Join RhAPPcast for an insightful episode featuring Cayla Alexander, DNP, ARNP, as we highlight the latest Spotlight: Clinical Cornerstones segment from RhAPP’s quarterly newsletter. Hosted by Amanda Mixon, PA-C, president of Rheumatology Advanced Practice Providers (RhAPP), this discussion explores Axial Spondyloarthritis (axSpA)—a chronic inflammatory condition that primarily affects the spine and sacroiliac joints, leading to pain, stiffness, and reduced mobility.

Dr. Cayla Alexander shares her unique perspective in her thought-provoking piece, "Axial Spondyloarthritis: At the Intersection of Clinician and Patient," examining the challenges of early diagnosis, treatment barriers, and the evolving role of advanced practice providers (APPs) in managing this complex disease. Axial spondyloarthritis, which includes ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA), is often misdiagnosed or delayed due to its overlap with mechanical back pain and a lack of awareness among primary care providers (PCPs) and orthopedic specialists.

This episode delves into the latest advancements in axSpA management, including the role of biologic therapies such as TNF inhibitors and IL-17 inhibitors, the importance of MRI in early detection, and how APPs can play a pivotal role in multidisciplinary care alongside rheumatologists, physical therapists, and pain specialists.

Listeners will gain valuable insights into patient-centered care strategies, including shared decision-making, lifestyle interventions, and the importance of mental health support for those living with chronic inflammatory arthritis. Whether you’re an NP, PA, or physician specializing in rheumatology, pain management, or musculoskeletal medicine, this episode provides actionable knowledge for optimizing axial spondyloarthritis diagnosis and treatment.

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