Ankylosing Spondylitis - Medtick

Ankylosing Spondylitis

What is it?

A long term arthritis condition that causes inflammation (hot, red and swelling) of one’s spine and related muscles, bones and ligaments.

  • It mainly occurs in ages 15- 35 years old.
  • In severe cases, bones in the spine may fuse (also referred to as ankylosis) resulting in a rigid and inflexible spine causing an abnormal posture.
  • It may occur in other joints including the hips, knees, ankles, or shoulders.

Diagnosis Tests

Example of blood test results include:

  • Red blood cell count (RBC): Long term inflammation can cause a low red blood cell count.
  • White blood cell count (WBC): An elevated white blood cell count suggests the possibility of an active infection. Patients taking corticosteroids (fro inflammation) may have an elevated WBC due to the medication.
  • Hemoglobin and hematocrit: Low hemoglobin and hematocrit may be indicative of anaemia caused by  long term diseases or possible bleeding caused by medications:
  • Platelet count: The platelet count is often high in arthritis patients, while some potent/strong arthritis medications can cause platelets to be low.
  • Protein and Antibody Tests
    • Anti-CCP is a blood test that is commonly ordered if rheumatoid arthritis is suspected.
    • A moderate to high level of anti-CCP essentially confirms the diagnosis in a person who has clinical signs of rheumatoid arthritis
    • Antinuclear antibodies (ANA): Antinuclear antibodies (ANA) are abnormal autoantibodies (immunoglobulins against nuclear components of the human cell). Moderate to high antinuclear antibody levels are suggestive of autoimmune disease.
    • C-reactive protein (CRP): C-reactive protein is produced by the liver following tissue injury or inflammation. Plasma levels of CRP increase quickly following periods of acute inflammation or infection, making this test a more accurate indicator of disease activity than the sedimentation rate, which changes more gradually.
    • HLA tissue typing: Human leukocyte antigens (HLA) are proteins on the surface of cells. Specific HLA proteins are genetic markers for some of the rheumatic diseases. Testing can determine if certain genetic makers are present. HLA-B27 has been associated with ankylosing spondylitis and other spondyloarthropathies.
    • Erythrocyte sedimentation rate:- the erythrocyte sedimentation rate (ESR) is a nonspecific indicator of the presence of inflammation.
    • Uric acid:  High levels of uric acid in the blood (known as hyperuricemia) can cause crystals to form which are deposited in the joints and tissues (gout).
  • Please click for ‘Physiotutors’ diagnosis tests.

Cause

Symptoms

  • Stiff back (particularly at mornings and second half of night) – which improves with movement and exercise?
  • Back pain?
  • Loss of the inward curve of the lumbar spine (just above the buttocks)- (lordosis)?
  • Noticeable curvature of the spine that causes the top of the back to appear more rounded than normal (kyphoisis)?
  • Aching, painful muscles, muscle cramps/spasms/stiffness?
  • Joint pain and stiffness?
  • Neck stiffness?
  • Buttock pain (can be one side and then the other)?
  • Dry eyes?
  • Flashing lights?
  • Floaters where shadows move across ones vision range?
  • Loss of vision?
  • Pain in back of eyes (common in arthritis sufferers)?
  • Pain in eyes which can get worse when one focuses on an object and/or reading?
  • Sensitive to light?
  • Severe redness in eye?
  • Blurred vision?
  • Short of breath and/or breathing difficulties?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait, phone for an ambulance if have or develop:

  • Heart attack
  • Stroke
  • Cauda equina syndrome:
    • Pain or numbness in your lower back and buttocks
    • Weakness in your legs
    • Urinary incontinence or bowel incontinence – when you cannot control your bladder or bowels

This condition can lead to:

Others conditions it can lead to:

  • Heart problems/Cardiac:
    • Aortic insufficiency (2%-6%)-main blood vessels in heart not functioning as it should.
    • Ascending aortitis (inflammation of the heart blood vessel), and other manifestations, such as conduction abnormalities (3%-5%) – heart beat problems.
    • Diastolic (heart beating)dysfunction
    • Pericarditis
    • Ischemic heart disease (30%)
  • Neurologic:
    • Incomplete or partial dislocation  of Atlantoaxial (C1-2) (2%),
    • Cauda equina syndrome from spinal arachnoiditis (inflammation of the arachnoid, one of the membranes that surround and protect the nerves of the spinal cord)
    • Traumatic spinal fractures with myelopathy (C5-6, C6-7 most commonly)
    • Ossification (bone formation) of the posterior longitudinal ligament with spinal stenosis
  • Kidney:
  • Skin:
  • Lungs/Pulmonary: Upper lobe fibrosis, restrictive changes
  • Eye: Acute anterior uveitis (20%-30%)
  • Discitis or spondylodiscitis (Andersson lesions)- inflammation between the spaces of the intervertebral discs in the spine
  • Crohn’s disease–like lesions

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This condition may show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Ankylosing Spondylitis in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

Diet, Exercise and Body Manipulations