Is moxibustion useful for ankylosing spondylitis?

Written by Yang Ya Meng
Rheumatology
Updated on June 01, 2025
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Patients with ankylosing spondylitis are not recommended to receive moxibustion treatment because it can easily cause skin burns and local soft tissue infections. Moreover, moxibustion does not address the root cause of ankylosing spondylitis. It is recommended to continue with regular oral medication treatments. The medications used to treat ankylosing spondylitis mainly include non-steroidal anti-inflammatory drugs (NSAIDs), such as sustained-release diclofenac sodium. Commonly used medications to control the condition include sulfasalazine and thalidomide. Currently, the most effective treatment for ankylosing spondylitis involves biologic agents, commonly tumor necrosis factor (TNF) inhibitors. (Please use medications under the guidance of a doctor.)

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Written by Yang Ya Meng
Rheumatology
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How to control ankylosing spondylitis

The treatment of ankylosing spondylitis mainly consists of three parts: The first part is the use of non-steroidal anti-inflammatory drugs, such as sustained-release diclofenac sodium tablets; the second is the choice of disease control medications, which may include sulfasalazine or methotrexate tablets, especially for patients with peripheral joint pain, immunosuppressive drugs can be chosen. The most effective for ankylosing spondylitis are biologics, but before using biologics, it is necessary to exclude hepatitis, tuberculosis, and cancerous diseases, and the cost of biologics is relatively high. (Please use medications under the guidance of a professional physician and do not self-medicate.)

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Written by Sun Shu Jian
Orthopedics
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Early symptoms of ankylosing spondylitis

The early symptoms of ankylosing spondylitis mainly include insidious onset of pain and discomfort in the back and hip joints. The pain is often intermittent and worse at night. Patients frequently wake up at night due to back pain, which can be alleviated by slight movement. Therefore, when patients experience unexplained back and hip joint pain, it is necessary to determine whether ankylosing spondylitis could be a possibility. In the early stages, a sacroiliac joint CT scan and hematological examination can be performed to confirm the diagnosis. Once diagnosed, prompt standardized treatment is necessary. Generally, this can control synovial inflammation and pain, prevent deformities of the spine and joints, and help patients return to normal life and work.

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Written by Yang Ya Meng
Rheumatology
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What medicine is used for ankylosing spondylitis?

The medication for ankylosing spondylitis mainly involves three aspects. The first is non-steroidal pain-relief medications, commonly including drugs like sustained-release diclofenac sodium tablets. The second involves drugs that control the condition, commonly using medications like sulfasalazine and thalidomide. The third, which is currently the most effective, involves treatment with biologics. Common biologics include tumor necrosis factor inhibitors. However, before using biologics, it is crucial to rigorously rule out complications such as hepatitis, tuberculosis, and tumors. Only after excluding these conditions should one consider using biologics. Patients with ankylosing spondylitis should also pay attention to appropriate functional exercises in daily life to prevent the stiffening of spinal joints. (Medications should be used under the guidance of a doctor, based on the specific situation.)

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Written by Li Jing
Rheumatology
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Can ankylosing spondylitis be cured?

Ankylosing spondylitis is an autoimmune disease, primarily characterized by the involvement of the axial joints. This disease cannot be cured, but its progression can be controlled through medication to delay joint deformity, improve quality of life, and reduce disability rates, which are also the goals of treatment. Middle-aged or young males experiencing stiffness in the neck or pain in the lower back should seek comprehensive examinations, early diagnosis, and treatment as soon as possible.

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Written by Li Jing
Rheumatology
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What department should I go to for ankylosing spondylitis?

Ankylosing spondylitis is an idiopathic systemic disease primarily characterized by chronic inflammation of the axial joints, mainly involving the sacroiliac joint. The typical onset age ranges from 10 to 14 years, and it is more common in males. It is not hereditary, but there is a familial predisposition. If there is a family history, and localized pain or discomfort is present, especially if there is difficulty turning over at night, stiffness after waking or after prolonged sitting or standing, which eases with activity, it is important to be alert. This condition falls under rheumatic immune diseases, therefore, it should be managed by a rheumatology immunology department, not orthopedics.