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Real members of MySpondylitisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MySpondylitisTeam Member asked a question 💭
Los Angeles, CA
2 days ago
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A MySpondylitisTeam Member

@Corrine2 I increased my D3 + K2 and it does give me more energy. Usually when I'm flaring up, that's when I'm really fatigued. I also eliminated gluten and reduced sugar. Every bit helps to keep inflammation down and help with the pain. Rest when you can. Be kind to yourself instead of pushing through all the time. It's very frustrating to feel tired all the time. It's something we have to find ways to adapt to our situation. I've also gotten used to the Either/Or when it comes to planning my day. Don't overdo it. Choose what the priority is and be happy with what you were able to do. We can't be all things to everyone. I hope this helps Corrine.

2 days ago
A MySpondylitisTeam Member

@A MySpondylitisTeam Member
Hi Darlene, it's nice to hear from you. As I've different conditions, I'm dealing with a lot right now. It's strange because I felt I was feeling better lately but I've been extremely tired these last few days. I'm like you, I'm trying to cut some of my medications. I wanted to ask you if you feel the same as we often have different symptoms. I've AS in my SI joints and what bothers me the most is my lower back pain and stiffness. The stiffness makes it very difficult to keep a good posture. I'm very aware of keeping a good posture as I do gentle pilates. Could you find a way for this specific issue? Have a lovely day!

1 day ago
MySpondylitisTeam

Managing fatigue with spondylitis is something many people navigate, and there are several approaches that have helped others in similar situations. Here's a summary of what tends to work:

Medical Treatments
- Biologic therapies (like anti-TNF or IL-17 inhibitors) have helped about 35% of people with spondylitis find Show Full Answer

Managing fatigue with spondylitis is something many people navigate, and there are several approaches that have helped others in similar situations. Here's a summary of what tends to work:

Medical Treatments
- Biologic therapies (like anti-TNF or IL-17 inhibitors) have helped about 35% of people with spondylitis find complete relief from fatigue
- Reviewing your pain medications with your doctor, as better pain control often leads to better sleep and more energy

Lifestyle Approaches
- Gentle, low-impact exercise like yoga, tai chi, swimming, or walking — many people find that moving actually feels better than resting
- An anti-inflammatory diet rich in fruits, vegetables, whole grains, and legumes to help reduce inflammation
- Some MySpondylitisTeam members have found vitamins like D and B12 helpful, though always check with your doctor first

Mental Health Support
- Therapies like CBT (Cognitive Behavioral Therapy) or mindfulness-based stress reduction can help reframe how pain affects your energy and sleep
- Meditation has also been mentioned — as one MySpondylitisTeam member shared, "Meditation helps me a lot in dealing with spondylitis" Getting better sleep is also a big piece of the fatigue puzzle. Finding the right mattress, adjusting sleep positions with supportive pillows, and practicing good sleep hygiene (like limiting screen time before bed) can all make a real difference in energy levels the next day.

As always, it's worth talking to your rheumatologist or healthcare provider to find the right combination of approaches for you. Fatigue is very real with spondylitis, and you deserve a plan that actually works! 💪

2 days ago

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A MySpondylitisTeam Member asked a question 💭

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