Coping Strategies for Managing Axial Spondyloarthritis
Dealing with axial spondyloarthritis (axSpA), a type of inflammatory arthritis that targets the spine and is also known as ankylosing spondylitis or AS, presents a continuous challenge. This challenge becomes even more daunting during flare-ups.
According to Lawrence Brent, MD, associate director of the Rheumatology Fellowship Program at Temple University Hospital in Philadelphia, factors like trauma, such as an injury or recent infection, can exacerbate discomfort in patients. Flare-ups may manifest in the upper or lower back or in peripheral joints like the Achilles tendon or knees. Emotional stress, such as work overload, relationship issues, or significant life changes, can also play a role.
These triggers can lead to an uptick in inflammatory chemicals, despite ongoing axSpA treatment, such as biologics, Dr. Brent explains. Consequently, individuals may experience heightened pain, stiffness, and fatigue.
Communication with a healthcare provider is crucial during flare-ups. Additionally, implementing the following strategies at home can help alleviate discomfort:
Utilize Heat Therapy
Extended periods of immobility, such as upon waking in the morning or after prolonged sitting, can result in severe stiffness in the back or hips. Heat application, such as taking a hot shower or bath, can help alleviate this stiffness. Dr. Brent suggests soaking for about 20 minutes to loosen up tight joints. Heat encourages blood vessels to dilate, improving blood flow and delivering oxygen and nutrients to painful tissues. The increased circulation can aid in joint flexibility, as noted by the Arthritis Foundation.
In instances where a shower or bath is impractical, using an electric heating pad can provide quick relief. Simply plug in the pad and place it over stiff areas for immediate comfort.
Massage Therapy
Massage therapies not only promote relaxation but also help reduce discomfort. Similar to heat therapy, massages enhance blood circulation to alleviate pain and stiffness. Furthermore, massages can elevate levels of pain-relieving chemicals in the bloodstream, states a report in Topics in Pain Management. Prior approval from a healthcare professional is essential before proceeding with massages. They may offer recommendations for massage therapists experienced in working with axSpA patients. The American Massage Therapy Association’s national database is also a resource for locating licensed therapists.
Consider Turmeric
Adding turmeric to your diet, such as in a golden milk latte, can offer benefits due to its anti-inflammatory compound, curcumin. Dr. Brent suggests that while turmeric may not match the potency of prescription medications, it can complement their effects.
Incorporating these strategies into your daily routine can assist in managing axSpA flare-ups and reducing discomfort. Remember to consult with a healthcare provider before making any significant changes to your treatment plan.