Ankylosing spondylitis (AS) (ank-ee-lo-zing spon-dee-li-tus) is a type of arthritis that mainly affects the back, causing inflammation in the spine. This can make your back, rib cage, and neck stiff and painful. It often starts in people in their late teens or
ain, and tenderness spreading to the ribs, shoulder blades, hips, thighs, and heels is also possible. Note that AS can present differently at onset in some people. This tends to be the case in women more than men.
Other Symptoms
In a minority of individuals, pain does not start in the lower back, or even the neck, but in a peripheral joint such as the hip, ankle, elbow, knee, heel, or shoulder. This pain is commonly caused by enthesitis, inflammation of the site where a ligament or tendon attaches to the bone. Inflammation and pain in peripheral joints is more common in juveniles with AS. This can be confusing since, without the immediate presence of back pain, AS may look like some other form of arthritis.
Many people with AS also experience bowel inflammation, which may be associated with Crohn’s disease or ulcerative colitis.
AS is often accompanied by iritis or uveitis (inflammation of the eyes). About one-third of people with AS will experience inflammation of the eye at least once. Signs of iritis or uveitis are: Eye(s) becoming painful, watery, red, blurred vision, and sensitivity to bright light.
More information on complications of AS, including iritis/uveitis.
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