Ankylosing spondylitis (AS) affects roughly 0.1–0.5% of people worldwide. It's an inflammatory arthritis that mainly hits the spine and the sacroiliac joints, causing stiffness and pain. Symptoms often start in your late teens to 40s, and they come on slowly. If you wake up stiff in the morning and feel better after moving, that pattern is a common red flag.
Early signs include low back pain, stiffness, and buttock pain that may swap sides. Over time the spine can become less flexible, making it hard to bend or twist. Some people develop chest pain when the joints between ribs and spine are involved, making deep breaths uncomfortable. Other features can include eye inflammation (uveitis), fatigue, and occasional bowel symptoms.
AS is driven by immune system inflammation. Genetics play a big role: most people with AS carry the HLA-B27 gene, but not everyone with HLA-B27 gets the disease. Men get AS more often and symptoms usually start earlier than in women. A family history of AS or related conditions raises your risk.
Doctors diagnose AS using your history, a physical exam, blood tests for markers like HLA-B27 and inflammation, and imaging. X-rays can show changes later on, while MRI can detect early inflammation before permanent damage. If you suspect AS, ask for a referral to a rheumatologist—early diagnosis helps protect your spine and joints.
Treatment aims to reduce pain, control inflammation, and keep your spine flexible. First-line options are NSAIDs like naproxen or ibuprofen. If symptoms persist, rheumatologists often use biologic drugs such as TNF inhibitors or IL-17 inhibitors. These medicines can dramatically lower inflammation and improve function.
Physical therapy and daily stretching are as important as medications. A focused exercise plan keeps your chest and spine mobile and eases stiffness. Smoking makes AS worse, so quitting helps. Good sleep posture and ergonomic chairs reduce flare triggers.
Some people consider buying meds online. That's fine only if the pharmacy is legitimate and your drugs are prescribed by a doctor. Check pharmacy credentials, avoid sites that sell without prescriptions, and talk to your rheumatologist before changing or starting drugs.
See your doctor if back pain wakes you at night or doesn’t improve with rest and exercise. Regular checkups should include symptom review, side-effect monitoring, and periodic imaging as needed. Eye pain, sudden severe fatigue, or new breathing problems need prompt attention.
Simple daily moves help: try chest-opening stretches, cat-cow spine mobilization, and walking for 20–30 minutes. A physical therapist can show the right form and build a routine. Pain flares respond to short rest, heat packs, and temporary stronger pain meds if prescribed. Also stay up to date on vaccinations—flu and pneumonia shots can prevent infections that worsen inflammation. Keep a symptom diary to spot triggers and share it with your doctor.
Living with AS is manageable for many people. With the right mix of meds, exercise, and medical follow-up you can keep working and stay active. If you think you might have AS, get evaluated—early treatment matters.
You deserve better movement.
In managing the pain associated with ankylosing spondylitis, naproxen offers significant relief due to its anti-inflammatory properties. This article explores how effective naproxen can be, its usage tips, and some lesser-known facts about its operation. Learn about potential side effects, the importance of adhering to prescribed doses, and why it's vital to consult your doctor before making any changes to your medication routine.