Indomethacin is most effective, while sulfasalazine may benefit those with more severe involvement. Peripheral joint arthritis may respond to methotrexate. Rehabilitation therapies are essential. Proper sleep and walking positions, coupled with abdominal and back exercises, help maintain posture. Exercises help maintain joint flexibility.
Breathing exercises enhance lung capacity, and swimming provides aerobic exercise.
Continuing care is critical. AS is a lifelong problem, and people often fail to continue treatment, in which case permanent posture and mobility losses occur. Rheumatologists in basic and clinical research are the leaders in improving our understanding and treatment of this disease. If you want to find a rheumatologist in your area, check the American College of Rheumatology membership directory .