Ankylosing Spondylitis

Biological agents (such as TNF inhibitors and IL-17A inhibitors) are the core treatments for inhibiting the progression of structural damage in ankylosing spondylitis. However, medication alone often fails to sufficiently resolve functional issues such as muscle stiffness around the spine, postural deformities, and fatigue. Clinical studies are being published showing that acupuncture, when combined with physical therapy and exercise therapy, improves pain and functional indicators (BASFI, BASDAI). While biological agents in Western medicine block cytokine pathways, Korean medicine plays a role in addressing the underlying stagnation of Qi and blood and imbalances of internal organs. Needle acupuncture performed along the spinal line releases adhesions in surrounding ligaments and fascia to restore range of motion, while fire acupuncture and thread embedding promote tissue regeneration in damaged areas. Furthermore, internal treatment, which reinforces both digestive function and muscle energy, can simultaneously resolve issues of chronic fatigue and muscle atrophy. Since the goals of the two treatments do not overlap, they are mutually complementary when used in combination.