Hi from Mexico! My symptoms get a lot better with hot weather. In the winter months when it's cooler here, I like to go to saunas a few times a week to control the inflammation. Maybe that's an option for you? I like to stretch out in a hot bath or shower each morning and night, too. Helps me a lot.
Diagnosed AS. HLAB27+. Naproxen, indomethacin, meloxicam, and ibuprofen failed. On Humira (first anti-TNF) since July 2019 with no result so far.