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Also known as Rheumatoid Spondylitis , Spondylitis. Ankylosing spondylitis is a long-term spinal disease that involves inflammation of the joints between the spinal bones, and the joints between the spine and pelvis.


  • The disease starts with low back pain that comes and goes.
  • Pain and stiffness are worse at night, in the morning, or when you are not active. They may wake you from sleep.
  • The pain typically gets better with activity or exercise.
  • Back pain may begin in the sacroiliac joints (between the pelvis and spine). Over time, it may involve all or part of the spine.
  • You may lose motion or movement in the lower spine. You may not be able to fully expand your chest because the joints between the ribs are involved.
  • Fatigue is also a common symptom.

Other, less common symptoms include:

  • Eye swelling or uveitis
  • Heel Pain
  • Hip pain and stiffness
  • Joint pain and joint swelling in the shoulders, knees, and ankles
  • Loss of appetite
  • Slight fever
  • Weight loss

Tests may include:

  • CBC
  • ESR
  • HLA – B27 Antigen
  • X-rays
  • MRI


Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce swelling and pain. Surgery may be done if pain or joint damage is severe.


Before your appointment, you may want to write a list of answers to the following questions:

  • When did you begin experiencing symptoms?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • Are your symptoms worse in the morning or after long periods of inactivity?
  • What, if anything, seems to worsen or improve your symptoms?
  • Have you taken medications to relieve the pain? What helped most?
  • Have you seen a Rheumatologist?
  • Have you been tested for AS through blood work?

Contact DOCS Health today to schedule a consultation for you or a member of your family.

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