Spondyloarthritis

Early diagnosis and treatment are important. Our experienced health care workers provide diagnostic testing, education, physical activity programs, and the latest medicines—some of them delivered in our state-of-the-art infusion center. 

One of our expert rheumatologists will make a diagnosis based on exam findings, blood tests, X-rays, and sometimes an MRI. We’ll also order tests or consult with other specialists as needed to look for inflammation in other organs.

Spondyloarthritis is usually treated by a rheumatologist (autoimmune diseases), however, some types of spondyloarthritis are associated with other diseases. For example, spondyloarthritis can occur with inflammatory bowel disease. In this case, both a rheumatologist and gastroenterologist (stomach and intestines) may be managing your illness.  

There is no cure for spondyloarthritis. Symptoms vary, so we tailor treatment to each individual. Medications can improve pain and swelling and help prevent joint damage. Physical and occupational therapy can help preserve motion in the spine.

Treatments Include:

Medications

• Non-steroidal Anti-inflammatory Drugs (NSAIDs): NSAIDs reduce or relieve pain and help reduce swelling in your joints so you feel better. Some NSAIDs, such as ibuprofen and naproxen, are available over the counter. Others require a prescription.
• Corticosteroid Injections: Sometimes pain and swelling are localized to one joint or tendon. An injection of corticosteroids can be very effective in controlling symptoms in that area.
• Disease Modifying Anti-Rheumatic Drugs (DMARDs): These medications decrease inflammation and may protect joints from permanent damage. DMARDS take several weeks to begin working. Sulfasalazine is an example.
• Biologics: Biologics are medications that block proteins which cause inflammation and cause joint damage. Biologics cannot be taken orally. Examples include etanercept and infliximab.

Surgery

In patients with extensive symptoms in the hip area, hip replacement can help restore a more active lifestyle.

Lifestyle Changes

• Healthy Eating: The right combination of different foods can help you feel your best and maintain a healthy weight. Foods rich in omega-3s and antioxidants may help control inflammation. UR Medicine nutritionists can help you develop a diet plan that works best for you. (Learn how UR Medicine Center for Community Health's Improve Nutrition Program can help).
• Staying Active: Physical activity will improve your energy level, decrease stiffness, increase range of movement, elevate mood, and increase bone strength. People with lupus can safely exercise with the proper program, and we have informational materials to get you started. UR Medicine physical therapists can also work with you to devise an exercise regimen that’s best for you. (Learn more about the UR Medicine Physical Therapy program.)
• Smoking Cessation: Smoking makes symptoms for people with spondyloarthritis worse. Our team of physicians, nurse practitioners, and lifestyle counselors can help you develop a plan to quit. (Learn more about the UR Medicine Stop Smoking Program.)