Medically Reviewed by Kaitlyn McDonough, PA-C
Ankylosing spondylitis (AS), also known as radiographic axial spondyloarthritis, is a chronic form of arthritis that primarily affects the spine. While the spine is the main area involved, other joints—including the hips, shoulders, and peripheral joints—can also be affected. AS causes inflammation in the spinal joints, which can lead to persistent pain, stiffness, and, over time, a loss of mobility.
Who Is Most Affected?
AS typically begins between the ages of 17 and 45, with most diagnoses occurring before age 30. Men are more frequently affected than women and tend to experience more severe symptoms. Because it is a genetic condition, family history can also play a role in the likelihood of developing the disease.
Symptoms of Ankylosing Spondylitis
Early Symptoms
The most common early symptom of AS is chronic pain and stiffness in the lower back and buttocks. This discomfort usually develops gradually over several weeks or months and may:
- Shift from one side to the other or affect both sides
- Feel dull or diffused rather than sharp or localized
- Worsen at night or early in the morning
- Improve with movement, light exercise, or a warm shower
Other early signs can include mild fever, fatigue, reduced appetite, and general discomfort.
Progressive Symptoms
As the disease progresses, pain often becomes more constant and may spread:
- Up the spine toward the neck
- To other joints such as the hips, knees, heels, shoulders, or ankles
- To the eyes, causing inflammation that results in redness, sensitivity to light, and eye pain
In severe cases, spinal bones may fuse over time, resulting in a rigid spine and limited mobility.
Treatment Options for Ankylosing Spondylitis
While there is no cure for AS, there are many ways to manage symptoms and slow the progression of the disease.
Physical Therapy
Physical therapy plays a key role in managing AS. A consistent exercise program can:
- Improve posture and flexibility
- Reduce pain and stiffness
- Preserve mobility
- Enhance quality of life
Your physical therapist may guide you through:
- Posture training to avoid slouching and maintain an upright stance
- Strengthening exercises for the core and back muscles
- Flexibility routines to maintain joint movement
- Stretching techniques to help with chest and trunk mobility
- Deep-breathing exercises to improve lung capacity and chest expansion
Additional Treatment Options
- Medications such as NSAIDs or biologics may be prescribed to control inflammation
- Heat and cold therapy can ease muscle tension and joint pain
- Assistive devices such as canes or walkers may be recommended in some cases
- Surgery, including total hip replacement, may be necessary for advanced joint damage
Living With Ankylosing Spondylitis
Managing AS involves more than just symptom relief—it’s about maintaining long-term mobility and independence. With the right support and a comprehensive treatment plan, many people with AS are able to stay active and continue daily activities with minimal disruption.
Expert Spine Care at Raleigh Orthopaedic
At Raleigh Orthopaedic, our fellowship-trained spine specialists and experienced physical therapists work together to offer personalized care for patients with ankylosing spondylitis and other spinal conditions. Our team focuses on conservative treatments first, including targeted physical therapy programs designed to preserve spinal mobility and reduce pain.
With multiple clinic locations and comprehensive in-house services—including diagnostic imaging, physical therapy, and outpatient surgery centers—we provide coordinated, high-quality spine care tailored to your needs.
If you’re experiencing chronic back pain or have been diagnosed with ankylosing spondylitis, schedule a consultation with our team to begin a treatment plan that supports your long-term health and function.
Schedule an Appointment with Raleigh Orthopaedic
If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.
Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.