by the Assessment of SpondyloArthritis International Society (ASAS) that distinguish radiographic axial spondyloarthritis (SpA) from non-radiographic axial spondyloarthritis (nr-axSpA) will likely also further the goal of initiating treatment earlier in the course of disease to prevent loss of function. […] The goal of both non-pharmacologic and pharmacologic therapy is to halt disease progression as determined by clinical symptoms, radiographic disease, and serologic inflammatory markers. Exercise remains the cornerstone of non-pharmacologic intervention.
  • #49 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Patient education and counseling about abstinence and smoking cessation are also key non-pharmacologic interventions for AS because cigarette smoking has been shown to be an independent risk factor for radiographic progression. […] Assessment of patient’s risk factors for disease progression is important in determining treatment therapy. Independent risk factors for radiographic progression include elevated inflammatory markers (CRP), presence of syndesmophytes at baseline, cigarette smoking, and longer duration of disease. […] Current recommendations are to treat symptomatic AS patients with continuous NSAIDs at an adequate therapeutic dose. Patients with active AS should be trialed on at least two NSAIDs for at least 4 weeks or more for an adequate trial. […] For patients who have had inadequate response to at least two NSAIDs used for 4 weeks or more, tumor necrosis factor-alpha (TNF-) inhibitors are the second line of treatment for AS. […] These developments represent a significant advance in the management of this debilitating condition.
  • #50 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Patient education and counseling about abstinence and smoking cessation are also key non-pharmacologic interventions for AS because cigarette smoking has been shown to be an independent risk factor for radiographic progression. […] Assessment of patient’s risk factors for disease progression is important in determining treatment therapy. Independent risk factors for radiographic progression include elevated inflammatory markers (CRP), presence of syndesmophytes at baseline, cigarette smoking, and longer duration of disease. […] Current recommendations are to treat symptomatic AS patients with continuous NSAIDs at an adequate therapeutic dose. Patients with active AS should be trialed on at least two NSAIDs for at least 4 weeks or more for an adequate trial. […] For patients who have had inadequate response to at least two NSAIDs used for 4 weeks or more, tumor necrosis factor-alpha (TNF-) inhibitors are the second line of treatment for AS. […] These developments represent a significant advance in the management of this debilitating condition.
  • #51 Advances in managing ankylosing spondylitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4166936/
    Patient education and counseling about abstinence and smoking cessation are also key non-pharmacologic interventions for AS because cigarette smoking has been shown to be an independent risk factor for radiographic progression. […] Assessment of patient’s risk factors for disease progression is important in determining treatment therapy. Independent risk factors for radiographic progression include elevated inflammatory markers (CRP), presence of syndesmophytes at baseline, cigarette smoking, and longer duration of disease. […] Current recommendations are to treat symptomatic AS patients with continuous NSAIDs at an adequate therapeutic dose. Patients with active AS should be trialed on at least two NSAIDs for at least 4 weeks or more for an adequate trial. […] For patients who have had inadequate response to at least two NSAIDs used for 4 weeks or more, tumor necrosis factor-alpha (TNF-) inhibitors are the second line of treatment for AS. […] These developments represent a significant advance in the management of this debilitating condition.
  • #52 Ankylosing Spondylitis Infusion Therapy | FlexCare Infusion Centers
    https://flexcareinfusion.com/treatments/ankylosing-spondylitis-infusion/
    If you have ankylosing spondylitis, we recommend you see your doctor regularly. You should also ensure you are doing your part to manage the condition, including taking your medications as prescribed, exercising regularly, and avoiding activities that may worsen your symptoms. […] Early diagnosis and treatment can help prevent the condition from getting worse. With proper treatment, ankylosing spondylitis does not have to be a debilitating condition.
  • #53 Ankylosing spondylitis – USZ
    https://www.usz.ch/en/disease/ankylosing-spondylitis/
    The causes of ankylosing spondylitis have not been conclusively clarified, but a major influence of genes is certain in any case. Prevention in the classical sense is therefore not possible. However, the disease often progresses with mild symptoms anyway and therefore often remains undetected. A healthy diet and plenty of exercise are important. […] If you are suffering from initial, possibly only diffuse symptoms, a medical examination can clarify whether you have ankylosing spondylitis at an early stage.
  • #54 Ankylosing Spondylitis: Prevention of Pain and Joint Damage
    https://www.verywellhealth.com/ankylosing-spondylitis-prevention-6827129
    Ankylosing spondylitis (AS) cannot be prevented. However, with proper and prompt diagnosis and treatment, it can certainly be managed. Managing symptoms well decreases the chance for long-term complications. […] While ankylosing spondylitis cannot be prevented, due to advances in modern medicine, it can certainly be managed and well-controlled. […] Proper and early management can help prevent long-term and permanent joint damage and complications. […] AS is a hereditary disease and while there is no way to prevent AS from developing in a genetically predisposed person, it can be properly managed with medications and physical therapy.
  • #55 Ankylosing Spondylitis (AS): Causes, Symptoms, and Treatments
    https://www.healthline.com/health/ankylosing-spondylitis
    Its not known if ankylosing spondylitis is preventable. However, if you have the disease, you can focus on preventing disability by: staying active, eating a nutrient-dense diet, maintaining a moderate weight. […] These health-promoting lifestyle approaches, coupled with traditional treatments, may help delay or slow disease progression.
  • #56 Ankylosing spondylitis | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ankylosing-spondylitis
    There are many things you can do to help yourself, including: learn more about your condition knowing as much as possible about your AS means that you can make informed decisions about your healthcare and play an active role in managing it […] exercise and stay active as much as possible talk with a physiotherapist or an exercise physiologist for specific advice about a daily exercise and stretching program […] manage your stress stress can aggravate your symptoms and make you feel worse […] get up and move if youve been sitting or standing in one position for long periods at a time (for example at work or while travelling) […] stay involved in your usual home activities, as well as work, leisure and social activities social connections are extremely important […] be aware of your posture when sitting, standing and even lying down. Your body should be in correct alignment but also loose and flexible […] eat a healthy, well balanced diet for overall good health […] seek support from others you might find it helpful to contact the Ankylosing Spondylitis Group of Victoria and speak to other people who have AS and know what youre going through.
  • #57 10 Ankylosing Spondylitis Natural Treatments: Exercise and More
    https://www.healthline.com/health/ankylosing-spondylitis-natural-treatment
    Theres no cure for ankylosing spondylitis, but stretching, heat therapy, and other natural approaches may help to ease symptoms. […] Both natural and traditional treatments are available to help address AS symptoms. […] Natural treatments may be used alongside traditional AS treatments. […] These 10 natural therapies may help relieve symptoms: […] Gentle exercise programs such as yoga can be beneficial for AS because they incorporate stretching. […] Practicing good posture is critical with AS since it can affect your back. […] Quitting smoking not only helps reduce AS damage but also improves your overall health. […] Although most people require some type of medical therapy for AS, natural remedies may also help reduce symptoms. […] Its important to consult your doctor about your medications and any natural remedies or alternative treatments youre considering.
  • #58 10 Ankylosing Spondylitis Natural Treatments: Exercise and More
    https://www.healthline.com/health/ankylosing-spondylitis-natural-treatment
    Theres no cure for ankylosing spondylitis, but stretching, heat therapy, and other natural approaches may help to ease symptoms. […] Both natural and traditional treatments are available to help address AS symptoms. […] Natural treatments may be used alongside traditional AS treatments. […] These 10 natural therapies may help relieve symptoms: […] Gentle exercise programs such as yoga can be beneficial for AS because they incorporate stretching. […] Practicing good posture is critical with AS since it can affect your back. […] Quitting smoking not only helps reduce AS damage but also improves your overall health. […] Although most people require some type of medical therapy for AS, natural remedies may also help reduce symptoms. […] Its important to consult your doctor about your medications and any natural remedies or alternative treatments youre considering.
  • #59 10 Ankylosing Spondylitis Natural Treatments: Exercise and More
    https://www.healthline.com/health/ankylosing-spondylitis-natural-treatment
    Theres no cure for ankylosing spondylitis, but stretching, heat therapy, and other natural approaches may help to ease symptoms. […] Both natural and traditional treatments are available to help address AS symptoms. […] Natural treatments may be used alongside traditional AS treatments. […] These 10 natural therapies may help relieve symptoms: […] Gentle exercise programs such as yoga can be beneficial for AS because they incorporate stretching. […] Practicing good posture is critical with AS since it can affect your back. […] Quitting smoking not only helps reduce AS damage but also improves your overall health. […] Although most people require some type of medical therapy for AS, natural remedies may also help reduce symptoms. […] Its important to consult your doctor about your medications and any natural remedies or alternative treatments youre considering.
  • #60 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Ankylosing spondylitis (AS) is not preventable, but early diagnosis and treatment can help stop or slow its progression. […] Maintaining a healthy lifestyle like exercising regularly and eating a balanced diet can help prevent joint damage and reduce complications of AS. […] Researchers have not yet identified a surefire way to prevent AS. There are still several ways to help reduce your risk, from avoiding tobacco use to exercising regularly. […] Smoking has been identified as a significant risk factor for the onset and progression of AS. […] Regular exercise won’t prevent AS, but it can help you increase strength, endurance, and flexibility. […] Research has shown that being underweight or having obesity can worsen symptoms in people with AS. […] The foods you eat can help prevent or contribute to inflammation in your body.
  • #61
    https://www.nhs.uk/conditions/ankylosing-spondylitis/treatment/
    There’s no cure for ankylosing spondylitis (AS), but treatment is available to help relieve the symptoms. […] Treatment can also help delay or prevent the process of the spine joining up (fusing) and stiffening. […] Keeping active can improve your posture and range of spinal movement, along with preventing your spine becoming stiff and painful. […] As well as keeping active, physiotherapy is a key part of treating AS. […] The National Ankylosing Spondylitis Society (NASS) has detailed information about different types of exercise to help you manage your condition.
  • #62 How To Prevent Ankylosing Spondylitis
    https://www.health.com/ankylosing-spondylitis-prevention-7097192
    Don’t wait for things to worsen before seeing a healthcare provider if you experience AS symptoms. Early diagnosis and treatment can help slow disease progression, reduce the risk of complications, and help you maintain a good quality of life. […] There’s no known way to prevent AS. A combination of genetic and environmental risk factors seem to play a role in the development of the disease. Implementing healthy lifestyle changes can prevent or delay the onset of AS symptoms.
  • #63 Ankylosing Spondylitis Infusion Therapy | FlexCare Infusion Centers
    https://flexcareinfusion.com/treatments/ankylosing-spondylitis-infusion/
    If you have ankylosing spondylitis, we recommend you see your doctor regularly. You should also ensure you are doing your part to manage the condition, including taking your medications as prescribed, exercising regularly, and avoiding activities that may worsen your symptoms. […] Early diagnosis and treatment can help prevent the condition from getting worse. With proper treatment, ankylosing spondylitis does not have to be a debilitating condition.