This is why early diagnosis is *so* important.
Catching ankylosing spondylitis (AS) early is so important. Keeping good spine health as you age can allow you to stay active, keep your range of motion strong, and enjoy a higher quality of life. By starting treatment when AS is still young, you may be able to prevent severe damage to the spine.
“Early on in ankylosing spondylitis, you might have symptoms like joint pain and stiffness, and those are the early manifestations,” says Themistocles Protopsaltis, MD, a spine surgeon at NYU Langone Hospital. (Here are more symptoms of AS.)
That pain and stiffness is a sign that the immune system is attacking the joints and tendons of the spine, mistaking them for foreign threats to the body. Even if the stiffness is tolerable, it means the spine is sustaining repeated damage—and that can be devastating over time.
A more severe complication of AS is the fusion of the spine. “Things get to a point where pain starts to recede, and the joints start to ossify or calcify and fuse together. Then at the very end of the disease, you can have very little joint pain, but now you have a joint that doesn’t move anymore,” says Dr. Protopsaltis.
Of course, an immobile spine on its own can have a negative effect on quality of life and make activity difficult. What’s more, the fused vertebrae can bring along other problems, including posture.
“You don’t want [the spine] to fuse in a position where you’re crooked [or] bent forward where your head isn’t in a good posture,” says Dr. Protopsaltis. For this reason, part of treatment for AS is practicing good posture in case spinal fusion occurs.
Posture isn’t just an aesthetic thing. If the neck fuses in a way that bends the head forward, that can make it challenging to look straight ahead or eat without dropping food, according to Dr. Protopsaltis.
“Also, if they’re crouched, to compensate for that crouched posture, patients will often bend their hips and flex their knees, and those joints can lock into place in that position as well,” he adds.
Joint inflammation may also spread beyond the spine and neck, according to the Arthritis Foundation. The most commonly affected sites include the shoulders, hips, and knees—and even all the way down to the ankles, toes, and fingers.
Additionally, about 40 percent of people with AS experience inflammation of the eyes, or uveitis, according to the Spondylitis Association of America. This is a common complication of many autoimmune diseases.
Luckily, starting an effective treatment regimen right away can help prevent some of these complications, and the need for surgery. This can help not only your joint mobility, but also your quality of life for years to come.
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Patients with ankylosing spondylitis can
have a variety of complications related to
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It takes a toll, which usually is back
pain that can become very severe.
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Ankylosing spondylitis can affect
the joints of the spine and
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the pelvis where the spine
meets the iliac bones, but
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it can also affect the hips and
the knees and other smaller joints.
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Early on in ankylosing spondylitis, you
might have symptoms like joint pain and
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As the disease progresses,
the pain can become more chronic,
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can become more persistent,
and can become more severe.
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Things can get to a point where
pain starts to recede and
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the joints start to ossify or
calcify, and fuse together.
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At the very end of the disease,
you can have very little joint pain, but
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now you have a joint that
doesn't move anymore.
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So in the case of the spine,
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you don't want to fuse in
a position where you're crooked.
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Chronic manifestations of the disease
involve fusion of the spine.
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The other problem that patients with
ankylosing spondylitis can develop is that
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their neck can fuse in
a forward posture as well.
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And that can cause challenges with
people being able to look forward,
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being able to eat their food
because their mouth is positioned
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in a downward position and
the food can fall from the mouth.
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If they're crouched, to compensate for
that crouched posture,
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patients will often bend their hips and
flex their knees and
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those joints can lock into
place in that position as well.
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If a patient identifies that
he has ankylosing spondylitis,
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that person can meet
with a rheumatologist and
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start on the right kinds of treatments to
improve health, improve joint mobility,
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stretching, exercise, taking medications
that will decrease pain and inflammation.
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So they can enjoy all the activities that
they want to do, including sports and
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leisure activities, lead a full life, but
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also what it may do is decrease
the likelihood that it develops into
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a chronic condition with permanent
joint stiffness and fusion.
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Ankylosing spondylitis symptoms. Atlanta, GA: Arthritis Foundation. (Accessed on June 6, 2019 at https://www.arthritis.org/about-arthritis/types/ankylosing-spondylitis/symptoms.php.)
Could your chronic back pain be caused by ankylosing spondylitis? Van Nuys, CA: Spondylitis Association of America. (Accessed on June 6, 2019 at https://www.spondylitis.org/Could-I-Have-Spondylitis.)
How is a person affected? Van Nuys, CA: Spondylitis Association of America. (Accessed on June 6, 2019 at https://www.spondylitis.org/Possible-Complications.)