Ankylosing Spondylitis

Understanding Ankylosing Spondylitis

Ankylosing Spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints. The sacroiliac joints are located in the low back where the sacrum (the bone directly above the tailbone) meets the iliac bones (bones on either side of the upper buttocks). Chronic inflammation in these areas causes pain and stiffness in and around the spine. Over time, chronic spinal inflammation (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis leads the immobility of the spine.

Diagnosis of Ankylosing Spondylitis

It is very difficult to accurately diagnose ankylosing spondylitis due the myriad of symptoms and overlapping symptoms with similar medical conditions. It often could take up to 8 – 14 years to accurately diagnose this medical condition and often this occurs when the spine is already fused together, which is the most identifiable characteristic. Often blood tests and X-rays would be taken.

Treatment of Ankylosing Spondylitis

Treatment for ankylosing spondylitis is focused on relieving the pain and stiffness of the affected areas, as well as preserve their functions and mobility. Medications, along with exercise and a healthy diet, can keep or delay the condition from worsening.

Medication for Ankylosing Spondylitis

• Nonsteroidal anti-inflammatory drugs can ease the inflammation, pain, and stiffness while preventing your body from creating inflammation-causing chemicals.
• Other drugs may also be prescribed to ‘block’ the proteins that drive the abnormal immune reaction.

Physiotherapy & Surgery

In most cases, surgery is not necessary unless certain joints (e.g. hips or knees) are so seriously damaged as to warrant a joint replacement.

Physiotherapy is also recommended to aid your recovery and help regain maximum mobility. Besides pain relief, range-of-motion and stretching exercises have been proven to improve general strength and flexibility.