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Daniel E. Gelb, M.D.

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Ankylosing spondylitis

Alternative Names:

Rheumatoid spondylitis; Spondylitis; Spondylarthropathy

Treatment:

Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain.

Corticosteroid therapy or medications to suppress the immune system may be also prescribed. Drugs called TNF-inhibitors, which block an inflammatory protein, have been shown to improve the symptoms of ankylosing spondylitis.

Some health care professionals use cytotoxic drugs (drugs that block cell growth) in people who do not respond well to corticosteroids or who are dependent on high doses of corticosteroids.

Surgery is done if pain or joint damage is severe.

Exercises can help improve posture and breathing. Lying flat on the back at night can help maintain normal posture.

Expectations (prognosis):

The course of the disease is unpredictable. Symptoms may come and go at any time. Most people are able to function unless the hips are severely involved.

Complications:

Damage of bone and cartilage can lead to fusing of joints in the spine or other areas, which can interfere with your ability to move. It can be extremely painful and crippling. The heart, the lungs, and the eyes may also become affected.

Complications include:

Calling your health care provider:

Call your health care provider if you have symptoms of ankylosing spondylitis or if you have ankylosing spondylitis and new symptoms develop during treatment.

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