Can people with ankylosing spondylitis work out?

Written by Li Jing
Rheumatology
Updated on September 08, 2024
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Ankylosing spondylitis is an autoimmune disease that cannot be cured. It can only be managed with medication to control the condition, delay the onset of joint deformities, and reduce the rate of disability. Lifestyle changes are also a part of the treatment, including quitting smoking and drinking, and avoiding carbonated beverages as they can exacerbate bone loss. Additionally, regular exercise is important, with swimming being the best option. Swimming not only exercises the limbs and improves muscle coordination but also reduces joint wear and tear, making it the ideal form of exercise. For patients who cannot swim, other forms of exercise such as walking or running are also beneficial for fitness.

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Written by Li Jing
Rheumatology
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What should I do in the late stage of ankylosing spondylitis?

Firstly, ankylosing spondylitis is an autoimmune disease primarily affecting the axial joints, but it can also present with extra-articular manifestations. Severe cases can lead to ankylosis and deformities of the spine, which are complications of late-stage ankylosing spondylitis. At this stage, surgery is needed to manage the activity of the disease. If the activity of the disease is not controlled, even joint replacement can still lead to the progression of the disease and further damage to the joint structures. For severe disabling deformities, spinal orthopedic surgery can be considered, and spinal surgery is required when an acute fracture occurs.

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Written by Sun Shu Jian
Orthopedics
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Early symptoms of ankylosing spondylitis

The initial symptoms of ankylosing spondylitis mainly manifest as morning stiffness in the back. Then, there appears to be pain in the back and hip joints. The pain is generally more noticeable at night, and patients often wake up at night due to back pain. Pain can be significantly relieved after light activity. Early ankylosing spondylitis generally does not have characteristic clinical manifestations. A definitive diagnosis requires physical examinations, imaging studies, and blood tests. After confirming the diagnosis, timely and standard treatment is needed. Treatment can control the inflammation and pain of the synovium, prevent the further development of the disease, and prevent deformities of the spine and joints.

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Written by Yang Ya Meng
Rheumatology
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How is ankylosing spondylitis treated?

The treatment of ankylosing spondylitis mainly consists of three types: The first is anti-inflammatory pain relief, primarily using non-steroidal pain relief medications, such as sustained-release diclofenac sodium tablets. The second is the selection of disease control medications, mainly involving drugs like sulfasalazine tablets. For ankylosing spondylitis, the most effective and economically expensive treatment is biological agents therapy. We commonly use drugs such as tumor necrosis factor antagonists. Patients with ankylosing spondylitis during acute pain periods are advised not to engage in intense exercise. However, during remission periods, appropriate functional exercises are recommended to prevent the adhesion and stiffness of spinal joints.

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Written by Yang Ya Meng
Rheumatology
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What tests are done for ankylosing spondylitis?

The main laboratory indicators for ankylosing spondylitis include the following: Testing for the B27 gene, formally known as HLA-B27 gene, which is hereditary and commonly found in male patients. Second, to determine if ankylosing spondylitis is in an active phase, inflammatory markers such as erythrocyte sedimentation rate and C-reactive protein can be checked. Moreover, the diagnosis of ankylosing spondylitis must involve the sacroiliac joints being affected. Therefore, a CT scan and MRI of the sacroiliac joints can be conducted to determine if there are issues with the sacroiliac joints. If the patient shows symptoms of inflammatory lower back pain, has affected sacroiliac joints, tests positive for the B27 gene, and shows elevated inflammatory markers, then a diagnosis of ankylosing spondylitis can generally be confirmed.

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Written by Li Jing
Rheumatology
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Does ankylosing spondylitis cause buttock pain?

Ankylosing spondylitis may cause buttock pain. It primarily affects the axial joints, and can be accompanied by extrarticular manifestations. This condition leads to stiffening and deformity of the spine, and it cannot be cured, only managed with medication to slow the progression of the disease, delay joint deformity, improve quality of life, and reduce disability rates. Its clinical manifestations vary widely, and its onset is often insidious. Men are more commonly affected and tend to experience more severe symptoms. The most common symptoms include stiffness in the neck or pain in the lumbar and back areas. However, some people may experience pain in the lower back, accompanied by morning stiffness, or alternating pain in the buttocks, or radiating pain from the groin to the lower limbs. This pain is often worse at night or after prolonged sitting, but symptoms can lessen after activity.