MySpondylitisTeam

That journey sounds absolutely exhausting, and the frustration of constant pain with limited relief so far is completely understandable. Here's a roundup of what has helped others manage spondylitis pain:

Medications

Since Methotrexate is still early, it's worth having an open conversation with your rheumatologist about Show Full Answer

That journey sounds absolutely exhausting, and the frustration of constant pain with limited relief so far is completely understandable. Here's a roundup of what has helped others manage spondylitis pain:

Medications

Since Methotrexate is still early, it's worth having an open conversation with your rheumatologist about additional options, including:

- NSAIDs (anti-inflammatory medications) for day-to-day pain
- Short courses of steroids during flares (with caution around long-term use)
- Biologic medications (like TNF inhibitors or IL-17 inhibitors), which target inflammation more aggressively and are often very effective for SI joint pain
- JAK inhibitors, another targeted option your rheumatologist may consider Physical Therapy (which you're already doing — great!)

Restarting PT after surgery is a positive step. Focus on core and hip strengthening, as this directly supports the SI joint and lower back. Active, supervised PT tends to be more beneficial than passive approaches like massage alone.

One MySpondylitisTeam member shared, "I am always in pain, but my physical therapist does pressure point therapy. It helps me find relief when nothing else has helped." At-Home Relief

Some MySpondylitisTeam members have found comfort using:

- Ice packs on the back
- Topical products like Biofreeze
- CBD creams or oils (though evidence is still limited)
- Acupuncture (when performed by a trained professional)

For sleeping, experimenting with pillow placement between or under the knees may help reduce SI joint pressure, though it's worth asking your PT for personalized positioning tips. One Important Note on Chiropractors

Given your history with chiropractors, it's worth knowing that the Spondylitis Association of America advises against chiropractic spinal adjustments for people with spondylitis due to the risk of spinal injury. Sticking with PT is the safer path.

Hang in there — biologics in particular have been described as "revolutionary" by rheumatologists for spondylitis pain. If Methotrexate doesn't provide enough relief, that conversation with your rheumatologist is absolutely worth having.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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