Triggers for ankylosing spondylitis include infections (gastrointestinal infections, urinary tract infections [UTIs], and respiratory infections), heavy physical activity, work stress, emotional stress, and pregnancy.
Causes of AS Flares
In a study on AS flares, patients reported “the main perceived triggers of flare were stress and 'overdoing it,'” Dr. Appleyard says. “Keep in mind 'stress' may mean both physical stress, such as an illness, or emotional stress. Excess fatigue may also trigger a flare.”
That's because stress can exacerbate ankylosing spondylitis symptoms, including pain, according to the Spondylitis Association of America. Stress may also trigger an ankylosing spondylitis flare, a period of increased inflammation and worsening symptoms.
Whether it's through physical therapy or on your own, dedicating time to stretching is key. “We recommend making sure that you maintain your flexibility,” says Dr. Elghawy. “And so doing with physical therapy or flexibility exercises on your own for your low back can provide a lot of relief.”
To treat an AS flare-up, a person can try medication, gentle exercise, and heat or cold therapy. They can also use a transcutaneous electrical nerve stimulation (TENS) machine. A person living with AS may experience frequent flare-ups throughout their life.
The inflammation usually is felt at the sites where ligaments and tendons attach to the bone. These sites are tender to touch and sometimes called “hot spots.” The heel and the back of the foot are common sites for tender spots, which can cause difficulty in standing and walking.
Ankylosing spondylitis (AS) is a chronic, inflammatory disease of the axial spine that can manifest with various clinical signs and symptoms. Chronic back pain and progressive spinal stiffness are the most common features of the disease.
In some cases, ankylosing spondylitis can be debilitating and lead to disability, according to the SAA. Over time, the inflammation associated with ankylosing spondylitis can cause the vertebrae of the spine to fuse together. In severe cases, when this happens, the spine can curve and cause a stooped position.
"B27 disease" is a new autoimmune disease that afflicts millions of people throughout the world. "B27 disease" occurs in individuals who have ankylosing spondylitis (AS) or preankylosing spondylitis and/or uveitis and are also positive for HLA-B27.
People with Ankylosing Spondylitis often describe an ongoing, dull pain that feels like it's coming from deep within their lower back or buttocks, along with morning stiffness. It is not unusual for symptoms to worsen, get better or stop completely at regular intervals.
"Fatigue from inflammation in ankylosing spondylitis can feel like you have the flu. You can ache all over," says Rochelle Rosian, MD, the director of regional rheumatology at the Cleveland Clinic in Ohio. “That's because inflammation affects your whole body, not just your joints.”
Ankylosing spondylitis (AS) can make your back stiff and achy. And it can feel even worse if you sit for a long time. Lower the seat of your desk chair so your thighs are at a right angle when you sit. It's best if you can plant your feet firmly on the floor.
Joint stiffness with ankylosing spondylitis typically worsens with lack of movement, especially upon waking in the morning. This article will discuss how ankylosing spondylitis causes morning stiffness and ways to treat your symptoms.
Early symptoms of ankylosing spondylitis might include back pain and stiffness in the lower back and hips, especially in the morning and after periods of inactivity. Neck pain and fatigue also are common. Over time, symptoms might worsen, improve or stop at irregular intervals.
Summary. While both multiple sclerosis and ankylosing spondylitis are autoimmune diseases, they are otherwise unrelated and rarely coexist. MS is a disease of the brain and spinal cord, whereas ankylosing spondylitis is a type of inflammatory arthritis that mainly affects the spinal and sacroiliac joints.
Lab tests. There are no specific lab tests to identify ankylosing spondylitis. Certain blood tests can check for markers of inflammation, but many different health problems can cause inflammation. Blood can be tested for the HLA-B27 gene.
Advanced Ankylosing Spondylitis
If you have more advanced AS, your doctor may tell you that your spine has fused. That happens when new bone grows between some of the small bones that form your spine, joining them together. The more this happens, the less movement you have in your spine.
Don't do movements that cause pain
Carefully consider high-impact exercises, such as running, or jarring and twisting sports, such as tennis, squash, and racquetball. These could increase pain in the spine, hips, and knees.
You can't reverse ankylosing spondylitis. The damage this disease causes is considered permanent.