I have severe ankylosing spondylitis and have been taking Sazo 1000 Tablet and Calcijoint Tablet daily, but my symptoms persist. Can you suggest additional options?
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.