Ankylosing Spondylitis

What is Ankylosing Spondylitis?

Ankylosing spondylitis is another type of arthritis that affects mostly young males. Pain, inflammation, and stiffness can be felt from the neck area and goes down towards the lower back.

There are two types of this condition: Axial and peripheral. Early treatment can control and prevent the surge of other related vertebral problems.

What are the Causes of Ankylosing Spondylitis?

This medical problem is caused by the eventual fusing together of the spinal vertebrae. Once this happens, the spine’s flexibility is challenged as it becomes less and less flexible.

It may also be attributed to:

  • Gender: Males are three times more likely to develop this spinal problem than women.
  • Age: It can start developing between the teenage years and ’30s.
  • Ethnicity: It often appears in Alaskan Eskimos as well as the native tribes of North America and Canada.
  • Genetics: It can be passed down from one generation to another. The gene responsible for this is HLA-B27.

What are the Symptoms of Ankylosing Spondylitis?

Some symptoms inhibited by patients include:

  • Pain and Stiffness around the neck going through the lower back area, the hips, up to the buttocks
  • Painful Ligaments and Tendons
  • Bony Fusion
  • Bent Posture
  • Heart trouble
  • Eye Problems
  • Inflammatory bowel disease
  • Psoriasis
  • Fatigue
  • Dactylitis
  • Fever
How to diagnose Ankylosing Spondylitis?

Diagnosing the problem involves:

  1. Physical Examination
  2. A doctor specializing in arthritic pains and related issues will:

    • Ask the patient to bend in various directions to see how the spine moves.

    • Press on some areas on the pelvis or move the legs to determine where the pain is coming from.

    • Ask the patient to take a deep breath to see if there is a difficulty in expanding the chest.

    • Ask whether there are family members who have been into the same predicament.

    Other signs of pain can also be determined by looking at:

    • Unending painful bouts from 20 years of age towards a person’s ’30s

    • Back pains which last for more than three months

    • Pains that still remain even after resting

    • Pains that are alleviated only when mobile or exercising

    • Pain or stiffness reacting well with anti-inflammatory drugs such as ibuprofen or acetaminophen

  3. Imaging Tests
  4. These tests can show changes on the bones and joints like:

    • X-Rays

    • MRI Scan

    • CT Scan

  5. Lab Tests
  6. No particular tests can identify Ankylosing Spondylitis but submitting yourself to a few blood tests allows for checking for tell-tale signs of this medical issue. A patient’s blood can be tried positive for the HLA-B27 gene. At least there’s something a doctor can start looking at.

    There are a few alternative treatments that can be used and these are:

    • Massage
    • Acupuncture
    • TENS unit

What are the Surgical and Non-Surgical Treatments for Ankylosing Spondylitis?

Not getting the right treatment early on leads patients to succumb to irreparable damage in the long haul. There is a need to get diagnosed and proper action must be taken care of before it’s too late.

But while some medications are there to delay complications, some treatments offer positive results.


  1. Corticosteroid shots directed to the joints
  2. Disease-modifying antirheumatic drugs (DMARDs):
    • methotrexate
    • sulfasalazine
  3. TNF Blockers:
    • Certolizumab pegol (Cimzia)
    • Golimumab (Simponi)
    • Adalimumab (Humira)
    • Infliximab (Remicade)
    • Etanercept (Enbrel)
  4. IL-17 Inhibitor Secukinumab (Cosentyx)
  5. NSAIDs like naproxen and indomethacin

Surgery can help straighten a curved spine depending on the degree magnitude but can also alleviate pain on the knees, hips, and neck. For the most part, patients with this medical issue don’t need to undergo invasive procedures.

The doctor can only suggest it if there is unbearable pain, severe joint damage or the only solution to a heavily-damaged hip joint is a replacement.

Physical Therapy

A physical therapy session can relieve pain or alleviate it in such a way that patients would no longer get their daily frustration from their everyday activities. Discuss your problem with a seasoned physical therapist to get specifically-targeted exercises for your condition.

What are the Risks and Complications for Ankylosing Spondylitis?

Here is a list of complications associated with this particular medical problem:

  • Joint damage
  • Osteoporosis or spinal fracture
  • Reduced flexibility
  • Iritis
  • Cauda Equina Syndrome
  • Cardiovascular disease
  • Amyloidosis
  • TNF Blockers plus IL-17 inhibitors make patients more prone to infection
  • Decreased ability to work full-time due to mobility issues

Moreover, the tension felt on the spine can also be eased up with a few home remedies. Try practicing good posture or ask for a list of exercises you can do at home.

Or you can opt for a healthy lifestyle by eating the right kinds of food and avoiding smoking altogether. This way, you are helping your doctor in treating your condition.

How Can UPHI Surgical Centre Help You?
  • UPHI has qualified surgeon & Doctors who have treated numerous Patients with spine related problems
  • We have our own diagnostic center to diagnose the actual problem and to cure it effectively
  • Regular Follow-ups is done through our medical representatives
  • No waiting time, Book an Appointment now with our specialist to get instant treatment
  • The cost of Ankylosing Spondylitis Surgery or Treatment is comparatively less.

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