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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How is ankylosing spondylitis diagnosed?

Ankylosing spondylitis is an autoimmune disease that cannot be cured but can be managed primarily through medication. Its main typical symptoms include stiffness in the neck or pain in the lower back, with the pain becoming more apparent when at rest or after sitting for a long time. Symptoms tend to improve with movement. A typical occurrence is pain that awakens the patient at night. Peripheral joints like the knee joint and heel can also be affected. However, the main symptoms are stiffness in the neck and pain in the lower back. Diagnosing ankylosing spondylitis requires combining symptoms with a positive B27 blood test result, and imaging tests such as CT or MRI of the sacroiliac joints, showing signs of sacroiliitis, narrowing or damage in the sacroiliac joint space, to confirm the diagnosis.

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Written by Yang Ya Meng
Rheumatology
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Is ankylosing spondylitis serious?

Patients with ankylosing spondylitis, if treated actively in the early stages, the condition is not severe. However, if the patient continues to seek irregular and improper medical care, it is possible to develop severe complications such as kyphosis and spinal ankylosis. In severe cases, patients may even self-harm. Therefore, it is advised that patients with ankylosing spondylitis seek treatment early, before the onset of spinal ankylosis. The treatment plan mainly includes non-steroidal analgesics, such as diclofenac sodium sustained-release tablets, medications to control the condition, such as sulfasalazine tablets, and biologic treatments. With the above treatments, the condition of ankylosing spondylitis can be controlled. (Medication use should be under the guidance of a doctor.)

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Written by Li Jing
Rheumatology
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Does ankylosing spondylitis have a genetic component?

Ankylosing spondylitis is an autoimmune disease primarily affecting the axial joints. The onset is determined by both genetic and environmental factors, leading to the disease. This means that the disease exhibits a significant familial aggregation and genetic predisposition. If the parents have it, the incidence in their children is much higher than in others. However, it is definitely not a genetic disease; it just has familial clustering and genetic tendencies. If symptoms like stiffness in the neck or pain in the lower back intensify when at rest and decrease after activity, it is essential to use CT or MRI scans and test for HLA-B27 to check for damage or narrowing in the sacroiliac joints. Early diagnosis and early treatment are crucial to improve the prognosis of the condition.

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Written by Li Jing
Rheumatology
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How to exercise with ankylosing spondylitis?

Once diagnosed with ankylosing spondylitis, after ruling out contraindications such as hepatitis B infection and tuberculosis, it is necessary to administer standard medications to improve rheumatic conditions. At the same time, it is necessary to develop good living habits, such as abstaining from alcohol, quitting smoking, and avoiding carbonated drinks and coffee, as these can exacerbate osteoporosis. Secondly, it is important to exercise regularly; one can walk slowly, run, or swim. Swimming is the best form of exercise for patients with ankylosing spondylitis as it can enhance the coordination of limb muscles while also delaying joint wear. Thirdly, it is important to maintain good posture and sleep on a hard bed.

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Written by Yang Ya Meng
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What is the ESR level in ankylosing spondylitis?

Patients with ankylosing spondylitis, if not well controlled, can exhibit elevated erythrocyte sedimentation rates (ESR). An ESR higher than 20 mm per hour indicates elevation, suggesting poor disease control. At such times, it is necessary to utilize non-steroidal anti-inflammatory drugs (NSAIDs) such as sustained-release diclofenac sodium tablets. Additionally, medications that control the condition should also be used, like sulfasalazine tablets and thalidomide, among others. While biological agents, commonly tumor necrosis factor (TNF) antagonists, offer the best treatment effectiveness, they are also the most expensive. (The use of medications should be conducted under the guidance of a physician.)