Ankylosing Spondylitis is a chronic inflammatory arthritis primarily affecting the spine and sacroiliac joints, leading to progressive stiffness and potential fusion of the vertebrae. Early symptoms include lower back pain and reduced mobility.

Ankylosing Spondylitis (AS) FAQ


What are the early symptoms of Ankylosing Spondylitis?

Common early symptoms include chronic lower back pain, stiffness, and reduced spinal mobility, often worsening with rest or inactivity.

How is Ankylosing Spondylitis diagnosed?

Diagnosis involves medical history, physical examination, and imaging tests (X-rays, MRI) to detect sacroiliitis or spinal changes, along with blood tests for HLA-B27 genetic marker.

Can Ankylosing Spondylitis be cured?

Currently, there is no cure, but early treatment can manage symptoms, slow disease progression, and maintain spinal flexibility.

What medications are commonly prescribed for AS?

Treatment often includes nonsteroidal anti-inflammatory drugs (NSAIDs), biologics (e.g., TNF inhibitors), and pain relievers to reduce inflammation and manage pain.

How does exercise help with AS?

Regular exercise, such as swimming or yoga, improves spinal mobility, reduces stiffness, and strengthens muscles supporting the spine.

Is surgery necessary for Ankylosing Spondylitis?

Surgery is rarely needed but may be considered for severe spinal deformities or fractures, often as a last resort.

Can diet affect AS symptoms?

While no specific diet cures AS, maintaining a healthy weight and possibly following an anti-inflammatory diet may help alleviate symptoms.

What is the role of physical therapy in AS management?

Physical therapy helps maintain spinal mobility, teaches posture correction, and provides personalized exercises to improve daily functioning.

How often should AS patients follow up with their doctor?

Regular follow-ups (every 3-6 months) are crucial to monitor disease progression and adjust treatment plans as needed.

Can stress worsen AS symptoms?

Stress can exacerbate AS symptoms; stress management techniques like meditation or counseling may complement medical treatment.

Are there any support groups for AS patients in Malaysia?

Yes, organizations like the Malaysian Society of the Rheumatology offer support and resources for patients with rheumatic conditions, including AS.

How does AS affect daily life?

AS can impact daily activities due to reduced mobility and pain, but with proper management, many patients lead active lives.

Is AS hereditary?

There is a genetic component, with the HLA-B27 gene being a significant risk factor, though not everyone with the gene develops AS.

Can AS lead to disability?

In severe cases, untreated AS can lead to significant spinal fusion and disability, emphasizing the importance of early diagnosis and treatment.

How is AS different from other types of arthritis?

AS primarily affects the spine and sacroiliac joints, distinguishing it from rheumatoid arthritis, which often affects smaller joints in the hands and feet.

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