Can Weather-Related Pain in Ankylosing Spondylitis Be Cured?

Q: Can Weather-Related Pain in Ankylosing Spondylitis Be Cured?

Hello Mr. <br>Yang： <br>1. <br>While a complete cure may not be possible, physical therapy can help alleviate the symptoms of your sacroiliac joint pain and reduce the frequency of pain medication usage. <br>It is recommended that you visit the rehabilitation department to arrang

Can the pain caused by sudden weather changes in patients with sacroiliitis (ankylosing spondylitis) be completely cured?

Hello Dr.
Lin, I am a patient with ankylosing spondylitis (20 years old), and I have been experiencing symptoms for 3.5 years.
Currently, under the treatment of a rheumatologist, I have achieved good control over the pain in my sacroiliac joints.
However, since two years after the onset of my condition, I have noticed that during winter, I am prone to flare-ups of sacroiliac joint pain due to cold fronts.
My rheumatologist mentioned that my sacroiliac joints have become more sensitive, making them susceptible to pain with sudden weather changes.
Since my primary care physician is a rheumatologist, the main advice has been to take medication and engage in more exercise to prevent this phenomenon.
However, I would like to seek the opinion of a rehabilitation specialist.
Therefore, I would like to ask Dr.
Lin: 1) Although my sacroiliac joint pain is currently well-controlled under rheumatology treatment, I am concerned that the pain may recur next winter with the arrival of cold fronts.
Can the symptoms that only occur with weather changes be completely cured? 2) If there is a possibility of complete cure, should I consult a specialist in sports medicine and arrange for out-of-pocket rehabilitation sessions to help prevent future pain due to sudden weather changes? Or are there any other recommendations you could suggest? Thank you, doctor.

Yang, 20~29 year old female. Ask Date: 2023/05/02

Dr. Lin Jianzhong reply Rehabilitation

Hello Mr.
Yang:
1.
While a complete cure may not be possible, physical therapy can help alleviate the symptoms of your sacroiliac joint pain and reduce the frequency of pain medication usage.
It is recommended that you visit the rehabilitation department to arrange appropriate physical therapy, such as electrical stimulation, heat therapy, and exercise therapy (joint mobilization and stretching exercises), to assist you in addressing the issue.
2.
It is advised that you seek medical attention at the rehabilitation department.
Dr.
Lin Jianzhong at Nantou Hospital's rehabilitation department.

Reply Date: 2023/05/02

More Info

Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the spine and the sacroiliac joints, which can lead to significant pain and stiffness. Many patients, like yourself, experience exacerbations of pain related to weather changes, particularly during colder months. This phenomenon is not uncommon among individuals with AS, as the condition can make joints more sensitive to environmental factors, including temperature fluctuations and humidity.

1. Can Weather-Related Pain in Ankylosing Spondylitis Be Cured?
While there is currently no cure for ankylosing spondylitis, the symptoms can often be managed effectively through a combination of medication, physical therapy, and lifestyle modifications. The sensitivity of your sacroiliac joints to weather changes may not be reversible, but it can be managed. Your rheumatologist's recommendation to continue medication and engage in regular exercise is crucial. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and inflammation. Additionally, biologic therapies may be considered if your symptoms are not adequately controlled with traditional medications.

The pain you experience during colder weather is likely related to increased stiffness and inflammation in your joints. While it may not be possible to completely eliminate this weather-related pain, you can take proactive steps to minimize its impact. Regular physical activity, particularly exercises that promote flexibility and strength in the back and hips, can help maintain joint function and reduce the likelihood of flare-ups.
2. Should You Seek Specialized Rehabilitation?
Consulting with a specialist in sports medicine or a physical therapist who has experience with ankylosing spondylitis can be beneficial. They can design a tailored rehabilitation program that focuses on exercises to improve your range of motion, strengthen your core, and enhance overall physical fitness. This may include stretching, strengthening exercises, and aerobic conditioning, which can help mitigate the effects of weather changes on your joints.

In addition to structured rehabilitation, consider incorporating the following strategies into your routine:
- Heat Therapy: Applying heat to the affected areas can help relax muscles and alleviate pain. This can be particularly effective during colder months when stiffness is more pronounced.

- Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet rich in anti-inflammatory foods can support overall joint health.

- Mind-Body Techniques: Practices such as yoga, tai chi, or mindfulness meditation can help manage pain and improve your overall well-being.

- Monitoring Weather Changes: Being aware of weather forecasts and preparing for changes can help you manage your symptoms proactively. For instance, dressing warmly and using heat packs when you anticipate colder weather can help reduce discomfort.

In conclusion, while weather-related pain in ankylosing spondylitis may not be completely curable, it is manageable. By continuing your current treatment plan, engaging in regular exercise, and possibly seeking specialized rehabilitation, you can significantly improve your quality of life and reduce the impact of weather changes on your symptoms. Always consult with your healthcare providers before making any changes to your treatment plan, as they can provide personalized recommendations based on your specific condition and needs.

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