What is the initial treatment approach for ankylosing spondylitis?

The initial treatment approach for ankylosing spondylitis primarily focuses on alleviating pain and improving mobility, and this is best achieved through the use of nonsteroidal anti-inflammatory medications (NSAIDs) combined with physical therapy. NSAIDs are effective in managing the inflammatory symptoms associated with this condition, helping to reduce pain and stiffness that patients typically experience.

Physical therapy plays a crucial role in maintaining and improving spinal flexibility and posture, which can be significantly affected by the disease over time. Engaging in regular physical activity tailored to the individual can not only alleviate symptoms but also promote overall well-being and function.

The other treatment options have their specific roles but are generally considered in later stages or for more severe cases. For instance, biologic agents are often employed in more advanced cases or when NSAIDs do not provide sufficient relief. Osteoporosis medications may be used if there is evidence of bone density loss, which can occur as a complication of chronic inflammation. Corticosteroids can help manage inflammation but are not typically the first line of treatment for ankylosing spondylitis due to potential side effects and are reserved for specific situations.

Thus, the combination of NSAIDs and physical therapy is crucial as a first step in managing ankyl