paleo diet for ankylosing spondylitis
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The Ultimate Paleo Diet for Ankylosing Spondylitis Relief


Ankylosing spondylitis is arthritis primarily affecting the spine, causing inflammation and stiffness. It can also impact other joints and organs, leading to symptoms such as pain, fatigue, and difficulty breathing. While there is no cure for AS, treatments are available to manage symptoms and slow disease progression. One such treatment is the Paleo diet, which has gained popularity recently as a potential tool for managing inflammatory conditions like AS. By following the Paleo Diet for Ankylosing Spondylitis, you can experience a reduction in inflammation, an improvement in joint mobility and an increase in energy levels.

The Paleo diet, also known as the caveman diet, is based on eating like our ancestors did during the Paleolithic era. It emphasizes whole, nutrient-dense foods like meat, fish, fruits, vegetables, nuts, and seeds while avoiding processed foods, grains, legumes, dairy, and refined sugars. Proponents of the diet claim that it can reduce inflammation promote weight loss and improve overall health.

There is some evidence to suggest that the Paleo diet may be beneficial for people with AS. Research has shown that the diet can improve markers of inflammation in the body, such as C-reactive protein (CRP) and interleukin-6 (IL-6)(3), which are often elevated in people with AS. Additionally, the diet’s emphasis on whole foods may help reduce oxidative stress and improve gut health, both of which have been implicated in the development and progression of AS. While more research is needed to fully understand the diet’s effects on AS, many people with the condition have reported significant improvements in their symptoms after adopting a Paleo lifestyle.

What is the Paleo Diet?

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The Paleo diet has become increasingly popular as people seek ways to improve their health and well-being. But what exactly is the Paleo diet? At its core, the Paleo diet is based on the idea that our ancestors ate a certain way for millions of years and that this way of eating is best for our bodies. The diet consists of foods available to early humans, such as meat, fish, fruits, vegetables, nuts, and seeds. It excludes processed foods, dairy, grains, and legumes.

The principles of the Paleo diet are simple: eat whole, unprocessed foods that are nutrient-dense and avoid foods that are processed or high in sugar. The diet is based on the idea that our bodies are designed to function best when we eat as our ancestors did. Eating a diet high in protein, healthy fats, and complex carbohydrates can fuel our bodies and promote optimal health.

While some critics have dismissed the Paleo diet as a fad, a growing body of scientific evidence supports its effectiveness, particularly for conditions like ankylosing spondylitis (AS). Studies have shown that the Paleo diet can help reduce inflammation, a critical factor in the development of AS. By reducing inflammation and improving overall health, the Paleo diet can effectively manage the symptoms of AS and improve quality of life.

How Can the Paleo Diet Help with Ankylosing Spondylitis?

One of the ways the Paleo diet can help with AS is through its anti-inflammatory effects. Studies have shown that a diet rich in whole, unprocessed foods can reduce inflammation. Inflammation is a critical factor in the development and progression of AS, so reducing inflammation can help manage the condition’s symptoms.

The Paleo diet can also positively impact gut health and the gut microbiome. The gut microbiome comprises trillions of bacteria that live in the digestive tract. These bacteria are crucial in regulating the immune system and reducing inflammation. The Paleo diet emphasizes consuming fiber-rich fruits and vegetables, which can feed the beneficial bacteria in the gut and improve gut health.

Finally, the Paleo diet can help lose weight and reduce obesity-related inflammation. Excess weight puts extra stress on the joints and can exacerbate the symptoms of AS. The Paleo diet can help with weight loss by eliminating processed and refined foods, which are high in calories and low in nutrients. Additionally, the high fiber content of the Paleo diet can help with satiety and reduce the likelihood of overeating.

Overall, the Paleo diet can be a valuable tool for managing the symptoms of Ankylosing Spondylitis. Its emphasis on whole, unprocessed foods and its anti-inflammatory effects make it a promising approach for reducing inflammation, improving gut health, and promoting weight loss.

Foods to Eat and Avoid on the Paleo Diet for Ankylosing Spondylitis

When following the Paleo diet for Ankylosing Spondylitis (AS), knowing which foods are recommended and which to avoid is essential. The Paleo diet focuses on whole, unprocessed foods that mimic what our hunter-gatherer ancestors may have eaten. This means consuming lean proteins, healthy fats, and fruits and vegetables. Some examples of recommended foods on the Paleo diet for AS include grass-fed beef, wild-caught fish, avocado, nuts and seeds, and leafy greens.

These recommended foods have anti-inflammatory properties that can benefit those with AS. Grass-fed beef and wild-caught fish are high in omega-3 fatty acids, which have been shown to reduce inflammation in the body. Avocados, nuts, and seeds contain healthy fats with anti-inflammatory effects. Leafy greens are high in antioxidants and other nutrients that can help reduce inflammation and promote overall health.

On the other hand, there are also certain foods to avoid on the Paleo diet for AS. These include processed foods, grains, legumes, and dairy products. These foods may contain inflammatory compounds that can worsen AS symptoms. Processed foods are often high in refined sugars and unhealthy fats. At the same time, grains and legumes contain lectins and phytates that can cause inflammation in the gut. Dairy products can also cause inflammation in some people.

By following the recommended foods and avoiding the ones that may exacerbate symptoms, individuals with AS may experience reduced inflammation and overall improvement in their condition. It’s important to note that the effectiveness of the Paleo diet for AS may vary from person to person, and it’s always best to consult with a healthcare professional before making any significant dietary changes.

Paleo Diet and Supplements for Ankylosing Spondylitis

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In addition to following the Paleo diet, taking supplements may help manage symptoms of ankylosing spondylitis (AS). Vitamin D is an essential nutrient that plays a crucial role in bone health and immune function. Studies have shown that people with AS often have low vitamin D levels, and supplementing with vitamin D may improve symptoms such as pain and stiffness. Omega-3 fatty acids in fatty fish and fish oil supplements have anti-inflammatory properties that may benefit people with AS. Some studies have shown that omega-3 supplementation may improve joint pain and function.

Probiotics are another supplement that may be helpful for people with AS. Probiotics are beneficial bacteria that live in the gut and play a key role in maintaining a healthy gut microbiome. Evidence suggests that people with AS have an imbalanced gut microbiome, and supplementing with probiotics may help restore balance and improve symptoms. However, more research is needed to determine the optimal strains and doses of probiotics for people with AS.

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It is important to note that while supplements may help manage AS symptoms, they should not be relied on as the sole treatment method. Working with a healthcare professional to develop a comprehensive treatment plan that includes diet, exercise, medication, and other therapies as needed is essential.

Paleo Diet Meal Plan for Ankylosing Spondylitis

Planning meals can be challenging, but having a meal plan can make it easier to stick to a healthy diet. Here is a sample meal plan for a week on the Paleo diet for AS.


  • Breakfast: Paleo breakfast bowl with eggs, spinach, avocado, and sweet potato
  • Lunch: Chicken salad with mixed greens, cucumber, and cherry tomatoes
  • Dinner: Grilled salmon with roasted Brussels sprouts and cauliflower rice


  • Breakfast: Paleo banana pancakes with almond butter and fresh berries
  • Lunch: Grilled chicken breast with mixed veggies and roasted sweet potato
  • Dinner: Beef stir-fry with mixed veggies and cauliflower rice


  • Breakfast: Scrambled eggs with sautéed mushrooms and peppers
  • Lunch: Turkey lettuce wraps with avocado and tomato
  • Dinner: Spaghetti squash with turkey meatballs and marinara sauce


  • Breakfast: Green smoothie with kale, banana, and almond milk
  • Lunch: Tuna salad with mixed greens, cucumber, and bell pepper
  • Dinner: Grilled chicken skewers with zucchini and sweet potato


  • Breakfast: Sweet potato toast with almond butter and sliced banana
  • Lunch: Beef and broccoli stir-fried with cauliflower rice
  • Dinner: Baked salmon with roasted asparagus and sweet potato fries


  • Breakfast: Paleo omelet with mushrooms, onions, and peppers
  • Lunch: Chicken and vegetable soup with bone broth
  • Dinner: Paleo pizza with almond flour crust, tomato sauce, and vegetables


  • Breakfast: Paleo waffles with fresh berries and coconut whipped cream
  • Lunch: Grilled shrimp with mixed veggies and roasted sweet potato
  • Dinner: Grilled steak with mixed greens salad and roasted carrots

To help you get started with some recipes, here are a few Paleo-friendly meal and snack ideas:

  • Egg muffins with spinach and turkey sausage
  • Avocado chicken salad
  • Grilled chicken skewers with vegetables
  • Zucchini noodles with pesto sauce and grilled shrimp
  • Paleo banana bread with almond flour
  • Roasted sweet potato wedges with garlic aioli
  • Paleo energy balls with nuts and dates

Always choose high-quality, organic ingredients whenever possible and consult a healthcare professional before starting any new diet or supplement regimen.


In conclusion, the Paleo diet has shown the potential to help individuals with Ankylosing Spondylitis manage their symptoms. The diet’s focus on whole foods and avoiding processed foods and sugars may help reduce inflammation and improve gut health, crucial factors in managing AS. Additionally, the diet’s potential for weight loss and reducing obesity-related inflammation may benefit those with AS.

However, it is essential to note that the Paleo diet is not a cure for AS and should not be used as a replacement for medical treatment. It is always recommended to consult with a healthcare professional before making significant dietary changes, especially for those with a chronic condition like AS. A healthcare professional can help assess individual needs and potential interactions with medications and supplements.

Overall, incorporating aspects of the Paleo diet, such as focusing on whole foods and avoiding processed foods and sugars, may benefit individuals with AS. However, it is essential to do so under the guidance of a healthcare professional to ensure safe and effective management of the condition.


NIAMS. (2017, April 5). Ankylosing Spondylitis. Retrieved April 19, 2023, from National Institute of Arthritis and Musculoskeletal and Skin Diseases website:‌

Paleo diet: Eat like a hunter-gatherer and lose weight. (2022). Retrieved April 19, 2023, from Mayo Clinic website:

Upham, B. (2021, September). Anti-Inflammatory Foods for Ankylosing Spondylitis. Retrieved April 19, 2023, from website:

Cherney, K. (2019, February 8). 5 Self-Care Tips for Ankylosing Spondylitis. Retrieved April 19, 2023, from Healthline website:

Bernstein, S. (2014, December 8). What Is Ankylosing Spondylitis? Retrieved April 19, 2023, from WebMD website:

Pietrangelo, A. (2013, May 3). Most Beneficial Ankylosing Spondylitis Diet. Retrieved April 19, 2023, from Healthline website:

Joseph Emb
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Hi there! I'm Joseph Emb, a nutritionist and certified personal trainer passionate about helping people reach their health and fitness goals. With over ten years of experience in the health and wellness industry, I've accumulated a great deal of knowledge that I love to share with my readers. I have a degree in exercise science and am proud to have been featured in reputable publications such as Men's Health and Women's Fitness. My goal with my blog is to inspire and empower others to take control of their health and live happier healthier lives.