Ankylosing Spondylitis Treatment

“Ankylosing spondylitis is a chronic inflammatory condition that primarily affects the spine, leading to pain, stiffness, and reduced mobility over time. Early diagnosis and proper management are essential to controlling symptoms and maintaining quality of life. With a personalized, non-surgical approach, many patients can effectively manage this condition and stay active. I can help guide you toward long-term relief and improved function.”

-Dr. Anatoly Pisman, MD

What is Ankylosing Spondylitis?

Ankylosing spondylitis is a type of inflammatory arthritis that mainly affects the spine and sacroiliac joints. Over time, inflammation can lead to stiffness and, in some cases, fusion of the vertebrae, reducing flexibility and posture.

This condition is a form of chronic back pain and may progress gradually, often starting in early adulthood. Unlike mechanical back pain, it is driven by inflammation rather than structural strain.

Common Causes

The exact cause of ankylosing spondylitis is not fully understood, but several factors are known to contribute:

Symptoms of Ankylosing Spondylitis

Symptoms often develop gradually and may worsen without proper management. Recognizing early signs is important for timely diagnosis and treatment.

When to See a Doctor

Medical evaluation is recommended if you experience persistent back pain lasting more than a few weeks, especially if it improves with movement rather than rest. Morning stiffness, reduced flexibility, or a family history of inflammatory conditions should also be evaluated. Early diagnosis is key to preventing long-term complications.

Diagnosis & Testing

Diagnosis includes a detailed review of symptoms, medical history, and physical examination to assess spinal mobility and inflammation. Imaging such as X-rays or MRI may be used to detect changes in the spine and sacroiliac joints. Blood tests may also help identify markers of inflammation or genetic factors.

Non-Surgical Treatment Options

While there is no cure for ankylosing spondylitis, treatment focuses on managing symptoms and slowing progression. Physical therapy and regular exercise play a key role in maintaining flexibility and posture. Medications may be used to control inflammation and pain.

In some cases, supportive treatments such as trigger point injections or other targeted therapies may be used to relieve discomfort. A personalized treatment plan helps improve mobility and maintain long-term function.

What to Expect at Your Visit

During your visit, your symptoms, medical history, and risk factors will be carefully evaluated. A physical examination will assess spinal flexibility, posture, and areas of inflammation. Based on your evaluation, a customized treatment plan will be created to manage symptoms, improve mobility, and support long-term spinal health.