Treatment Options for Ankylosing Spondylitis

Updated at: Jan 21, 2013
Treatment Options for Ankylosing Spondylitis

There is no cure for ankylosing spondylitis (AS), but treatment can help to control symptoms such as pain, stiffness and disability. Treatment for AS includes both medications and nondrug approaches such as life style changes, physiotherapy, good

Dr Poonam Sachdev
Other DiseasesWritten by: Dr Poonam SachdevPublished at: Mar 05, 2012

There is no cure for ankylosing spondylitis (AS), but treatment can help to control symptoms such as pain and stiffness and reduce disability. The aims of AS treatment include easing pain and stiffness, maintaining the spine as mobile and flexible as possible and reducing deformity and disability.

Medicines for AS

Pain relieving medicines: The painkiller (analgesic) that you will be given depend on the severity of your pain, your overall health and other health problems. Most people are given non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, diclofenac to reduce inflammation and ease pain. You should take your pain relieving medicines as recommended by the doctor to ease pain so that you can do regular exercises without much discomfort. The anti-inflammatory medicines reduce pain, but do not cure the disease or alter the course of the disease. Therefore, your doctor will advise you to take these medicines as and when the pain flares-up and stop taking them when the symptoms ease. Other pain relieving medicines such paracetamol may be used in case of mild pain or along with NSAIDs. It is not as effective as NSAIDs, but has much less side effects.

Medications such as etanercept, infliximab, adalimumab etc are the most recent breakthrough not only for the treatment of different types of arthritis but also the spinal arthritis. Currently, these are the most promising medications for treating ankylosing spondylitis. Research suggests that they can significantly improve your quality of life.

Disease-modifying anti-rheumatic drugs (DMARDs): These drugs can modify or slow joint damage and hence, are often prescribed along with NSAIDs. As these drugs are slow to act, they reduce pain, swelling and disease activity slowly over several weeks. Most of them can cause many side effects and therefore, tests are done often to check for possible side effects. Some of the DMARDs used for treatment of AS include methotrexate, hydroxychloroquine, sulfasalazine etc. DMARDs are used when inflammation of joints other than spine (such as the hips, knees, or ankles) becomes a major problem. In most cases, inflammation in these joints may not respond to NSAIDs.

They are potent anti-inflammatory drugs that effectively control symptoms such as pain and swelling. They may control symptoms effectively, but the use of steroids can cause several side effects such as poor growth, weight gain, thinning of skin and osteoporosis. Hence, they are not preferred for long term use.

Other treatments: Non-drug approaches for AS include physiotherapy, applying hot or cold packs, transcutaneous electrical nerve stimulation (TENS) and complimentary therapy.

  • Transcutaneous electrical nerve stimulation (TENS): Transcutaneous electrical nerve stimulation (TENS) works to control pain by numbing the nerve endings in your spinal cord, which controls pain.
  • Hot or cold packs: Use of hot or cold packs (sometimes, called thermotherapy or cryotherapy) on the joints can ease the pain.
  • Physiotherapy: This helps to keep your joints supple, flexible and can reduce pain by stretching techniques. Individualised and regular exercise programs are also recommended to improve symptoms. Swimming is considered as a good exercise as it avoids jarring impact of the spine.
  • Complementary and alternative therapies: Many people with chronic pain of arthritis try complementary and alternative therapies. Some of the commonly used complementary therapies to relieve arthritic pain include acupuncture, aromatherapy and massage.

Surgery: Most patients with AS are treated with medications, but patients with severe spine deformity may need surgery. Some people with AS may need a hip replacement when the hip becomes badly affected.


Read more articles on Ankylosing Spondylitis




All possible measures have been taken to ensure accuracy, reliability, timeliness and authenticity of the information; however does not take any liability for the same. Using any information provided by the website is solely at the viewers’ discretion. In case of any medical exigencies/ persistent health issues, we advise you to seek a qualified medical practitioner before putting to use any advice/tips given by our team or any third party in form of answers/comments on the above mentioned website.

This website uses cookie or similar technologies, to enhance your browsing experience and provide personalised recommendations. By continuing to use our website, you agree to our Privacy Policy and Cookie Policy. OK