Living with Ankylosing Spondylitis: The Blog

A blog for and by people living with AS

Archive for Treatments

Efficacy in current practice of switching between anti-tumour necrosis factor-a agents in spondyloarthropathies

The Tumor-Necrosis-Factor alpha (TNF-a) blockers are biologic medications that have shown great promise in treating ankylosing spondylitis. They have been shown to be highly effective in treating not only the arthritis of the joints but the spinal arthritis associated with ankylosing spondylitis and related diseases.

This study looked at the effectiveness of switching between TNF-a medications to see if one would work when another had not.

The authors conclude that, “In the event of failure or intolerance to anti-TNF-a in the treatment of [spondyloarthropathies], performing a first or second switch produces a satisfactory therapeutic response.

via Press – News – 462 – Efficacy in current practice of switching between anti-tumour necrosis factor-a agents in spondyloarthropathies.


Press – News – 444 – In 2010, How Should Ankylosing Spondylitis Be Treated?

An article on answers the question of how ankylosing spondylitis should now be treated.

Stephen Paget, MD states in the article, “When I make a diagnosis of AS, I begin an NSAID for pain and inflammation control, recommend lifelong physical therapy, plant a 5 TU PPD, order hepatitis B and C serologies, and begin the process of getting approval for one of the anti-TNF medications in order to control the systemic disorder, improve function, and prevent damage. I usually don’t choose etanercept because it is less effective in preventing and treating uveitis and controlling possible occult or defined inflammatory bowel disease. AS is a systemic, inflammatory disorder that shortens life and profoundly alters function and mobility. This demands the best possible medication: TNF-alpha antagonists.”

via Press – News – 444 – In 2010, How Should Ankylosing Spondylitis Be Treated?.

Some people are experiencing a remission of their AS symptoms…

Remission of AS symptoms…….

via Ankylosing Spondylitis Diary and Diet Research.

3 Natural Remedies to Quell Pain

Many people with arthritis or chronic backache mix prescription meds with over-the-counter drugs like aspirin and ibuprofen. But doubling up on nonsteroidal antiinflammatory drugs (NSAIDs) may trigger further health troubles (such as gastrointestinal problems) and lead to a poorer quality of life health-wise, finds a new study. Though not as fast-acting as most NSAIDs, these three remedies — recommended by Scottsdale, Arizona-based naturopathic physician Nicole Barreda — can quell pain by easing inflammation.


Research has shown that ginger, which is high in anti-inflammatory compounds, may work as well as NSAIDs for arthritis pain.

How to Take It

Look for supplements that deliver 2,000 to 4,000 mg per daily dose. Drinking ginger tea and eating fresh ginger can also help cool inflammation, says Barreda.


Shown to ease arthritis pain in a number of studies, this pineapple-derived enzyme appears to inhibit inflammatory compounds in the body called prostaglandins.

How to Take It

Swallow a 500-mg capsule of bromelain three times a day, preferably on an empty stomach. Even better, says Barreda, opt for a product containing multiple enzymes, like papain and chymotrypsin.


Research suggests that this staple of the curry spice turmeric — long used as an anti-inflammatory in Ayurvedic medicine — can improve symptoms of inflammation-related conditions like arthritis and IBS.

How to Take It

Three times each day, get 400 to 600 mg of curcumin in capsule form, preferably on an empty stomach.

via 3 Natural Remedies to Quell Pain .

Alternative Medicines

“1 in 4 people with ankylosing spondylitis have tried specific diets to relieve arthritis symptoms. Half of the people (46%) reported that they had less pain and stiffness when on special diets. Some people with AS have tried fasting periods and 2 in 3 people undertaking fasting reported less pain and stiffness….”

 keep reading…...

Ankylosing Spondylitis and Arthritis – Kingsley Forbes-Smith

Ankylosing Spondylitis and Arthritis – Kingsley Forbes-Smith. Some useful tips (called “Journey Tips”) for those suffering from AS. I particularly like the advice about stretching.

MacDonald Naturopathic Medical Clinic

“At the MacDonald Naturopathic Medical Clinic, our focus on disease prevention, patient education, health maintenance and the natural treatment of disease is an effective and lasting health care solution for your entire family. We welcome women, men and children at our clinic and we promise you the highest standards in care and competence, so that your individual health needs can be met” … Dr. MacDonald has been extremely helpful in helping me manage my AS.  She also understands fully what an person with AS goes through as she has AS herself!  If you’re in the area (her office is located in Woodstock, Ontario, Canada), I highly recommend you give her a call.