Question

A 45-year-old man complains of chronic low back pain with morning stiffness that improves with exercise. X-ray shows sacroiliitis. This is suggestive of ankylosing spondylitis. Which first-line drug therapy is recommended according to NICE?

Accepted Answer

NSAIDs

Answer

High-dose oral steroids daily

Answer

DMARDs (e.g. methotrexate)

Answer

Biologic therapy (TNF inhibitors) from diagnosis

Answer

Bed rest

Practice question

A 45-year-old man complains of chronic low back pain with morning stiffness that improves with exercise. X-ray shows sacroiliitis. This is suggestive of ankylosing spondylitis. Which first-line drug therapy is recommended according to NICE?