24/07/2026
Today, we will talk about Ankylosing Spondylitis (AS), a chronic inflammatory form of arthritis. It primarily affects the spine and the sacroiliac joints (where the spine meets the pelvis), but it can also involve other joints, the eyes, and, in some cases, other organs of the body.
How can you recognize Ankylosing Spondylitis?
You should consider the possibility of AS if you have:
Low back or back pain lasting for more than 3 months.
Morning stiffness lasting 30 minutes or longer after waking up.
Pain that improves with exercise or physical activity but worsens with rest.
Back pain that wakes you up during the night, especially in the early morning hours.
If you have these symptoms, consult a Rheumatologist for proper evaluation.
Does this disease affect only older people?
No. Ankylosing Spondylitis most commonly affects young adults between 15 and 40 years of age. Many people mistake it for ordinary back pain and delay treatment, allowing the disease to progress.
Can Ankylosing Spondylitis be cured?
At present, there is no permanent cure for AS. However, with early diagnosis, appropriate treatment, and regular exercise, the disease can be effectively controlled. Most patients can continue to lead normal, active lives, including working and performing their daily activities.
Key aspects of treatment
Take your medications exactly as prescribed by your doctor.
Never stop your medications on your own.
Attend regular follow-up appointments.
Undergo blood tests and other investigations whenever advised.
Why is exercise so important?
Exercise is an essential part of the treatment for Ankylosing Spondylitis.
Daily exercises should include:
Spinal stretching exercises
Chest expansion exercises
Neck and shoulder mobility exercises
Walking
Swimming (if possible)
Regular exercise helps maintain spinal flexibility and reduces the risk of long-term deformity.
What should you do?
✔ Exercise for at least 30 minutes every day.
✔ Maintain good posture while sitting and standing.
✔ Keep your body weight under control.
✔ Sleep on a firm, flat mattress whenever possible.
✔ Quit smoking completely.
✔ Consume a balanced diet with adequate calcium and vitamin D.
What should you avoid?
✘ Avoid prolonged sitting or lying down without movement.
✘ Do not stop your medications simply because you feel better.
✘ Do not ignore persistent inflammatory back pain, assuming it is just a common backache.
✘ Avoid relying on unproven or alternative remedies without medical advice.
When should you seek urgent medical attention?
Consult your doctor immediately if you experience:
Sudden redness of the eye, severe eye pain, or blurred vision.
Weakness or numbness in your arms or legs.
Difficulty in breathing.
Sudden severe back pain or any other alarming symptoms.
Final message
Ankylosing Spondylitis does not mean the end of an active life. With early diagnosis, regular treatment, daily exercise, and a healthy lifestyle, the disease can be successfully managed, allowing most people to maintain a good quality of life.
If you or someone you know has persistent inflammatory back pain, do not delay—consult a Rheumatologist.
Stay informed. Stay active. Take your medications regularly. Stay healthy.
