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Ankylosing Spondylitis: A Functional and Holistic Approach to Reducing Inflammation

Updated: Mar 16

3D spine model with highlighted discs, showing a red laser beam on a light blue background with circular patterns.

Ankylosing Spondylitis (AS) is a chronic rheumatic disorder and autoimmune disease that primarily affects the joints, spine, and hips. Traditional medical approaches often focus on symptom management, but growing research suggests that functional and holistic strategies, especially those addressing gut health, can play a crucial role in reducing inflammation and improving overall well-being.




 

My Personal Journey with Ankylosing Spondylitis


Years ago, I was diagnosed with Ankylosing Spondylitis, and through a dedicated focus on nutrition, gut health, and holistic wellness, I have successfully managed my symptoms. By implementing anti-inflammatory dietary changes, targeted wholefood supplementation, and lifestyle modifications, I have been able to reduce inflammation, improve mobility, and live a healthier, more active life. My experience has reinforced my belief in the power of functional medicine in managing autoimmune conditions naturally.


 

The Gut-Inflammation Connection in Ankylosing Spondylitis


One of the most impressive researchers on AS, J. O. Hunter, M.D., refers to AS as an “enterometabolic disorder,” meaning it is driven by toxicity transmitted from the intestinal tract. For example, toxic bacteria such as certain forms of E. coli can influence the immune system in ways that exacerbate arthritis and AS symptoms (Bland, The 20-Day Rejuvenation Diet Program, p.128).


Inflammatory conditions, including AS, can develop when the intestinal lumen becomes damaged due to malnutrition, infection, or increased intestinal permeability (leaky gut syndrome). When this barrier is compromised, harmful bacteria and toxins can enter the bloodstream, triggering immune responses that worsen inflammation (Mielants H, et al., British Journal of Rheumatology, Vol. 27, pp. 95-105, 1988).


A study from McMaster University Medical School in Hamilton, Ontario confirmed that individuals with increased intestinal permeability have a higher risk of arthritis-like symptoms (Rooney PJ, et al., Clinical and Experimental Rheumatology, Vol.8, pp. 75-83, 1990). This further supports the link between gut health and inflammatory joint diseases like AS.


 

The Role of Nutrition in Managing AS


According to Dr. Jeffrey Bland in his book Genetic Nutritioneering, inflammatory conditions are influenced by a combination of genetic, lifestyle, and nutritional factors. This means an anti-inflammatory diet and targeted supplementation can play a pivotal role in reducing symptoms and preventing further damage.


I. Remove Offending “Trigger” Foods


  • Reduce or eliminate acid-producing foods: Limit consumption of beef, chicken, and pork.

  • Remove dairy products: Choose alternatives such as soft goat cheese or raw goat milk.

  • Avoid high-glycemic grains: Replace processed grains with sprouted flour breads and organic basmati brown rice.

  • Eliminate yeast-containing breads: Opt for whole rye bread leavened with lactobacillus.

  • Cut out hydrogenated oils and margarine: Use extra virgin olive oil, raw butter, or coconut oil instead.

  • Avoid artificial additives: Eliminate salt, alcohol, artificial sweeteners, coffee, and soft drinks.

  • Limit soy products: Only consume fermented soy options like miso, tamari sauce, and tempeh.  I avoid soy completely. 


II. Follow a 14-Day Anti-Inflammatory Diet


Dr. Michael Klapper, M.D., recommends this strict diet for the first 14 days:


  • Brown rice and sweet potatoes (for energy and protein)

  • Green and yellow vegetables (for vitamins and minerals)

  • Non-citrus fruits (for fiber and antioxidants)

  • Vegetable soups, broths, and fresh vegetable juices

  • Plenty of pure water (at least a glass every 1–2 hours)


Bowls of fresh fruit, vegetables, rice, and berries on a white table, with vibrant greens and oranges. Background is blurred and green.

After 14 days, reintroduce foods gradually while keeping a food diary to track potential triggers. Safe foods may include oily fish, citrus fruits, nuts, seeds, and additional vegetables.


III. Repair “Leaky Gut” with Targeted Strategies


  1. Probiotics and Friendly Bacteria

    Lynne McFarland, Ph.D., from the University of Washington School of Medicine, found that supplementing with Lactobacillus acidophilus and Bifidobacterium bifidum helps recolonize the gut, improving digestion and immune function (Bland, Genetic Nutritioneering, p. 133).

  2. Digestive and Systemic Enzymes

    Digestive enzyme therapy improves nutrient absorption, reduces gastrointestinal stress, and supports immune function. Systemic enzymes also enhance circulation, repair tissues, and remove inflammatory waste products.

  3. Dietary Fiber for Gut Health

    • Consume 35–40 grams of fiber daily from organic fruits, seeds, whole grains, and vegetables.

    • Brown rice is an excellent source of both insoluble and soluble fiber, promoting gut lining repair.

    • Flaxseed provides fiber and lignans, which have antibacterial and antifungal properties.


Diagram shows cells with "Leaky gut" title. Left: normal tight junctions. Right: faulty junctions with particles passing through.

IV. Enhance Natural Anti-Inflammatory Processes Through Whole Food Supplements


  1. Wild-Crafted Micro Algae

    Rich in L-glutamine, wild blue-green algae from Upper Klamath Lake supports gut repair. It also contains B-complex vitamins, particularly niacinamide (B3), which helps suppress inflammation (Bland, Genetic Nutritioneering, p. 137).

  2. Virgin Coconut Oil

    A study by Dr. S. Sadeghi found that coconut oil reduces pro-inflammatory chemicals, making it beneficial for inflammatory conditions (Sadeghi, S. et al., Immunology, 96(3):404, 1999). The recommended daily intake is 3.5 tablespoons of raw, unprocessed coconut oil.

  3. Wheat Sprouts for Antioxidant Protection

    Wheat sprouts contain superoxide dismutase (SOD), a powerful antioxidant enzyme that fights inflammation. Combining wheat sprouts with blue-green algae and red beta algae enhances their anti-inflammatory properties.

  4. Turmeric and Ginger for Pain Relief

    • Turmeric inhibits TNF, a chemical mediator of inflammation. Take 1 teaspoon three times daily.

    • Ginger has been used in Ayurvedic medicine for centuries. Start with 1 heaping teaspoon per day mixed in water or a preferred beverage.


 

A Holistic Approach to AS Management


If you struggle with AS or other inflammatory arthritis symptoms, addressing your diet and gut health can be a transformative first step. By implementing the recommended dietary changes, probiotics, digestive enzymes, and anti-inflammatory whole foods, you may be able to reduce inflammation, improve mobility, and enhance overall well-being.


 

Take the Next Step Toward Healing


Are you ready to take control of your health and manage Ankylosing Spondylitis naturally? I invite you to explore personalized wellness coaching, functional nutrition support, and holistic strategies tailored to your specific needs. Schedule a consultation today to start your journey toward reducing inflammation and reclaiming your vitality.





 

References:

  • Bland, J. The 20-Day Rejuvenation Diet Program

  • Bland, J. Genetic Nutritioneering

  • Mielants, H., et al. British Journal of Rheumatology, Vol. 27, pp. 95-105, 1988

  • Rooney, P.J., et al. Clinical and Experimental Rheumatology, Vol. 8, pp. 75-83, 1990

  • Sadeghi, S. et al., Immunology, 96(3):404, 1999

 
 
 

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