GUIDELINES FOR THE MANAGEMENT AND THE ROLE OF THE PRM SPECIALIST IN SPONDYLOARTHRITIS

Spondyloarthritis (SpA) represents a group of chronic inflammatory diseases primarily affecting the axial skeleton, peripheral joints, and entheses.Early diagnosis and interdisciplinary management are essential for improving patient outcomes.Physical and Rehabilitation Medicine (PRM) specialists play a pivotal role in non-pharmacological and functional management strategies.This paper provides an overview of current management guidelines for SpA and emphasizes the multifaceted role of PRM specialists in assessment, rehabilitation, patient education, and long-term follow-up.Spondyloarthritis (SpA) encompasses a spectrum of inflammatory rheumatic diseases, including ankylosing spondylitis, psoriatic arthritis, reactive arthritis, and enteropathic arthritis.These conditions share clinical, radiologic, and genetic features, such as the presence of HLA-B27 and sacroiliitis.Given the progressive nature and functional impairment associated with SpA, comprehensive management that includes pharmacologic, physical, and rehabilitative interventions is critical.SpA is broadly classified into axial and peripheral types.According to ASAS (Assessment of SpondyloArthritis International Society) criteria, early diagnosis hinges on clinical presentation, imaging (MRI or X-ray), and laboratory markers.