Gratitude to Dr. Gao: Expert Insights on Ankylosing Spondylitis Care

Thank you, Dr. Gao?

Hello Dr.
Gao, my son is 19 years old and is a patient with ankylosing spondylitis.
Since his diagnosis of ankylosing spondylitis a year ago, we have had many questions and uncertainties, especially since this is our first encounter with such a disease.
There are many questions that we couldn't ask his attending physician in the clinic or find answers to on Google in time.
In the e-hospital, Dr.
Gao has quickly and thoroughly addressed our concerns in a professional manner.
Currently, my son's condition is stable and well-managed.
We are truly grateful to Dr.
Gao.

Hao, 50~59 year old female. Ask Date: 2022/06/06

Dr. Gao Jiankai reply Internal Medicine

Hello, thank you for your message.
Please feel free to reach out.
If you have any questions or concerns in the future, you can jot them down whenever you have time.
In addition to asking in the e-hospital, you can also bring your organized questions to the outpatient visit with your child and ask the attending physician.
This will be very efficient.
The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, cares about you.

Reply Date: 2022/06/06

More Info

Thank you for your kind words and for reaching out regarding your son's journey with ankylosing spondylitis (AS). It's understandable to have many questions and concerns when dealing with a chronic condition, especially one that is as complex as AS. Your proactive approach in seeking information and support is commendable and can significantly impact your son's management of the disease.

Ankylosing spondylitis is a type of inflammatory arthritis that primarily affects the spine, leading to severe, chronic pain and discomfort. It can also affect other joints and, in some cases, organs. The condition is characterized by inflammation of the spinal joints (vertebrae), which can lead to chronic pain and stiffness. Over time, this inflammation can cause the vertebrae to fuse together, resulting in a rigid spine. Early diagnosis and treatment are crucial in managing symptoms and preventing complications.

The treatment for AS typically involves a combination of medication, physical therapy, and lifestyle modifications. Nonsteroidal anti-inflammatory drugs (NSAIDs) are often the first line of treatment to help reduce inflammation and relieve pain. In more severe cases, biologic medications may be prescribed, which target specific pathways in the immune system to reduce inflammation. It's essential to work closely with a rheumatologist who specializes in AS to determine the most appropriate treatment plan for your son.

Physical therapy plays a vital role in managing AS. A physical therapist can design a personalized exercise program that focuses on improving flexibility, strength, and posture. Regular exercise is crucial for maintaining mobility and reducing stiffness. Activities such as swimming, walking, and stretching can be beneficial. It's important to encourage your son to stay active while also listening to his body and avoiding overexertion.

In addition to medical treatment and physical therapy, lifestyle changes can also help manage symptoms. Maintaining a healthy weight, practicing good posture, and incorporating regular physical activity into daily routines can make a significant difference. Some patients find relief through complementary therapies such as acupuncture or yoga, but it's essential to discuss these options with a healthcare provider to ensure they are safe and appropriate.

It's also important to address any emotional or psychological challenges that may arise from living with a chronic condition. Support groups, counseling, or therapy can provide valuable resources for both your son and your family as you navigate this journey together.

As you continue to seek answers and support, I encourage you to keep a list of questions and concerns to discuss during your son's medical appointments. This proactive approach can help ensure that you receive the information and guidance you need. Additionally, staying informed about the latest research and treatment options for AS can empower you and your son to make informed decisions about his care.

In summary, ankylosing spondylitis is a manageable condition with the right combination of medical treatment, physical therapy, and lifestyle modifications. Your son's current stability is a positive sign, and with ongoing care and support, he can lead a fulfilling life. Thank you for your gratitude, and please feel free to reach out with any further questions or concerns. Your commitment to your son's health is truly admirable, and I wish you both the best on this journey.

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