January 28, 2021
While two people may have the same diagnosis for axial spondyloarthritis, they may have stark treatment recommendations from their healthcare team. Medication that may work for one person may cause someone else side effects or interact with medication for a comorbid condition. We have heard from our community and understand that finding the right treatment for you can be difficult. That's why we want to hear more from you with some questions to consider:
2 days ago
James Hollens Moderator
October 17, 2021
Luckily my treatment plan hasn't needed to be changed at all as the Enbrel injections I was prescribed at the start have been really helpful to me.
I inject that once a week but I also make sure I keep active and eat as healthily as I can.
I met with a physiotherapist to come up with a stretch routine that targets the specific areas that affect me the most. I perform this every morning (or as early as my body is capable of doing it) and it really loosens me up and reduces my pain to get me ready for the day.
I often struggle with my inflammation levels so I try to keep my diet as low in gluten and dairy as possible and add things like ginger and turmeric where I can. I am also vegetarian but this wasn't a health choice as I always have been, but after looking online apparently this can help with inflammation levels too.
Apart from that I allow my body to rest whenever it needs it and try not to feel guilty about it as I know if I don't I will definitely suffer the next day!
I do struggle with fatigue though and I am not entirely sure how to combat that so if anyone has any suggestions that would be greatly appreciated!
James (Community Member)
Anna Samson Moderator
July 26, 2021
I am currently having Inflectra (Remicade) infusions every 4 weeks. While I feel like it reduces the pain a bit, the relief only lasts for about a week and a half. So I spend more than half the month in gradually worsening pain. Along with the infusions, I take Lyrica (Pregabalin) 3 times a day for my Fibromyalgia. I also use heating pads throughout most of the day and my TENS unit on worse pain days. I try to stretch and do yoga
I have been having the Inflectra infusions for a year now and am frustrated with the lack of improvement of my pain. My fatigue continues to be debilitating and I spend more time resting than anything else. I am hoping to start on a different biologic or other treatment that helps me more effectively.
Before starting on Inflectra, I cycled through most of the available NSAIDs and they caused a painful UTI that lasted for a month and only got better once I stopped the NSAIDs. Because of this, and the lack of pain relief, my rheumatologist began me on Inflectra and prescribed Lyrica about 6 months ago. So my treatment has only changed a couple of times, but I am hoping to switch to something other than Inflectra since it is not helping as much as I need it to.
Hope y'all are doing well!
Rebecca Cappello Moderator
July 12, 2021
Hey there community!
My treatment plan consists of a biological medication Remicade that is infused at the rheumatology office every 6 weeks. I also treat my breakthrough pain with tramadol, diclofenac, Tumeric combination, vitamins, folic acid, magnesium, muscle relaxants, steroids, and a collagen peptide powder in my coffee every morning. I also try and incorporate movement (yoga, bike, stretching, walking) every day to help with the stiffness and rigid muscles that recur nightly, as well as use massagers, TENS unit, hot baths and cold compresses with extreme or exhausting body pain.
Utilizing this treatment plan, I feel better, but not fully without pain or fatigue. I find I can get temporary relief with alternative therapies when all seems too much. It is a daily struggle. Some days I wake and have no energy and find I do very little. Some days, I feel better and accomplish some tasks that have been waiting to be done. It's all very up in the air. I live day to day depending on how I feel and the level of disease activity.
I've been on a treatment plan for the last 5 years, and have been on several biologics medications. Before bio's, I used anti-inflammatories that eventually failed to help my level of pain. Some therapeutic techniques also stopped helping and actually made things worse and put to the side for now. I've had several surgeries and currently only manage pain daily. It never goes away fully. I've had to change my treatment plan at least twice a year, as trials of biologics either failed or worked only partially to give me relief. It has taken me quite a while to find the best plan of action but it's worth it. I have a better QOL and am grateful. Be well everyone!