The first line of treatment for ankylosing spondylitis (AS) is typically a combination of medication and physical therapy. Medications used to treat AS can include nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to reduce inflammation and help reduce pain. Other medications may include disease-modifying anti-rheumatic drugs (DMARDs), such as methotrexate or sulfasalazine, to slow the progression of the disease and reduce symptoms. Corticosteroids, such as prednisone, may also be used to reduce inflammation and pain.
Physical therapy is important in the treatment of ankylosing spondylitis, as it can help strengthen muscles, improve posture, and reduce pain and stiffness. Exercises should be tailored to each individual patient, as some may need more assistance than others, depending on the severity of their symptoms. Physical therapy may also include stretching exercises, massage, and other forms of manual therapy.
Finally, lifestyle changes such as quitting smoking, maintaining a healthy weight, and avoiding activities that cause pain can also help to reduce the symptoms of ankylosing spondylitis. It is important to talk to a doctor about the best treatment plan for an individual's specific needs.