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ASAS Criteria for Axial Spondyloarthritis (SpA)

Classifies axial spondyloarthritis according to Assessment of Spondyloarthritis International Society (ASAS) criteria.

Entry criterion:

Back pain ≥3 months and age at onset <45 years

Result:

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Management

Strong recommendations for patients with axial SpA from the American College of Rheumatology (ACR) include:

  • Use of NSAIDs.
  • Use of TNF inhibitors if activity persists despite NSAIDs.
  • Avoid using systemic glucocorticoids.
  • Physical therapy.
  • Hip arthroplasty for patients with advanced hip arthritis.