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Non-pharmacological treatment of axial spondyloarthritis 

Non-pharmacological treatment of axial spondyloarthritis
Non-pharmacological treatment of axial spondyloarthritis
Axial Spondyloarthritis (Oxford Rheumatology Library)

Stefan Siebert

, Sengupta Raj

, and Alexander Tsoukas


While drugs play a key role in reducing disease activity, non-pharmacological therapies are crucial in maintaining function, flexibility, and quality of life. Therefore, non-pharmacological therapy remains a key component in the optimal management of axial spondyloarthritis (axSpA), even in the era of biologics. Regular physical therapy allows patients to capitalize on the benefits of drug therapy and maintain optimal functional ability. Self-management and education strategies, supported by patient-support groups, facilitate independence and quality of life in chronic diseases. A proportion of patients with severe disease may require hip or spinal surgery. It is hoped that the availability of more effective drug therapies to control disease activity in axSpA will reduce the requirement for surgery in future. The optimal management of axSpA requires a combination of non-pharmacological and pharmacological treatments, for both initial and long-term management.

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