Literature review of non-pharmacological treatment for patients with axial spondyloarthritis
Axial spondyloarthritis (axSpA) is a chronic inflammatory disorder affecting the sacroiliac joints and axial spine. Along with pharmacotherapy, non-pharmacological interventions for axSpA are crucial and constitute the cornerstone of treatment. Here, we review the evidence for non-pharmacological tr...
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| Format: | Article |
| Language: | English |
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The Korean Association of Internal Medicine
2025-01-01
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| Series: | The Korean Journal of Internal Medicine |
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| Online Access: | http://kjim.org/upload/kjim-2023-485.pdf |
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| author | Jina Yeo Mi Ryoung Seo Jun Won Park Yeon-Ah Lee Ju Ho Lee Eun Ha Kang Seon Mi Ji Han Joo Baek |
| author_facet | Jina Yeo Mi Ryoung Seo Jun Won Park Yeon-Ah Lee Ju Ho Lee Eun Ha Kang Seon Mi Ji Han Joo Baek |
| author_sort | Jina Yeo |
| collection | DOAJ |
| description | Axial spondyloarthritis (axSpA) is a chronic inflammatory disorder affecting the sacroiliac joints and axial spine. Along with pharmacotherapy, non-pharmacological interventions for axSpA are crucial and constitute the cornerstone of treatment. Here, we review the evidence for non-pharmacological treatment of axSpA as a basis for the 2023 Korean treatment recommendations for patients with axSpA. The effectiveness of the core non-pharmacological approaches, such as education, smoking cessation, and exercise, has been reaffirmed. High-quality research on surgical treatment is limited. However, total hip replacement is advised in patients with ongoing pain or disability and visible structural damage to the hip on imaging. Urgent spinal intervention should be considered in cases of acute spinal pain with neurological deficiency or concurrent unstable fractures. Evidence for complementary therapies, including spas and acupuncture, remains insufficient. |
| format | Article |
| id | doaj-art-fb412237f2f446bf9874c9c9e4a670db |
| institution | OA Journals |
| issn | 1226-3303 2005-6648 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | The Korean Association of Internal Medicine |
| record_format | Article |
| series | The Korean Journal of Internal Medicine |
| spelling | doaj-art-fb412237f2f446bf9874c9c9e4a670db2025-08-20T01:55:09ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482025-01-01401404810.3904/kjim.2023.485170928Literature review of non-pharmacological treatment for patients with axial spondyloarthritisJina Yeo0Mi Ryoung Seo1Jun Won Park2Yeon-Ah Lee3Ju Ho Lee4Eun Ha Kang5Seon Mi Ji6Han Joo Baek7 Division of Rheumatology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Division of Rheumatology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea Division of Rheumatology, Department of Internal Medicine, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea National Health Insurance Service, Wonju, Korea Division of Rheumatology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaAxial spondyloarthritis (axSpA) is a chronic inflammatory disorder affecting the sacroiliac joints and axial spine. Along with pharmacotherapy, non-pharmacological interventions for axSpA are crucial and constitute the cornerstone of treatment. Here, we review the evidence for non-pharmacological treatment of axSpA as a basis for the 2023 Korean treatment recommendations for patients with axSpA. The effectiveness of the core non-pharmacological approaches, such as education, smoking cessation, and exercise, has been reaffirmed. High-quality research on surgical treatment is limited. However, total hip replacement is advised in patients with ongoing pain or disability and visible structural damage to the hip on imaging. Urgent spinal intervention should be considered in cases of acute spinal pain with neurological deficiency or concurrent unstable fractures. Evidence for complementary therapies, including spas and acupuncture, remains insufficient.http://kjim.org/upload/kjim-2023-485.pdfaxial spondyloarthritisankylosing spondylitisnon-pharmacological treatment |
| spellingShingle | Jina Yeo Mi Ryoung Seo Jun Won Park Yeon-Ah Lee Ju Ho Lee Eun Ha Kang Seon Mi Ji Han Joo Baek Literature review of non-pharmacological treatment for patients with axial spondyloarthritis The Korean Journal of Internal Medicine axial spondyloarthritis ankylosing spondylitis non-pharmacological treatment |
| title | Literature review of non-pharmacological treatment for patients with axial spondyloarthritis |
| title_full | Literature review of non-pharmacological treatment for patients with axial spondyloarthritis |
| title_fullStr | Literature review of non-pharmacological treatment for patients with axial spondyloarthritis |
| title_full_unstemmed | Literature review of non-pharmacological treatment for patients with axial spondyloarthritis |
| title_short | Literature review of non-pharmacological treatment for patients with axial spondyloarthritis |
| title_sort | literature review of non pharmacological treatment for patients with axial spondyloarthritis |
| topic | axial spondyloarthritis ankylosing spondylitis non-pharmacological treatment |
| url | http://kjim.org/upload/kjim-2023-485.pdf |
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