How can ankylosing spondylitis be treated effectively. What are the main treatment options for managing AS symptoms. Why is a combination approach important in AS therapy. How do exercises and physiotherapy help in AS management. What medications are commonly prescribed for ankylosing spondylitis.

Understanding Ankylosing Spondylitis and Its Treatment Approach

Ankylosing spondylitis (AS) is a chronic inflammatory condition primarily affecting the spine. While there’s no definitive cure, various treatment options can effectively manage symptoms and potentially slow disease progression. The primary goals of AS treatment include relieving pain, reducing inflammation, maintaining spinal flexibility, and preventing spinal fusion.

Is there a single best treatment for ankylosing spondylitis? The answer is no. Most cases require a multifaceted approach combining exercise, physiotherapy, and medication. This comprehensive strategy aims to address both the physical and inflammatory aspects of the condition.

The Role of Exercise and Physiotherapy in AS Management

Physical activity plays a crucial role in managing ankylosing spondylitis. Regular exercise can improve posture, enhance spinal mobility, and prevent stiffness and pain. How does physiotherapy contribute to AS treatment? A physiotherapist can design tailored exercise programs and provide guidance on the most effective techniques for managing symptoms.

Types of Recommended Physiotherapy for AS

• Group exercise programs
• Individual exercise routines
• Hydrotherapy
• Sports and swimming

Can hydrotherapy be particularly beneficial for AS patients? Indeed, exercising in warm water can be especially helpful. The buoyancy supports the body, making movement easier, while the warmth helps relax muscles, potentially reducing pain and stiffness.

Medications for Ankylosing Spondylitis: A Comprehensive Overview

Pharmacological interventions form an integral part of AS treatment. The choice of medication often depends on the severity of symptoms and individual patient factors. Which medications are commonly prescribed for ankylosing spondylitis?

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are typically the first-line medication for AS. They help alleviate pain and reduce inflammation in the joints. Common NSAIDs prescribed for AS include:

• Ibuprofen
• Naproxen
• Diclofenac
• Etoricoxib

How are NSAIDs prescribed for AS patients? Rheumatologists aim to find the most suitable NSAID and the lowest effective dose for each individual. Regular monitoring and dose adjustments may be necessary to optimize treatment outcomes.

Alternative Pain Management Options

When NSAIDs are unsuitable or insufficient, other pain management strategies may be employed. These can include:

1. Paracetamol: A safer option for those who can’t tolerate NSAIDs
2. Codeine: A stronger painkiller for more severe pain

Are there potential side effects associated with these medications? Yes, particularly with codeine, which may cause nausea, constipation, and drowsiness. It’s crucial to discuss any concerns about medication side effects with your healthcare provider.

Biological Treatments: Advanced Therapies for Ankylosing Spondylitis

When conventional treatments prove inadequate, biological therapies may be considered. These advanced medications target specific components of the immune system involved in the inflammatory process.

Anti-TNF Medications

Anti-tumor necrosis factor (TNF) drugs are a type of biological treatment that can be highly effective in managing AS symptoms. How do anti-TNF medications work? They block the effects of TNF, a chemical produced during inflammation, thereby reducing joint inflammation and associated symptoms.

Are there risks associated with anti-TNF therapy? While generally well-tolerated, these medications can potentially interfere with the immune system, increasing the risk of infections. Close monitoring is essential during treatment.

Monoclonal Antibody Treatments

For patients who don’t respond to NSAIDs or anti-TNF drugs, monoclonal antibody treatments like secukinumab and ixekizumab may be recommended. These medications work by blocking specific proteins involved in the inflammatory process.

JAK Inhibitors: A New Frontier in AS Treatment

Janus kinase (JAK) inhibitors represent a newer class of medications for ankylosing spondylitis. What are JAK inhibitors, and how do they work in AS treatment? JAK inhibitors, such as upadacitinib, are oral medications that block certain enzymes involved in the inflammatory response.

When might JAK inhibitors be prescribed? These medications are typically offered to patients who haven’t responded adequately to anti-TNF therapy or are unable to take it. They provide an alternative treatment option for managing AS symptoms.

Corticosteroids in AS Management: Targeted Relief for Inflammation

Corticosteroids can play a role in managing acute flares or persistent inflammation in ankylosing spondylitis. How are corticosteroids administered in AS treatment? They can be given as injections, either systemically or directly into inflamed joints.

What precautions should be taken after corticosteroid injections? If a joint receives a corticosteroid injection, it’s crucial to rest it for up to 48 hours afterward. This rest period allows the medication to take effect and reduces the risk of complications.

Emerging Therapies and Future Directions in AS Treatment

Research into ankylosing spondylitis treatment is ongoing, with new therapies continually being developed and tested. What are some promising areas of research in AS treatment?

• Targeted synthetic DMARDs (tsDMARDs)
• IL-17 inhibitors
• Gut microbiome modulation
• Personalized medicine approaches

How might these emerging therapies impact AS management in the future? As our understanding of the disease mechanisms improves, these new treatments could potentially offer more targeted and effective options for managing AS symptoms and slowing disease progression.

Holistic Approaches to Ankylosing Spondylitis Management

While medical treatments form the cornerstone of AS management, a holistic approach can enhance overall well-being and quality of life for patients. What complementary strategies can support AS treatment?

Lifestyle Modifications

• Maintaining good posture
• Using proper body mechanics
• Quitting smoking
• Managing stress

Dietary Considerations

Can diet play a role in managing AS symptoms? While there’s no specific “AS diet,” some patients report benefits from anti-inflammatory diets or eliminating certain foods. It’s important to maintain a balanced, nutritious diet and discuss any major dietary changes with a healthcare provider.

Alternative Therapies

Some patients find relief through alternative therapies such as acupuncture, massage, or mindfulness practices. While these approaches shouldn’t replace conventional treatments, they may offer additional symptom relief for some individuals.

How can patients determine which complementary approaches are right for them? It’s crucial to discuss any alternative therapies with your rheumatologist or healthcare team to ensure they’re safe and compatible with your current treatment plan.

The Importance of Regular Monitoring and Treatment Adjustments

Ankylosing spondylitis is a dynamic condition that can change over time. Regular monitoring and follow-up appointments are essential for optimal management. Why is ongoing assessment crucial in AS treatment?

• To evaluate treatment effectiveness
• To detect any disease progression
• To adjust medications as needed
• To address any new symptoms or complications

How often should AS patients see their rheumatologist? The frequency of check-ups can vary depending on individual circumstances, but most patients benefit from regular appointments every 3-6 months, or more frequently during active disease phases or treatment changes.

Tools for Monitoring AS Progression

Several tools and assessments are used to monitor AS progression and treatment effectiveness:

1. Physical examinations
2. Imaging studies (X-rays, MRI)
3. Blood tests for inflammatory markers
4. Patient-reported outcome measures

How do these monitoring tools inform treatment decisions? By providing a comprehensive picture of disease activity and progression, these assessments help healthcare providers make informed decisions about continuing, adjusting, or changing treatment strategies.

Supporting Mental Health in Ankylosing Spondylitis

Living with a chronic condition like ankylosing spondylitis can have significant psychological impacts. How does AS affect mental health? The chronic pain, functional limitations, and uncertainty associated with AS can contribute to stress, anxiety, and depression in some patients.

Strategies for Mental Health Support

• Cognitive-behavioral therapy
• Support groups
• Mindfulness and relaxation techniques
• Regular communication with healthcare providers

Why is addressing mental health important in AS management? Mental well-being can significantly impact overall quality of life and even influence physical symptoms. Integrating mental health support into AS treatment plans can lead to better outcomes and improved coping strategies.

The Role of Patient Education and Self-Management in AS

Empowering patients with knowledge about their condition is a crucial aspect of ankylosing spondylitis management. How does patient education contribute to better AS outcomes?

• Improves treatment adherence
• Enhances self-management skills
• Promotes early recognition of flares or complications
• Facilitates informed decision-making

What resources are available for AS patient education? Many rheumatology clinics offer patient education programs. Additionally, organizations like the National Ankylosing Spondylitis Society (NASS) provide valuable information and resources for individuals living with AS.

Self-Management Strategies for AS

Effective self-management can significantly improve quality of life for AS patients. What are some key self-management strategies?

1. Adhering to prescribed treatments and exercise routines
2. Maintaining a healthy lifestyle (diet, sleep, stress management)
3. Using assistive devices when necessary
4. Communicating openly with healthcare providers
5. Staying informed about AS and treatment options

How can patients develop effective self-management skills? Working closely with healthcare providers, attending education sessions, and gradually incorporating new habits can help patients build confidence in managing their condition.

Navigating Work and Social Life with Ankylosing Spondylitis

Ankylosing spondylitis can impact various aspects of daily life, including work and social interactions. How can individuals with AS maintain a fulfilling work and social life?

Workplace Accommodations

• Ergonomic workstations
• Flexible work hours
• Regular movement breaks
• Remote work options when possible

What rights do AS patients have in the workplace? Many countries have laws protecting individuals with chronic conditions from discrimination and ensuring reasonable accommodations. It’s important for patients to be aware of their rights and communicate their needs effectively.

Social Life and Relationships

Maintaining social connections is crucial for overall well-being. How can AS patients navigate social situations?

1. Communicate openly about their condition and limitations
2. Plan activities that accommodate their needs
3. Use energy management techniques to avoid overexertion
4. Seek support from friends and family

Why is maintaining social connections important for AS patients? Strong social support networks can provide emotional support, practical assistance, and contribute to better mental health outcomes.

The Future of Ankylosing Spondylitis Treatment: Hope on the Horizon

As research into ankylosing spondylitis continues, new treatment options and management strategies are emerging. What advancements are on the horizon for AS treatment?

Precision Medicine Approaches

How might precision medicine impact AS treatment? By analyzing genetic and molecular markers, researchers hope to develop more targeted therapies tailored to individual patients, potentially improving treatment efficacy and reducing side effects.

Novel Biological Therapies

What new biological therapies are being investigated for AS? Researchers are exploring new targets in the inflammatory cascade, potentially leading to more effective and diverse treatment options.

Regenerative Medicine

Could regenerative medicine play a role in AS treatment? While still in early stages, research into stem cell therapies and tissue engineering could potentially offer new ways to repair damage caused by AS.

How can patients stay informed about new developments in AS treatment? Regular communication with healthcare providers, participation in patient advocacy groups, and following reputable medical news sources can help patients stay up-to-date on the latest advancements in AS research and treatment.

As we continue to unravel the complexities of ankylosing spondylitis, the future holds promise for more effective, personalized treatment approaches. While a cure remains elusive, ongoing research and emerging therapies offer hope for improved management and quality of life for individuals living with AS.

Ankylosing spondylitis – Treatment – NHS

There’s no cure for ankylosing spondylitis (AS), but treatment is available to help relieve the symptoms.

Treatment can also help delay or prevent the process of the spine joining up (fusing) and stiffening.

These treatments can also help if you have non-radiographic axial spondyloarthritis.

In most cases treatment involves a combination of:

• exercise
• physiotherapy
• medicine

Physiotherapy and exercise

Keeping active can improve your posture and range of spinal movement, along with preventing your spine becoming stiff and painful.

As well as keeping active, physiotherapy is a key part of treating AS. A physiotherapist can advise about the most effective exercises and draw up an exercise programme that suits you.

Types of physiotherapy recommended for AS include:

• a group exercise programme – where you exercise with others
• an individual exercise programme – you are given exercises to do by yourself
• hydrotherapy – exercise in water, usually a warm, shallow swimming pool or a special hydrotherapy bath; the buoyancy of the water helps make movement easier by supporting you, and the warmth can relax your muscles

Some people prefer to swim or play sport to keep flexible. This is usually fine, although some daily stretching and exercise is also important.

If you’re ever in doubt, speak to your physiotherapist or rheumatologist before taking up a new form of sport or exercise.

The National Ankylosing Spondylitis Society (NASS) has detailed information about different types of exercise to help you manage your condition.

Painkillers

You may need painkillers to manage your condition while you’re being referred to a rheumatologist. The rheumatologist may continue prescribing painkillers, although not everyone needs them all the time.

Non-steroidal anti-inflammatory drugs (NSAIDs)

The first type of painkiller usually prescribed is a non-steroidal anti-inflammatory drug (NSAID). As well as helping ease pain, NSAIDs can help relieve swelling (inflammation) in your joints.

Examples of NSAIDs include:

• ibuprofen
• naproxen
• diclofenac
• etoricoxib

When prescribing NSAIDs, your GP or rheumatologist will try to find the 1 that suits you and the lowest possible dose that relieves your symptoms. Your dose will be monitored and reviewed as necessary.

Paracetamol

If NSAIDs are unsuitable for you or if you need extra pain relief, an alternative painkiller, such as paracetamol, may be recommended.

Paracetamol rarely causes side effects and can be used in women who are pregnant or breastfeeding. However, paracetamol may not be suitable for people with liver problems or those dependent on alcohol.

Codeine

If necessary, you may also be prescribed a stronger type of painkiller called codeine.

Codeine can cause side effects, including: 

• feeling sick
• being sick
• constipation
• drowsiness

Biological treatments

Anti-TNF medicine

If your symptoms cannot be controlled using NSAIDs and exercising and stretching, anti-tumour necrosis factor (TNF) medicine may be recommended. TNF is a chemical produced by cells when tissue is inflamed.

Anti-TNF medicines are given by injection and work by preventing the effects of TNF, as well as reducing the inflammation in your joints caused by ankylosing spondylitis.

If your rheumatologist recommends using anti-TNF medicine, the decision about whether they’re right for you must be discussed carefully, and your progress will be closely monitored.

In rare cases anti-TNF medicine can interfere with the immune system, increasing your risk of developing potentially serious infections.

If your symptoms do not improve significantly after taking anti-TNF medicine for at least 3 months the treatment will be stopped. You may be offered a different anti-TNF medicine.

Monoclonal antibody treatment

Monoclonal antibodies, such as secukinumab and ixekizumab, may be offered to people with AS who do not respond to NSAIDs or anti-TNF medicine, or as an alternative to anti-TNF medicine.

This type of treatment works by blocking the effects of a protein involved in triggering inflammation.

JAK inhibitors

JAK inhibitors such as upadacitinib are a new type of medicine that may be offered to people with AS who do not respond to anti-TNF medicine or cannot take it.

They work by blocking enzymes (proteins) that the immune system uses to trigger inflammation. They’re taken as tablets.

Corticosteroids

Corticosteroids have a powerful anti-inflammatory effect and can be taken as injections by people with AS.

If a particular joint is inflamed, corticosteroids can be injected directly into the joint. You’ll need to rest the joint for up to 48 hours after the injection.

It’s usually recommended to limit corticosteroid injections to no more than 3 times in one year, with at least 3 months between injections in the same joint.

This is because corticosteroid injections can cause a number of side effects, such as:

• infection in response to the injection
• the skin around the injection may change colour (depigmentation)
• the surrounding tissue may waste away
• a tendon near the joint may burst (rupture)

Disease-modifying anti-rheumatic drugs (DMARDs)

Disease-modifying anti-rheumatic drugs (DMARDs) are an alternative type of medicine often used to treat other types of arthritis.

DMARDs may be prescribed for AS, although they’re only beneficial in treating pain and inflammation in joints in areas of the body other than the spine.

Sulfasalazine and methotrexate are the main DMARDs sometimes used to treat inflammation of joints other than the spine.

Surgery

Most people with AS will not need surgery. However, joint replacement surgery may be recommended to improve pain and movement in the affected joint if the joint has become severely damaged.

For example, if the hip joints are affected, a hip replacement may be carried out.

In rare cases corrective surgery may be needed if the spine becomes badly bent.

Follow-up

As the symptoms of AS develop slowly and tend to come and go, you’ll need to see your rheumatologist for regular check-ups.

They’ll make sure your treatment is working properly and may carry out physical assessments to assess how your condition is progressing. This may involve further sets of the same blood tests or X-rays you had at the time of your diagnosis.

Page last reviewed: 05 January 2023
Next review due: 05 January 2026

Spondylitis Treatment Options – Brigham and Women’s Hospital

Spondylitis is a type of arthritis that primarily affects the spine. It causes inflammation of the vertebrae, which can lead to severe pain and discomfort. In advanced cases, it can lead to erosion of the joint between the spine and the hip or development of new bone followed by fused vertebrae. The disease is most common among young people (ages 17 to 35), tends to be hereditary, and affects men two to three times more than women.

Physicians at our Center for Arthritis and Joint Diseases collaborate with Brigham and Women’s Hospital (BWH) specialists in orthopaedics, bone and joint radiology, occupational and physical therapy, pain management, physiatry, and other services to evaluate and treat spondylitis.

Spondylitis Symptoms

Spondylitis symptoms tend to originate in the lower back and buttocks and develop gradually over a period of weeks or months. It is not uncommon for these symptoms to disappear and reappear at irregular intervals.

Typical signs of spondylitis include:

• Lower back pain and stiffness, particularly after long periods of rest
• Radiating, rather than localized, back pain
• Pain often starts on one side and spreads to other
• Fever and loss of appetite during early stages
• Painful breathing and limited breathing capacity – caused by curvature of the spine, inflammation and scarring of the lungs, or if joints between the ribs and spine are affected.

Additional symptoms may include:

• Fatigue
• Anemia
• Pain spreads to other joints
• Mild eye inflammation
• Organ damage – heart, lungs, and eyes
• Stooped posture – in response to back pain
• Stiff and straight spine

Spondylitis Diagnosis

Following a complete medical history and a thorough physical examination, your physician may also order one or more of the following diagnostic tests to evaluate your condition:

• X-ray – to detect bony abnormalities along the spine.
• Erythrocyte sedimentation rate (ESR) – analyzes blood to evaluate inflammation.
• Genetic testing – to determine whether a patient carries a copy of a specific gene (HLA-B27) that is present in over 95 percent of people with spondylitis.

Spondylitis Treatment

Treatment for spondylitis is focused on reducing pain and stiffness and preventing deformities. Treatments may include:

• Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling.
• Short-term use of corticosteroids to relieve pain and swelling.
• Tumor-necrosis-factor (TNF) blockers to reduce pain, stiffness, and swelling.
• Disease-modifying anti-rheumatic drugs (DMARDs) to decrease inflammation and slow progress of spondylitis.
• Short-term use of pain relievers and muscle relaxants to relieve severe pain and reduce muscle spasms.
• Surgery – to replace a joint, to place rods in the spine, or to remove parts of thickened and hardened bone.
• Physical therapy and exercise to strengthen back muscles, maintain flexibility, and promote an ideal posture.

Request an Appointment

To schedule an appointment with one of our ankylosing spondylitis specialists at the Center for Arthritis and Joint Diseases, please call 1-800-294-9999 or use our online appointment request form.

Spondylitis – a disease of the spine | Blog ММЦ Clinic №1 Lublino, Moscow

Call
Call me back

Home

Blog

Spondylitis is a disease of the spine that is easy to miss at an early stage

01/29/2021

Spondylitis is a disease of the spine in which inflammation develops and primary destruction of the vertebral bodies occurs. The disease deforms the spine: gradually the vertebrae grow together with each other or with other parts of the skeleton – the ribs, the sacrum and even the pelvic bones.

In vertebral spondylitis, the ligaments of the spine become ossified, causing severe pain and significantly reducing mobility. The longer the diagnosis and treatment of spondylitis is delayed, the higher the risk of being immobilized and in a wheelchair.

Causes

Spondylitis occurs due to damage to the immune system by infectious diseases and has an autoimmune pathology. The immune system fails and attacks its own cells, thereby destroying bone tissue. The body replenishes bone mass through scarring. The scars of adjacent bones grow together over time, forming one fixed connection.

Spondylitis can be either specific or non-specific. Specific is caused by a specific disease. Nonspecific is a complication of the disease or occurs after surgery and other invasive procedures.

The main causative agent of specific spondylitis is Staphylococcus aureus, but the disease can occur due to tuberculosis bacillus (tuberculous spondylitis develops), causative agents of syphilis, gonorrhea and brucellosis, as well as enterobacteria and other pathogens.

Nonspecific hematogenous purulent spondylitis, as a rule, occurs in the thoracic and lumbar spine, rarely in the cervical. It can become a complication of furunculosis, tonsillitis, dental caries and appear after operations on the abdominal cavity, kidneys and pelvic organs.

The genetic predisposition should not be discounted either: if someone in the family has had or is suffering from spondylitis, the risk of discovering the disease in the next generation is quite high.

Symptoms and stages of spondylitis

Spondylitis appears at 20-30 years of age and is more common in men.

In the primary stage, mild back pain in the lumbar region is observed. Symptoms are not so significant that the patient immediately sought medical help.

Over time, lower back pain gets worse, more frequent and lasts longer. Rest and sleep do not bring relief. In the morning there is a feeling of stiffness, which gradually disappears from slight physical mobility.

In the secondary stage of the disease, spondylitis moves from the lumbar spine to the thoracic and cervical. Characteristic signs: very severe pain in the back (not only in the lower back), which is difficult to drown out with painkillers. Movements are constrained and limited due to constant muscle tension.

The development of vertebral spondylitis leads to muscle atrophy, and fusion with the ribs limits the mobility of the chest and leads to breathing problems. In addition, autoimmune diseases affect any healthy cells, including cells of internal organs. Therefore, spondylitis can cause damage to the heart, kidneys, lungs, eyes and other organs.

Diagnosis

Spondylitis of any type and at any stage is diagnosed by x-ray, computed tomography, magnetic resonance imaging, scintigraphy and laboratory tests (blood test, urinalysis and other tests if necessary).

The procedures necessary for diagnosis are determined by the attending physician on the basis of the anamnesis: initial examination, patient complaints and the results of previous examinations, if any.

Treatment

Treatment depends on the type of spondylitis, the causative agent and the stage of the disease. At the primary stage, the main task of the doctor is to eliminate the source. If it is a bacterial infection, a course of antibiotics is prescribed. If spondylitis is a complication of another disease, the doctor’s task is to cure this disease and at the same time slow down the development of spondylitis. If vertebral spondylitis, specific or nonspecific, is started, an operation or several operations are required, plus drug therapy and long-term rehabilitation.

Any type and stage of spondylitis may require spinal stabilization, physical therapy, and medication. Specific methods of treatment and medications are selected by the attending physician.

Spondylitis cannot be completely cured, but its development can be slowed down as much as possible. Therefore, a timely visit to a doctor can prevent the appearance of a wheelchair in a patient’s life.

After a course of treatment, on the recommendation of a doctor, it is necessary to periodically do CT, MRI or X-rays and take tests (C-reactive protein and ESR).

Photo: ru.freepik.com

You might be interested in

Enter your details and we will contact you as soon as possible

I agree to the processing of personal data. Conditions for the processing of personal data.

Send

We will call you back as soon as possible

LETTER TO THE CHIEF DOCTOR

Send

Thank you for your message

Spinal spondylitis – symptoms, causes, treatment

A neurologist treats this disease.

Make an appointment

Share:

Spinal spondylitis is a general term for degenerative-dystrophic changes of a chronic nature. It is characterized by primary destruction of the bone tissue of the vertebral bodies, deformation and limitation of mobility of the spinal column, pain syndrome. Conditionally divided into two types: specific – obtained as a result of infection with an acute infection, and ankylosing or non-specific, related to manifestations of rheumatism.

CMRT specialist tells

Kuchenkov A.V.

Orthopedist • Traumatologist • Surgeon • Phlebologist • Sports doctor • 25 years of experience

Publication date: May 19, 2021

Verification date: January 11, 2023

All facts have been verified by a doctor.

Contents of the article

Causes of spondylitis

Symptoms

Symptoms of spondylitis increase as the disease progresses, divided into primary and secondary signs.

Primary:

• limitation of mobility in certain postures
• occurrence of periodic pain in the cervical, thoracic or sacral region, which increases as the disease worsens
• malaise, fever, redness of the area of ​​the disease localization

Secondary include the development of reactivity. For example, reactive spondylitis of the lumbar spine gives symptoms of kyphosis. Either a violation of the natural curves, when the spinal column takes an unnaturally even position, or a shortening of the length of the spine, the appearance of a hump.

The rapid development of purulent spondylitis gives rapidly emerging symptoms from acute pain, fever to intoxication – nausea, vomiting, headache, general weakness.

Classification

Pathology is classified depending on the pathogenesis of the disease into specific and non-specific spondylitis.

According to the localization of manifestations, the following are distinguished: spondylitis of the cervical, thoracic and lumbar spine.

By the nature of the course – slowly progressive, with exacerbations, impetuous.

How to diagnose

To differentiate the pathology, use:

Laboratory blood tests – complete blood count, culture for sterility or PCR test to determine the pathogen;

MRI – informative for joint lesions, inflammation of soft tissues, shows aseptic spondylitis of the lumbar spine at an early stage

Computed tomography

If necessary – biopsy of the body of the affected vertebra or disc.

Rehabilitation of the spine: material of the specialists of the RC “Laboratory of Movement”

Go to

Which doctor to contact

How to treat spondylitis of the spine

Rehabilitation after spinal spondylitis

Consequences

Prevention

Treatment and rehabilitation after spinal spondylitis in CMRT clinics

Did you like the article?

Subscribe so you don’t miss the next one and get a unique gift from CMDT.

e-mail

By clicking on the button, I accept the agreement for the processing of my data.

---

Article checked

Moskaleva V.V.

Editor • Journalist • Experience 10 years

We publish only verified information

The materials posted on the site are written by the authors with
medical education and specialists of the company CMRT

More details

round-the-clock appointment by ph.

+7 (812) 748-59-05

Sign up for diagnostics

Personal Area

Make an appointment at CMRT

Do you need a preliminary consultation? Leave your details, we will call you back and answer all
questions

The information on the site is for guidance only, please consult your doctor

Callback request

Your name

Phone

By clicking on the button, I accept the agreement for the processing of my data

Enroll

Your name

Phone

By clicking on the button, I accept the agreement for the processing of my data

Enroll

e-mail

By clicking on the button, I accept the agreement for the processing of my data

Ask a question to a specialist

Your name

e-mail

Phone

Your question

Send a reply to e-mail

Publish anonymously

By clicking on the button, I accept the agreement for the processing of my data.