A member asked:

I have ank.spon & osteoarthritis,especially in my hands and down from my thumbs into my wrists.i can't use nsaids because of gerd. the joints are deformed, but not red or swollen.i've been using wet heat and tylenol, but they really hurt. ideas?

2 doctors weighed in across 2 answers
Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

Would add topical diclofenac gel 1%, which is an NSAID, make sure you get your rheumatologist involved as well as stronger antiinflammatory meds, possibly a short course of steroids, may need to be used.

Answered 5/31/2023

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Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

There are a variety of option and now there are new biologic agents as Adalimumab . Etanercept . Secukinumab as well as methotrexate. ( which is not a biologic) Follow up with rheumatology at a university hospital if possible. https://www.hopkinsmedicine.org/health/conditions-and-diseases/ankylosing-spondylitis

Answered 5/31/2023

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