If symptoms persist despite current medications, your doctor or rheumatologist may add regular NSAIDs for pain and inflammation and consider biologic injections, such as TNF inhibitors (adalimumab and etanercept) or IL-17 inhibitors (secukinumab and ixekizumab), if NSAIDs are ineffective. Daily physiotherapy exercises, posture training, and adequate intake of calcium and vitamin D are essential for maintaining spinal mobility and slowing disease progression.