Ankylosing Spondylitis & Spondyloarthritis
Understanding Ankylosing Spondylitis & Spondyloarthritis
Because back pain is not always “just back pain.”
What is Ankylosing Spondylitis (AS)?
Ankylosing Spondylitis is a chronic, inflammatory form of arthritis that mainly affects the spine and sacroiliac joints. Over time, it can lead to stiffness, reduced flexibility, and even fusion of spinal bones.
What is Spondyloarthritis (SpA)?
Spondyloarthritis is a group of related inflammatory conditions, including:
- Ankylosing Spondylitis (AS)
- Psoriatic Arthritis
- Reactive Arthritis
- Arthritis associated with Inflammatory Bowel Disease
- Undifferentiated Spondyloarthritis
All of these conditions can cause joint pain, stiffness, and inflammation, often starting at a young age.
Early Signs & Symptoms
- Chronic back pain lasting more than 3 months
- Morning stiffness that improves with activity
- Pain in the hips, buttocks, or lower back
- Fatigue and disturbed sleep
- Eye inflammation (uveitis)
- Other systemic symptoms like gut involvement or skin rashes
Why Early Diagnosis Matters
- Many people mistake AS/SpA for simple mechanical back pain.
- Delayed diagnosis can lead to irreversible joint damage and spinal fusion.
- With early treatment, progression can be slowed, and quality of life preserved.
Management & Lifestyle
- Regular Exercise & Physiotherapy: Keeps joints flexible and reduces stiffness.
- Medication: Modern biologic therapies and NSAIDs can effectively control inflammation.
- Healthy Lifestyle: Avoid smoking, maintain good posture, and stay active.
- Routine Monitoring: Regular check-ups with a rheumatologist are essential.
Takeaway Message
If you have persistent back pain, especially if it improves with movement but not with rest, don’t ignore it. Consult a rheumatologist early.
With the right care, people with Ankylosing Spondylitis and Spondyloarthritis can lead active, fulfilling lives.