Is your back stiff in the morning? Let's learn about the symptoms of Ankylosing Spondylitis (spinal arthritis)!

Is your back stiff in the morning? Let's learn about the symptoms of Ankylosing Spondylitis (spinal arthritis)!

Do you also feel severe pain in your back and hips when you get out of bed in the morning? Does the pain gradually subside after you walk a little and start your day's work? Many people may ignore this, thinking that it is just a normal backache or body ache. However, sometimes this can be an early sign of a condition that requires more attention. Today we are talking about such a condition, ' Ankylosing Spondylitis ' and its symptoms.

Simply put, what is Ankylosing Spondylitis?

Okay, this name may sound a bit complicated, but it's not hard to understand. Simply put, Ankylosing Spondylitis is a chronic form of arthritis that affects the spine. "Chronic" means it lasts a long time. The main thing that happens in this disease is inflammation, or swelling, in the joints that connect our spine (we call these vertebrae) and the hip joints.

Imagine what happens if this inflammation continues. Over time, as the body tries to repair this damage, new bone begins to form. As a result, the vertebrae in the spine begin to fuse together, the flexibility of the spine decreases, and the spine begins to straighten. This is the main effect of this disease. But don't worry, if you recognize it early and get proper treatment, you can control this condition very well.

What are the common symptoms?

The important thing is that not everyone with this disease will experience all of these symptoms in the same way. Some people may experience very few symptoms, while others may experience more severe symptoms. Symptoms can also fluctuate over time. Let's break these symptoms down into categories to help you understand them better.

Type of symptom Description
Spine and joint-related symptoms

  • Pain and stiffness in the lower back and buttocks: This is the main symptom. This pain and stiffness is especially worse when you get up in the morning or after standing for a long time.
  • Pain relief from exercise : Surprisingly, although the pain increases when you are still, this pain and stiffness decrease when you move your body, walk, or exercise.
  • Difficulty bending the spine: Over time, the flexibility of the spine decreases, making it difficult to bend forward or turn to the side.
  • Posture changes: The spine may become straight and a bent-over posture may develop.

Symptoms affecting other parts of the body

  • Iritis : Sudden redness, swelling, pain, and sensitivity to light.
  • Pain in other joints: There may be pain and swelling in large joints such as the hips, shoulders, and knees.
  • Heel and foot pain: You may experience pain in your heels or feet for no apparent reason.
  • Jaw joint pain: Pain in the jaw joint ( temporomandibular joint - TMJ) may occur while eating or talking.
  • Difficulty breathing: Due to stiffness in the joints that connect the bones of the rib cage, you may feel chest pain or discomfort when taking a deep breath.

General and systemic symptoms (affecting the entire body)

  • Fatigue : Feeling tired and lacking energy throughout the day, even after sleeping well.
  • Loss of appetite and weight loss: You may lose weight and lose appetite for no apparent reason.
  • Inflammatory bowel conditions: Some people are at risk of developing inflammatory bowel conditions such as Crohn's disease or ulcerative colitis.
  • Heart problems: Very rarely, conditions that affect the functioning of the heart (heart failure) or disrupt the electrical impulses that control the heartbeat (heart block) may occur.

Remember, the main and first symptom of Ankylosing Spondylitis is stiffness and pain in the back in the morning or upon getting up from a long period of rest. However, the pain usually subsides with a little movement.

When should we see a doctor?

If you continue to experience one or more of the symptoms listed above, don't just dismiss it as "this is normal." It is especially important to see your doctor for advice in the following situations: The sooner the disease is diagnosed, the easier it is to treat and control.

  • Long-term back pain: If you have had lower back pain for weeks or months, especially if it is severe in the morning and gets better with daily activities and movement, it is important to tell your doctor.
  • Eye changes: If one or both of your eyes suddenly become red, swollen, or painful, or if they are more sensitive to light than usual (e.g., sunlight or bright lights), don't ignore it. This could be a condition called iritis, which is associated with ankylosing spondylitis. So, if you have an eye problem and back pain is also present, tell your doctor.

There is no need to panic when you see these symptoms. The most important thing is to seek proper medical advice and get a diagnosis as soon as possible. Then you can avoid the long-term complications that can arise from this disease, control the pain, and lead an active, normal life.

Take-Home Message

  • Ankylosing Spondylitis is a type of chronic (long-term) arthritis that affects the spine.
  • The main symptom is back pain and stiffness that occurs in the morning or after rest. This condition is relieved by exercise and movement.
  • In addition to back pain, symptoms such as inflammation of the eyes (iritis), pain in the hip joints and buttocks, and unexplained fatigue may also occur.
  • If you continue to experience one or more of these symptoms, do not ignore them and definitely consult your doctor for proper advice. Early diagnosis can help you manage the disease better.

Ankylosing Spondylitis, back pain, back pain, arthritis, spine, back pain sinhala, spine arthritis, morning back stiffness

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