Managing ankylosing spondylitis, especially with the HLA-B27 marker, can be challenging but Ayurveda offers a holistic approach to help manage symptoms and potentially slow progression. First off, it’s important to understand that this condition is primarily a result of vitiated Vata dosha. Our goal here would be to pacify Vata and strengthen the dhatus.
Starting with diet, try incorporating plenty of warm, nourishing foods like soups and stews. Avoid raw and cold foods, as they can aggravate Vata. Use spices like ginger, turmeric, and asafoetida, which can improve digestion and also reduce inflammation. Ghee, with its anti-inflammatory properties, can also be very beneficial for lubricating joints.
Daily practices play a big role, too. Gentle, consistent yoga focusing on flexibility can help with easing morning stiffness. Poses that stretch the spine, like cat-cow and twists, are often recommended. It’s important not to overdo it; gentle stretches tailored to your capability are key.
The massages, especially ones with sesame or Mahanarayan taila, may help lubricate the joints and reduce stiffness. The oil can be warmed and applied gently—followed by a warm bath to facilitate absorption. Consider doing this in the morning.
Also, you shouldn’t ignore the power of meditation and stress management. Stress can exacerbate symptoms, so practicing mindfulness or pranayama like Nadi Shodhana can be quite beneficial.
Herbal supplements such as ashwagandha and shallaki might help in reducing inflammation and managing pain, but you should consult a local Ayurvedic practitioner before starting any herbs—they can interfere with other meds you’re taking.
I know you’re seeking full control, but it can be a gradual process—like weaving a tapestry. By making these adjustments and sticking to a routine, you may find relief and improved function over time. Do discuss any changes you’re thinking of making with a healthcare professional, especially if you’re currently on medication.



