What injections are used for ankylosing spondylitis?

Written by Li Jing
Rheumatology
Updated on September 18, 2024
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Firstly, ankylosing spondylitis is an autoimmune disease primarily characterized by the destruction of axial joints, a chronic condition that can also manifest peripheral joint lesions. Currently, there are no definitive cures, meaning long-term medication is necessary to alleviate symptoms, control disease progression, delay joint deformity, reduce disability, and improve quality of life. This constitutes the overall goal of treatment. The preferred treatments are non-steroidal anti-inflammatory drugs (NSAIDs) and biologic agents. However, before using biologic agents, it is essential to complete routine blood tests, erythrocyte sedimentation rate, C-reactive protein, screenings for infectious diseases, and tuberculosis. After excluding infections, tuberculosis, and tumors, biologic agents can be administered. During the use of biologic agents, there is a risk of reduced immunity, making it easy to contract infections. Therefore, it is important to avoid getting cold, overwork, and to regularly recheck routine blood parameters, liver, and kidney functions.

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Written by Li Jing
Rheumatology
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Can ankylosing spondylitis cause red eyes?

Firstly, ankylosing spondylitis is a chronic autoimmune disease that primarily affects the axial joints. Its most common clinical manifestations are a stiffness in the neck or pain in the lumbar and back areas. This pain often occurs after sitting for a long time or at night, and symptoms are relieved after standing up and moving around; these are the main joint symptoms. In addition to these, there can also be extra-articular manifestations, with the most common being uveitis or iritis, which occur repeatedly. Some individuals may even develop corneal ulcers, also known in layman's terms as experiencing "red eye." These are extra-articular symptoms. Once recurrent uveitis or iritis occurs, aside from considering eye-related issues, systemic diseases must also be considered. Following the onset of this type of uveitis, the first choice of treatment is biologics.

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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 parts: The first part is anti-inflammatory and pain relief. For anti-inflammatory pain relief, non-steroidal pain relief medications are commonly chosen, such as slow-release diclofenac sodium tablets and celecoxib capsules. The second part involves the selection of medications to control the disease. Common drugs used to control the condition include sulfasalazine, thalidomide, and methotrexate tablets. The third part includes the most effective, yet most expensive, treatment option: biological agents. Common biological agents used are tumor necrosis factor antagonists. However, before using biological agents, strict screening for diseases such as hepatitis, tuberculosis, and cancer is required. Only after excluding these conditions can the treatment with biological agents be considered.

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Written by Li Jing
Rheumatology
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Ankylosing Spondylitis Diagnosis Methods

Ankylosing spondylitis is primarily characterized by involvement of the elbow joints, but it can also be accompanied by extra-articular manifestations such as iritis and pain in the heel, and severe cases may present with spinal stiffness and deformity. The cause of the disease is unclear, but studies suggest it is related to genetic and environmental factors, with a significant familial aggregation. Diagnosis requires a combination of clinical symptoms, blood tests including HLA-B27, and imaging such as CT or MRI of the sacroiliac joints to confirm inflammation or damage to these joints. To diagnose ankylosing spondylitis, these three criteria must be met. The most important factor is the presence of clinical symptoms that persist for more than three months, improve with activity, and do not significantly improve with rest. This is a typical characteristic of ankylosing spondylitis.

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Written by Li Jing
Rheumatology
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Ankylosing Spondylitis Test Items

Ankylosing spondylitis is a systemic disease of unknown cause, primarily characterized by chronic inflammation of the axial joints. It mainly affects the sacroiliac joints and leads to bony ankylosis, predominantly occurring in males, especially young males. The disease has a significant familial genetic tendency. The main symptoms are pain or discomfort in the lower back and back, typically occurring at night, accompanied by difficulty turning over. Stiffness is evident in the morning or after sitting for a long time, but symptoms may alleviate after physical activity. In young and middle-aged males showing these symptoms, ankylosing spondylitis should be suspected first. The main diagnostic methods include blood tests for HLA-B27, and imaging such as CT or MRI of the sacroiliac joints to detect any sacroiliitis. Diagnosis primarily relies on the combination of symptoms, HLA-B27 results, and sacroiliac joint CT findings.

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Written by Yang Ya Meng
Rheumatology
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Can people with ankylosing spondylitis drink alcohol?

Patients with ankylosing spondylitis are advised not to drink alcohol. This is because alcohol consumption often harms the stomach, and patients with ankylosing spondylitis, due to the needs of their condition and the long-term pain they suffer, need to take non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief over a long period. NSAIDs can also damage the gastric mucosa, causing mild erosions or even severe complications such as gastric ulcers and bleeding. Therefore, if patients with ankylosing spondylitis drink alcohol while also taking NSAIDs, they are very likely to develop gastric lesions. Thus, it is not recommended for those with ankylosing spondylitis to consume alcohol. (Medication should be used under the guidance of a professional doctor.)