If your symptoms are persistent and 2 NSAIDs have not helped, other strategies should be considered.
Your rheumatologist can start disease-modifying anti-rheumatic drug (DMARD) treatment to help with peripheral joint pain: sulfasalazine.
Your rheumatologist can add biologics or other targeted treatments:
You may need to be screened for tuberculosis and your treatment may require injections under the skin or infusions into a vein.
There is an ongoing need for you to visit your rheumatologist to consider the use of different biologic (or targeted) treatment until your AS is well controlled.