There is currently no cure for axial spondyloarthritis, which is a chronic, progressive disease. Treatment for axial spondyloarthritis is focused on relieving symptoms, maintaining motion and flexibility, and preventing joint damage.

Types of Treatments

Treatments for axial spondyloarthritis may include:

• Medications
• Physical and occupational therapy
• Lifestyle modifications
• Surgery

Medication

Medications used for the treatment of axial spondyloarthritis include:

1. Non-steroidal anti-inflammatory drugs to reduce pain and swelling, such as:

• Ibuprofen
• Indomethacin
• Meloxicam
• Naproxen

2. Immunosuppressants, also called biologics, which target the body’s immune system, or the body’s natural defenses, to stop inflammation, such as:

• Adalimumab
• Certolizumab
• Entanercept
• Golimumab
• Infliximab
• Secukinumab

3. Disease-modifying antirheumatic drugs, such as sulfasalazine, to decrease pain and swelling

4. Corticosteroids, such as prednisone, to reduce inflammation

Physical therapy and lifestyle adjustments

Physical therapy and regular exercise are recommended for patients with axial spondyloarthritis to help improve mobility, to preserve range of motion, and to maintain flexibility. Swimming is a recommended exercise for patients with juvenile axial spondyloarthritis due to its low impact on joints.

Individuals with axial spondylarthritis may also benefit from lifestyle modifications and complementary therapies, such as:

• Acupuncture
• Applying hot and cold treatments as needed
• Avoiding lifting or sitting too long
• Eating a healthy diet
• Maintaining good posture
• Massage and relaxation techniques
• Sleeping on a firm mattress
• Stop smoking
• Taking frequent breaks
• Using assistive devices as recommended for workplace accommodations

Long-Term Follow Up

Ongoing, long-term follow-up is an essential part of treatment for patients with axial spondyloarthritis to help prevent joint damage and to monitor treatment effectiveness.

Sources

This content was written by the MediFind Medical Team. Last updated: 6/9/2022