Ankylosing spondylitis treatment
AS treatment combines daily exercise — the single most important self-management step — with medication to control inflammation and prevent spinal fusion.
Treatment approaches
Daily spinal exercise
Mobility, stretching, and posture work are the foundation of AS management.
NSAIDs
First-line pharmacological treatment, often taken regularly rather than as needed.
Biologic therapies
Anti-TNF and IL-17 inhibitors for active disease that doesn't respond to NSAIDs.
Specialist physiotherapy
NASS-recommended structured programmes maintain spinal mobility.
Hydrotherapy
Particularly helpful for stiffness and supported movement.
Surgery
Rare but considered for severe spinal deformity or hip involvement.
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What is the best treatment for ankylosing spondylitis in the UK?
UK treatment for ankylosing spondylitis follows NICE guidance and usually combines self-management (exercise, weight control, pacing), pain relief, and — where needed — specialist medication or therapy. There is no single "best" option; the right plan depends on the type, severity and joints involved.
Can ankylosing spondylitis be cured?
Most forms of as cannot be cured, but they can be very effectively managed. With the right combination of exercise, medication, and lifestyle support, many people maintain a full and active life.
What painkillers help ankylosing spondylitis?
Common options include paracetamol, topical or oral NSAIDs (such as ibuprofen) and, for inflammatory types, prescription medication such as DMARDs or biologics. Always take pain relief at the lowest effective dose and ask your GP or pharmacist about interactions.
Do I need a referral to see a rheumatologist for as?
Yes — in the UK, you'll usually need a referral from your GP to access UK healthcare rheumatology services. If your GP suspects an inflammatory arthritis, NICE recommends urgent referral so that treatment can start early.
Are there free UK healthcare resources for ankylosing spondylitis treatment?
Yes. UK healthcare physiotherapy, occupational therapy, pain clinics and self-management programmes are available — many free at the point of use. Ask your GP or check the UK healthcare system website for services in your area.