Ankylosing Spondylitis
Ankylosing spondylitis is a chronic inflammatory form of arthritis that primarily affects the spine and sacroiliac joints. Over time, inflammation can lead to stiffness, reduced mobility and, in more advanced cases, fusion of portions of the spine.
What Is Ankylosing Spondylitis?
Ankylosing spondylitis, sometimes referred to as Bechterew disease, usually begins in the lower back and may gradually affect the upper spine, neck and other joints. The condition is lifelong, but treatment can help control inflammation, reduce discomfort and preserve mobility.
A Progressive Condition
Symptoms often begin in early adulthood and may worsen gradually. In severe cases, long-term inflammation can cause portions of the spine to become increasingly rigid, sometimes producing the classic appearance known as “bamboo spine.”
How Ankylosing Spondylitis Can Affect the Body
Symptoms vary from person to person and may extend beyond the spine.
Common Symptoms May Include:
Causes & Diagnosis
Genetic Factors
Genetics appear to play an important role. Many patients with ankylosing spondylitis carry the HLA-B27 genetic marker, although having this marker alone does not mean a person will develop the condition.
Imaging Studies
X-rays, MRI and other imaging studies can help identify inflammation, structural changes and damage involving the sacroiliac joints and spine.
Blood Testing
Blood tests may be used to look for signs of inflammation and, when appropriate, the HLA-B27 genetic marker as part of a broader diagnostic evaluation.
Managing Ankylosing Spondylitis
While ankylosing spondylitis currently has no cure, treatment can help control inflammation, preserve mobility and reduce pain.
Physical Therapy
Guided exercise can improve flexibility, posture, mobility and strength while helping patients remain active.
Medication
Anti-inflammatory medications and other therapies may be used to reduce pain, stiffness and inflammation when medically appropriate.
Lifestyle Management
Regular movement, maintaining a healthy weight, posture work, breathing exercises and other supportive strategies may help improve daily function.
Surgical Evaluation
In advanced cases involving severe joint or structural damage, surgery may be considered after a comprehensive medical evaluation.
Don't Ignore Persistent Back Pain & Stiffness.
Ankylosing spondylitis often begins gradually, which can make early symptoms easy to dismiss. Persistent back pain, stiffness, reduced flexibility or symptoms beginning at a younger age should be evaluated by a medical professional. Earlier diagnosis can help patients begin appropriate treatment and protect long-term function.
Living With Chronic Back or Joint Pain?
Schedule an evaluation to discuss your symptoms, diagnosis and available treatment options.