得根據具體情況(檢查結果和輕重程度)定治療方案,請谘詢自己的醫生.這個大綱僅供參考:

來源: http://www.fpnotebook.com/Rheum/Spondylitis/AnkylsngSpndylts.htm

1. Management: Non-pharmacologic
   1. Regular therapeutic Exercise
   2. Erect Posture
   3. Firm mattress (without a pillow)
   4. Deep breathing Exercises
      1. Maintain normal chest expansion
   5. Spinal extension Exercises
   6. Range of Motion Exercises
      1. Cervical spine
      2. Shoulders
      3. Hips
      4. Knees
   7. Consider physical therapy
2. Management: Medications
   1. First Line: NSAIDS
      1. Indomethacin (up to maximum of 50 mg PO tid)
      2. Tolmetin 400 mg PO tid-qid
   2. Second Line: NSAID refractory cases or NSAID Adjuncts
      1. Sulfasalazine 2-4g/day divided doses
         1. Effective peripheral arthritis
         2. Less effective for axial skeleton symptoms
      2. Methotrexate
         1. Effective for peripheral but not axial arthritis
      3. Local Corticosteroids injection
         1. For persistent synovitis and enthesopathy
   3. Other agents potential benefit
      1. Pamidronate (Aredia) IV
      2. Tumor Necrosis Factor alpha agents
         1. Etanercept (Enbrel)
         2. Infliximab (Remicade)
         3. Braun (2003) Ann Rheum Dis 62:817-24
   4. Medications to avoid
      1. Avoid long term Systemic Corticosteroids
         1. Not generally effective in Ankylosing Spondylitis
      2. Avoid gold and Penicillamine