Alternatives to Medication

There are several non-medication strategies for managing arthritis pain and stiffness, many of which can complement medications or even reduce the need for them. Since you have Ankylosing Spondylitis (AS), some of these may be particularly relevant to you.

1. Exercise & Movement

• Stretching & Mobility Exercises – Helps maintain flexibility and prevent stiffness (e.g., yoga, tai chi).
• Low-Impact Exercise – Swimming, cycling, walking, or water aerobics can improve joint function.
• Strength Training – Builds muscle to support joints and reduce strain.
• Posture & Core Strength – Important for AS, as it helps maintain spinal alignment.

2. Heat & Cold Therapy

• Heat Therapy – Warm showers, heating pads, or warm compresses relax muscles and reduce stiffness.
• Cold Therapy – Ice packs can help with inflammation and swelling.

3. Physical Therapy

• A physical therapist can design a personalized program to improve mobility, reduce stiffness, and strengthen muscles.

4. Assistive Devices & Ergonomics

• Orthopedic Pillows & Mattresses – Help support spinal alignment.
• Canes, Braces, Shoe Inserts – Reduce strain on joints.
• Ergonomic Workstations – Adjusting chairs, desks, and keyboards can ease joint stress.

5. Diet & Nutrition

• Anti-Inflammatory Diet – Foods like fatty fish (salmon), nuts, olive oil, fruits, and vegetables can help reduce inflammation.
• Limit Processed Foods & Sugar – These can contribute to inflammation.
• Stay Hydrated – Helps keep joints lubricated.

6. Weight Management

• Excess weight puts added pressure on joints, especially in osteoarthritis.

7. Alternative Therapies

• Acupuncture – May help with pain relief.
• Massage Therapy – Can improve circulation and reduce stiffness.
• Chiropractic Care – Can be helpful but should be used cautiously with AS.
• Cognitive Behavioral Therapy (CBT) – Helps with pain management by addressing the emotional impact of chronic pain.

8. Mind-Body Techniques

• Deep Breathing & Meditation – Help manage stress, which can worsen pain.
• Mindfulness & Relaxation Techniques – Reduce tension and improve coping.

9. Supplements & Natural Remedies

• Omega-3 Fatty Acids (Fish oil) – Anti-inflammatory benefits.
• Turmeric (Curcumin) – May help reduce inflammation.
• Glucosamine & Chondroitin – Some people find relief for osteoarthritis.
• Vitamin D & Calcium – Important for bone health, especially with AS.

These topics will be covered in more depth in other parts of this website.