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Ankylosing Spondylitis

Ankylosing Spondylitis



  • Ankylosing spondylitis affects the low back in young male (Age less then 45 yrs)
  • Back become stiff and painful more in the early morning
  • It is an autoimmune condition where body’s immune system attacks the back spine and sometime also other joints and eye
  • Lower back joints (sacroiliac joint) and lumbar spine are the first to be involved.
  • Gradually it spreads upwards and affect rest of the spine
  • Apart from spine it also involves shoulder, hip, knee and ankle joints
  • Sometimes there is inflammation at bottom of the heel and back of heel
  • Some time there is painful red eye during which blurring of vision occur
  • The appropriate treatment in early period reduce the inflammation so that joints work smoothly
  • If appropriate treatment not given then back spine become fuse and form like “bamboo spine” then there will be difficulty in walking, looking side to side and upward
  • Fortunately there are several newer effective treatments available, which can make life more comfortable, even though don't cure it.
  • Physical exercise such as cycling, playing badminton and swimming can decrease the stiffness in back and also improve the motility
  • Most common medications used are NSAIDs and Anti TNF biologics
  • Goal of treatment is to make spine flexible and prevent joints fusion


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