In many cases, working with physiatry will be helpful, as will addressing mood disorders, such as depression, and using non-opioid pain medications when necessary.
Dr. Ogdie-Beatty concluded by explaining that, if a patient with suspected nr-axSpA fails to respond to multiple types of treatment, it is reasonable to question the underlying diagnosis and ensure that no other condition is driving symptoms.
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Jason Liebowitz, MD, is an assistant professor of medicine in the Division of Rheumatology at Columbia University Vagelos College of Physicians and Surgeons, New York.
References
- Magrey MN, Danve AS, Ermann J, Walsh JA. Recognizing axial spondyloarthritis: A guide for primary care. Mayo Clin Proc. 2020;95(11):2499–2508.
- Marzo-Ortega H. Axial spondyloarthritis: Coming of age. Rheumatology (Oxford). 2020 Oct 1;59(Suppl4):iv1–iv5.