Understanding Ankylosing Spondylitis & Axial Spondyloarthritis
Ankylosing spondylitis (AS) and axial spondyloarthritis (axSpA) are inflammatory conditions that primarily affect the spine and sacroiliac joints, often causing persistent back pain, stiffness and fatigue. Ankylosing spondylitis is the form where structural changes may be visible on X-rays, while non-radiographic axSpA may require MRI for detection.
Diagnosis and Evaluation
Treatment begins with an individual assessment by a rheumatology specialist. Depending on symptoms, evaluation may include physical examination, inflammatory blood tests, HLA-B27 testing and imaging such as X-rays or MRI. Early and accurate diagnosis can help guide appropriate long-term management.
Treatment Options
Ankylosing spondylitis treatment typically combines exercise, physiotherapy and medication. NSAIDs may help control pain and inflammation, while biologic or targeted therapies may be considered when symptoms remain active despite initial treatment. Medication choices depend on disease activity, medical history and specialist assessment.
Exercise and Physiotherapy
Regular, appropriately guided exercise is an important part of axial spondyloarthritis treatment. Physiotherapy can help maintain spinal flexibility, posture, strength and physical function while supporting everyday mobility.