Spondylitis (pronounced spon-dill-eye-tiss), although difficult to say, is not that rare a disease.  Approximately 1 person in 100 suffers with some form of spondylitis.  The CDC estimates that more than 2,700,000 people have the disease in the United States.

 

Ankylosing spondylitis (pronounced ank-kih-low-sing spon-dill-eye-tiss), or AS, is a form of arthritis that primarily affects the spine, although other joints can become involved. It causes inflammation of the spinal joints that can lead to severe, chronic pain and discomfort.  Other characteristics of AS include:

  • Involvement of the sacroiliac (SI) joints where the spine joins the pelvis
  • Inflammation, pain, and stiffness in other areas of the body
  • Sometimes the eyes can become involved (known as iritis or uveitis)
  • In rare cases the lungs and heart can be affected

 

Symptoms, Diagnosis & Treatment

 

Symptoms

Diagnosis

Treatment

Variable from Person to Person and frequently misdiagnosed

Most Common in 17 – 45 year old’s

Medications

Family history of AS

Persistent pain for at least 3 months

Exercise and Physical Therapy

Lower Back Pain

Back pain and stiffness worsen with immobility (at night and morning)

Diet, nutrition and weight loss

Pain is usually diffuse

Physical activity and exercise help moderate pain

Practicing good posture

Mild fever & appetite loss

Inflammation and pain along back, pelvic bones, sacroiliac joints, chest, and heels

Heat/cold therapy to relax muscles and reduce joint pain

Progression involves chronic pain

Blood work including HLA-B27, ESR, and CRP may or may not help with diagnosis as no marker is definitive

Stress reducing therapies such as medicine, counseling, yoga, tai chi, meditation, and breathing techniques

Spreading pain up spine and possibly to ribs, shoulder blades, hips thighs, and heels

SI Joint involvement (although this can be difficult to detect in early progression)

Posture correcting surgery in severe cases

Fatigue

 

 

Comorbidity with Crohn’s or UC is common

 

 

Eye inflammation is common

 

 

 

NOTE: NOT INTENDED AS MEDICAL ADVICE.  DRUGS FOR THIS CONDITION MAY BE ASSOCIATED WITH UNWANTED SIDE EFFECTS OR ADVERSE REACTIONS.  CONSULT YOUR PHYSICIAN BEFORE TAKING ANY DRUGS FOR THIS CONDITION.  Medications that may be prescribed by a doctor for AS include nonsteroidal anti-inflammatory drugs (NSAIDs) as a first line therapy. Other medications include the immunosuppressant drugs Sulfasalazine, Methotrexate, Corticosteroids, and Biologics.  Immunosuppressants work by blocking one or more immune responses thereby providing relief of the condition.

Biologics are produced from living organisms or contain components of living organisms and are the most advanced therapies available.  Unlike the chemical immunosuppressants, their exact structure may not be known but their mode of action is highly researched and tested. They are sometimes referred to as biologic response modifiers because they change the manner of operation of natural biologic intracellular and cellular actions.

AS drugs that may be prescribed by your doctor include:

NSAIDs

Chemical Immunosuppressants

TNF Inhibitors (Biologic)

IL-17 Inhibitor (Biologic)

IL 12/23 Inhibitor (Biologic)

Ibuprofen

Corticosteroids

Enbrel

Cosyntex

Stelara

Arthrotec

Methotrexate

Humira

 

 

Aleve

Sulfasalazine

Remicade

 

 

Mobic

 

Simponi

 

 

Indocin

 

Cimzia

 

 

Voltaren

 

 

 

 

Celebrex

 

 

 

 

 

For more information visit Spondylitis Association of America or the Arthritis Foundation.

To watch videos produced by the Spondylitis Association of America explaining the disease click here. Or if you’ve been diagnosed with AS click here.

To request information from Qualmedica Research about enrolling an AS clinical trial check out our Studies Page.

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