Ankylosing spondylitis causes spinal pain, is it good to use sacral tube injection for pain relief?

      Patient: I have ankylosing spondylitis, and now I have spinal pain. I went to the rheumatology department, and the doctor prescribed medicine for pain, anti-immune, but the effect is not too obvious, if the pain is not treated in time, my joints will gradually straighten, so I am very worried. I want to see what relatively good methods the pain department has, so that both the symptoms and the root cause will be better!      Beijing 301 Hospital anesthesia pain clinic Zhao Guoli: ankylosing spondylitis is indeed a headache, conventional treatment includes anti-immunotherapy, anti-inflammatory pain relief, joint-protective drugs, such as salazosulfapyridine enteric tablets and other drugs, but most of the damage to liver and kidney function, can be combined with appropriate activities and symptomatic treatment, when convenient to our rheumatology system treatment.      Patient: Since the effect of conventional treatment is not obvious, we should consider other treatments. I have seen that there is talk of sacral injection, I wonder if your hospital advocates it? Is that method feasible? I have spinal pain now.      Zhao Guoli, anesthesia pain clinic of Beijing 301 Hospital: Sacral injection is mostly effective for low back and leg pain caused by lower disc herniation, but for widespread spinal pain caused by ankylosing spondylitis, the effect is generally not ideal, and if it is effective, it is also an anti-inflammatory and pain-relieving effect with hormonal drugs. So generally do not advocate this. It is important to do appropriate activities that extend the range of motion of the lumbar spine, in conjunction with anti-immunotherapy, anti-inflammatory and pain-relieving, joint-protective medications, such as enteralized salbutamol tablets and other drugs. As for spinal pain, it can be improved with some physical therapy and other treatments on top of the above to promote muscle relaxation and inflammation absorption. The disease is most harmful to adolescent males, and generally has a certain self-limit after a certain age.