The story of this athlete who exercises with back pain - Let's learn about Ankylosing Spondylitis

Do you also feel a stiff, painful back as soon as you get out of bed in the morning? But does this pain gradually subside after you walk a little and start your day's work? While many people think that this is just a back problem, sometimes this can be a condition that requires a little more attention. Today we are talking about someone who, despite having such a medical condition, successfully coped with it and lived an active life.

Chad Baker - The athlete who challenged the disease

Chad Baker is a father of four from Colorado, USA. He is a school administrator and a lifelong sports enthusiast. He has also worked as a coach in many sports, including basketball, track, and soccer.

Chad's story is unique in that he was diagnosed with Ankylosing Spondylitis in his 20s. Although it would normally be difficult to stay active with a disease like this, Chad is now in his 40s and living a very healthy, normal life. He says the biggest reason for this is that he didn't become physically inactive because of the disease, but continued to exercise and keep his body strong. His story provides a great example for us to talk about this disease.

Simply put, what is Ankylosing Spondylitis (AS)?

This name may sound a bit long and strange, but the point is simple. Let's break it down into two words and understand it.

• Spondylitis: This refers to inflammation of the joints between the vertebrae of the spine.
• Ankylosing: This refers to the fact that over time, the inflamed joints become fused together, stiff, and stiff.

This is an autoimmune disease. This means that the immune system, which is supposed to protect our body, mistakenly starts attacking healthy parts of our own body, especially the joints in the spine and pelvis. This causes the joints to swell and become painful.

What are the common symptoms of this disease?

The symptoms of AS can vary from person to person, but there are some common symptoms that are important to be aware of.

Who is at higher risk of developing this disease?

This disease is usually diagnosed at a young age, between the ages of 17 and 45. This disease is more common in men than women. Also, it has a genetic link . People who carry the gene HLA-B27 are at higher risk of developing this disease. However, it is important to remember that not everyone who has this gene will develop this disease.

What happens if the disease worsens?

If AS is not treated properly or if it is not controlled, complications can develop over time.

• Spinal Fusion: This is the most severe form of the disease. Due to ongoing inflammation, the body creates new bone to fill the gaps between the vertebrae in the spine. This causes the spine to become solid, like a single rod, and completely loses its flexibility. This is also called a "bamboo spine."
• Hunched Posture: A forward-bending, hunched posture can occur due to a curvature of the spine.
• Difficulty breathing: If the ribs and joints connecting the chest to the spine become inflamed and constricted, it can interfere with the expansion of the chest and cause difficulty breathing.
• Osteoporosis: Bones become weak and the risk of breaking easily increases.

How is it treated and managed?

The most important thing to say first is that there is no cure for Ankylosing Spondylitis yet. But don't worry. There are very effective treatments to control symptoms, control progression of the disease, and lead a normal life.

If you have any of the above symptoms, the best thing to do is to see your doctor immediately. He or she will examine you and, if necessary, refer you for X-rays, MRI scans, and blood tests to accurately diagnose the condition.

Treatment methods can be divided into several main categories:

1. Physical Therapy and Exercise: This is the foundation of AS management. There are specific exercises and stretching exercises to maintain flexibility, maintain proper spinal alignment, and reduce pain. It is important to do these under the guidance of a physical therapist.

2. Medications:

• NSAIDs (Nonsteroidal Anti-inflammatory Drugs): These are the first line of treatment. Painkillers and anti-inflammatory drugs like Ibuprofen and Naproxen can help control pain and stiffness.
• Biologic Medications: If NSAIDs do not provide adequate control, your doctor may recommend these more advanced medications. These work by directly targeting specific chemicals in the immune system that cause inflammation. Examples include Tumor Necrosis Factor (TNF) blockers and Interleukin 17 (IL-17) inhibitors.

3. Surgery: This is a last resort. In cases where the joints are severely damaged and the pain is unbearable, surgery such as hip replacement may be considered.

Chad Baker's story reminds us once again how important, just as much as medication, and perhaps even more so, an active lifestyle and a positive mindset are to living happily with this disease.

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