Skip to main content


Recently, the Assessment of SpondyloArthritis international Society (ASAS) and European League Against Rheumatism (EULAR) recommendations on the management of AS have been published, based on a thorough analysis of the available literature and on a meeting of spondyloarthritides (SpA) experts. These recommendations are shown in Figures 6.1 and 6.2 [54]. Non-drug approaches are part of the therapy at all stages of the disease. For the predominantly axial manifestation, the treatment options are limited to non-steroidal anti-inflammatory drugs (NSAIDs) as a kind of basic treatment, followed by tumour necrosis factor (TNF)-blocker therapy if this conventional treatment fails. If the clinical picture is dominated by peripheral symptoms such as arthritis or enthesitis, treatment with sulfasalazine and/or local steroid injection should be tried first before TNF blockers are considered.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Author information

Authors and Affiliations


Rights and permissions

Reprints and permissions

Copyright information

© 2009 Current Medicine Group Ltd, a part of Springer Science+Business Media

About this chapter

Cite this chapter

Sieper, J., Braun, J. (2009). Management of ankylosing spondylitis. In: Clinician’s Manual on Ankylosing Spondylitis. Springer, Tarporley.

Download citation

  • DOI:

  • Publisher Name: Springer, Tarporley

  • Print ISBN: 978-1-85873-436-1

  • Online ISBN: 978-1-907673-30-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics