Read Video Transcript »

Ankylosing Spondylitis: Much More Than Back Pain

Ankylosing spondylitis is a form of arthritis caused by inflammation of the joints.

Patients often begin experiencing painful symptoms in early adulthood, including aches and stiffness in the lower back and hips. These are often the worst after periods of inactivity or immediately after waking up.

Unlike typical back pain one might experience from injury or spending too many hours in a chair, ankylosing spondylitis can affect other joints, particularly joints in the spine at the lower back and pelvis. The hip and shoulder joints can also be affected as well.

The vertebrae in the back are of particular concern because, if left untreated, these joints can fuse together. This can cause a person to have a hunched over posture and may affect a person’s ability to breathe.

While many patients endure these painful symptoms for up to 10 years before receiving a proper diagnosis, those who work with their doctors to find proper treatment experience a much greater quality of life.

Experts agree that ankylosing spondylitis and other related diseases can run in families, so if you have relatives with a history of immune problems, you may be more likely to develop ankylosing spondylitis.

If you’re experiencing lasting pain for more than three months that feels worse in the morning and better with movement, you should talk to your doctor about ankylosing spondylitis as the potential cause of your symptoms.

Your doctor will perform a physical exam and ask you about your symptoms and whether you have a history of injuries in the affected joints. Your doctor may order imaging tests, such as an X-ray or MRI, to get a better look at what’s causing your pain. You can also expect a simple blood test to check for signs of inflammation, as well as to rule out other potential illnesses.

Your family doctor may initially diagnose you with inflammatory back pain, and refer you to a rheumatologist, a doctor who specializes in medicine related to joints and autoimmune diseases. As ankylosing spondylitis is not associated with mechanical issues that occur with injury-related back pain, it cannot be simply remedied with surgery and requires other therapies.

While scientists continue to look for a cure for ankylosing spondylitis, there are many effective therapies that can relieve pain, improve dexterity, and delay advanced complications, such as joint damage.

Doctors often rely on drugs to reduce the painful and destructive joint inflammation with ankylosing spondylitis. These include nonsteroidal anti-inflammatory drugs, known as NSAIDs, and TNF, or tumor necrosis factor, blockers. TNF blockers are part of class of medications called biologics that suppress aspects of the body’s inflammatory response and may slow the progression of ankylosing spondylitis.

Many patients also benefit from regular exercises with a physical therapist. Patients often find that stretching and rage-of-motion exercises, such as yoga or pilates, can help relieve pain, increase flexibility in joints, and improve physical strength.

Ankylosing spondylitis may be a lifelong condition, but it doesn’t have to be a life-limiting one.

Working closely with your doctor about latest treatments and making smart lifestyle choices can help keep painful symptoms at bay so you can live your life as you see fit.

To learn more about Ankylosing Spondylitis, take a look at the information we have here at Healthline or make an appointment with your doctor.

Back pain is one of the most common medical complaints in America today. In fact, according to the National Institute of Neurological Disorders and Stroke, roughly 80 percent of adults experience low back pain at some point in their lifetimes.

The cause of back pain is all too often left undiagnosed. It’s discounted as an annoying problem, hidden by over-the-counter pain medicines, and frequently left untreated. However, a specific diagnosis of the cause is possible. In some cases, back pain may be the result of ankylosing spondylitis (AS).

What is AS?

AS is a progressive inflammatory disease and form of arthritis. As many as 1 percent of Americans, or about 2.7 million adults, may be affected by AS and its family of diseases. AS causes swelling in the spine and nearby joints. Over time, the chronic inflammation can cause the vertebrae in the spine to fuse together. As a result, the spine will be less flexible.

Many people with the disease hunch forward. In advanced cases of the disease, the inflammation may be so bad that a person can’t lift their head in order to see in front of them. As the disease worsens, the spine loses its flexibility, and the back pain grows worse.

What are the early symptoms of AS?

AS causes inflammation around your spine and vertebrae. The initial symptoms of the disease include:

  • chronic pain in your lower back and hips
  • stiffness in your lower back and hips
  • increased pain and stiffness in the morning or after long periods of being inactive

What happens if the disease is left untreated?

If left untreated, the chronic inflammation can cause the vertebrae in your spine to fuse together. When this happens, your spine may become less flexible and more rigid. You may have decreased range of motion when bending, twisting, or turning. You may also have greater and more frequent back pain.

The inflammation from your spine and vertebrae can spread to other nearby joints, including your hips, shoulders, and ribs. This may cause more pain and stiffness in your body. The inflammation may also affect the tendons and ligaments that connect to your bones, which may make moving joints increasingly difficult. In some cases, it’s possible that the inflammation will spread to organs, such as your bowel or even your lungs.

Complications of not treating the disease include:

  • Uveitis, or eye inflammation: If inflammation spreads to your eyes, you may develop eye pain, sensitivity to light, and blurred vision.
  • Difficulty breathing: Inflammation and arthritis can spread from your spine to your nearby ribs. You may not be able to breathe deeply or fully inflate your lungs.
  • Compression fractures: Damaged, weakened bones may break easily. For people with AS, this is especially true in the spine’s vertebrae. Fractures in the bones of your spine may damage your spinal cord and the nerves connected to it.
  • Heart damage: Inflammation can spread to your heart and aorta. Over time, the aorta may become enlarged and distorted as a result of the inflammation. A damage aortic valve may impair your heart’s ability to function properly.

What other conditions are common in people with AS?

Several other conditions occur in people with AS. These additional disorders or diseases include:

  • Psoriasis: Psoriasis is a common skin disorder that causes red, scaly patches of skin.
  • Osteoporosis: Calcium-poor bones are common in people with AS. These weak, fragile bones may fracture. Up to half of all patients with AS also have osteoporosis.

When to see a doctor

Ideally, you and your doctor will discover and diagnose your AS early. You can begin early treatment that can help you reduce the symptoms and mitigate possible long-term complications. However, not everyone will be diagnosed with this condition at an early stage. It’s important to see your doctor if you’re experiencing back pain and are unsure of the cause.

If you suspect your symptoms are related to AS, see your doctor as soon as you can. The longer you wait, the greater the chances are you’ll experience more severe symptoms and complications.

Quiz: Test your knowledge on ankylosing spondylitis