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Managing Axial Spondyloarthritis: Protecting Your Spine

For individuals diagnosed with axial spondyloarthritis (axSpA), it may be necessary to reassess the pursuit of high-impact and adventurous activities. Engaging in sports with contact or elevated risks, such as basketball or skiing, may require a shift towards safer alternatives. Activities like swimming, Pilates, and yoga not only provide enjoyment but are generally safer choices that help maintain spinal mobility. Consulting with a healthcare provider or physical therapist can also guide you toward appropriate cardio and strength-training regimes that align with your safety needs while remaining enjoyable.

Awareness of Surroundings is Crucial

Even in relatively low-risk environments, there remains a potential for spinal injuries. It is vital to remain vigilant and aware of your surroundings. When driving, stay alert for traffic, cyclists, and pedestrians. While walking, particularly in icy conditions, keep your hands out of your pockets and move cautiously; should you stumble, landing on your hands is preferable to falling on your back. Although this could result in wrist or hand injuries, it is a more favorable option for someone with axSpA. Additionally, ensure that healthcare professionals take proper precautions to secure you on examination tables to prevent falls that could lead to fractures.

Medications and Their Importance

Adhering to prescribed medications for axSpA can significantly help manage inflammation. Experts reveal that effectively reducing inflammation may prevent calcification that often results in spinal fusion. Keeping the bones from merging supports spine flexibility and decreases the likelihood of fractures. While more extensive research is necessary to fully substantiate this theory, existing evidence indicates an increase in bone density scores in affected individuals. “We don’t have definitive proof that it will prevent fractures, though it seems logical that it would,” Dr. Weisman observes.

The Role of Physical Therapy

Along with medication, physical therapy is an integral component of axSpA treatment. Regular physical activity, ideally commended by a physical therapist, can enhance mobility and increase range of motion. According to Dr. Goodman, physical therapy strengthens muscles and helps maintain balance, thereby possibly reducing the risk of falls that could lead to fractures. In cases where joints are damaged, therapists play a crucial role in retraining muscles to compensate for any loss of joint functionality. Furthermore, incorporating Pilates may be beneficial, focusing on core strength to bolster balance—an area worth discussing with your physical therapist.

Exploring Dietary Changes

While there is no conclusive evidence indicating specific dietary changes can alter the progression of axSpA, Dr. Goodman suggests that adopting a Mediterranean-style diet, rich in anti-inflammatory ingredients, might be advantageous. This could involve an increase in the consumption of fatty fish, fruits, vegetables, whole grains, and olive oil, which can all contribute to overall well-being.

Considerations for Lifestyle Changes

Quitting smoking is an essential lifestyle change for anyone, especially for those with axSpA. Smoking contributes to an array of health issues, including elevated risks of cancer, heart disease, and lung complications. “It’s detrimental to skeletal health,” Dr. Goodman warns. The habit compromises bone density, hinders healing, and raises the risk for fractures, thus making it vital to eliminate tobacco use if possible.

Managing axSpA effectively often requires a multifaceted approach that combines various strategies to mitigate the risk of spinal fractures. While accidents are sometimes unavoidable, employing viable preventive measures can significantly enhance your spinal health and overall safety.

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Related:

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