{"id":19083,"date":"2026-06-04T16:16:47","date_gmt":"2026-06-04T10:46:47","guid":{"rendered":"https:\/\/www.lalpathlabs.com\/blog\/?p=19083"},"modified":"2026-06-04T16:16:47","modified_gmt":"2026-06-04T10:46:47","slug":"what-is-ankylosing-spondylitis","status":"publish","type":"post","link":"https:\/\/www.lalpathlabs.com\/blog\/what-is-ankylosing-spondylitis\/","title":{"rendered":"Ankylosing Spondylitis: Symptoms, Causes, and Diagnosis"},"content":{"rendered":"<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-large wp-image-19084\" src=\"https:\/\/www.lalpathlabs.com\/blog\/wp-content\/uploads\/2026\/06\/ankylosing-spondylitis-march-1024x512.png\" alt=\"Ankylosing Spondylitis\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.lalpathlabs.com\/blog\/wp-content\/uploads\/2026\/06\/ankylosing-spondylitis-march-1024x512.png 1024w, https:\/\/www.lalpathlabs.com\/blog\/wp-content\/uploads\/2026\/06\/ankylosing-spondylitis-march-300x150.png 300w, https:\/\/www.lalpathlabs.com\/blog\/wp-content\/uploads\/2026\/06\/ankylosing-spondylitis-march-768x384.png 768w, https:\/\/www.lalpathlabs.com\/blog\/wp-content\/uploads\/2026\/06\/ankylosing-spondylitis-march.png 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Ankylosing spondylitis is a chronic inflammatory condition that primarily affects the spine and sacroiliac joints. These are the joints connecting the base of the spine to the pelvis. Over time, persistent inflammation leads to pain, stiffness, and in severe cases, fusion of vertebrae.<\/p>\n<p>&nbsp;<\/p>\n<p>Spondyloarthritis, the broader disease family to which ankylosing spondylitis belongs, is the second most common inflammatory rheumatic disease in India after rheumatoid arthritis, according to research mentioned in The Times of India. Early ankylosing spondylitis symptoms often resemble ordinary back pain, leading to delayed diagnosis.<\/p>\n<p>&nbsp;<\/p>\n<p>This article explains ankylosing spondylitis meaning, its causes, symptoms, and how it is diagnosed.<\/p>\n<h2><strong>What is Ankylosing Spondylitis?<\/strong><\/h2>\n<p>Ankylosing spondylitis&#8217;s meaning is best understood through its name: &#8216;ankylosing&#8217;, which means stiffening or fusion of joints, &#8216;spondyl&#8217; refers to the vertebrae, and &#8216;itis&#8217; means inflammation. Together, the term describes a condition that inflames and progressively stiffens the joints of the spine.<\/p>\n<h2><strong>What are the Causes of Ankylosing Spondylitis?<\/strong><\/h2>\n<p>The exact ankylosing spondylitis causes are not fully known, but genetics play an important role. The HLA-B27 gene is the most established risk factor. Over 90% of patients with ankylosing spondylitis carry the HLA-B27 antigen.<\/p>\n<p>&nbsp;<\/p>\n<p>Other risk factors include:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Family history:<\/strong> First-degree relatives of a patient have higher risk of developing the condition.<\/li>\n<li><strong>Age and sex:<\/strong> The condition predominantly affects young males under the age of 40.<\/li>\n<li><strong>Associated conditions:<\/strong> Individuals with Crohn&#8217;s disease, <a href=\"https:\/\/www.lalpathlabs.com\/blog\/ulcerative-colitis\/\">ulcerative colitis<\/a>, or psoriasis face a higher risk of developing ankylosing spondylitis.<\/li>\n<\/ul>\n<h2><strong>What are the Symptoms of Ankylosing Spondylitis?<\/strong><\/h2>\n<p>Ankylosing spondylitis symptoms develop gradually. The most common early sign is persistent, dull lower back and buttock pain, typically worse in the morning or after rest, and improving with movement.<\/p>\n<p>&nbsp;<\/p>\n<p>Common symptoms include:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Chronic lower back pain and morning stiffness lasting more than 30 minutes<\/li>\n<li>Pain and tenderness in the sacroiliac joints<\/li>\n<li>Fatigue and reduced stamina<\/li>\n<li>Gradual loss of spinal flexibility<\/li>\n<li>Pain in the heels, hips, knees, or shoulders<\/li>\n<li>Eye inflammation (uveitis) causing redness, pain, and light sensitivity<\/li>\n<li>Shortness of breath in advanced cases, if the chest wall is affected<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Without management, ongoing inflammation can cause the vertebrae to fuse, leading to a rigid, stooped posture.<\/p>\n<h2><strong>How is Ankylosing Spondylitis Diagnosed?<\/strong><\/h2>\n<p>Diagnosing ankylosing spondylitis requires clinical assessment, imaging, and laboratory tests. A rheumatologist is typically involved, given the overlap of ankylosing spondylitis symptoms with other spinal conditions.<\/p>\n<p>&nbsp;<\/p>\n<p>Key diagnostic steps include:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Physical examination:<\/strong> A doctor checks the range of motion, sacroiliac joint tenderness, and other characteristic signs.<\/li>\n<li><strong>Imaging:<\/strong> X-rays of the pelvis and spine are done first. MRI is used in the early stages when X-ray changes are not yet visible.<\/li>\n<li><strong>Blood tests:<\/strong> <a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/esr-automated-westergren-erythrocyte-sedimentation-rate\">ESR (erythrocyte sedimentation rate)<\/a> and <a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/c-reactive-protein-crp\">CRP (C-reactive protein)<\/a> are measured to detect active inflammation.<\/li>\n<li><strong>HLA-B27 test:<\/strong> The <a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/hla-b27-qualitative-pcr\">HLA-B27 blood test<\/a> detects the HLA-B27 antigen, strongly associated with ankylosing spondylitis in Indian patients. A positive HLA B27 test result, combined with clinical findings and imaging, significantly supports the diagnosis.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>A positive HLA-B27 blood test alone does not confirm ankylosing spondylitis. Results must be interpreted alongside symptoms and imaging.<\/p>\n<h2><strong>How is Ankylosing Spondylitis Managed?<\/strong><\/h2>\n<p>There is no cure for ankylosing spondylitis, but early diagnosis and appropriate management help control pain and slow progression. The goals of ankylosing spondylitis treatment are to reduce stiffness, preserve spinal mobility, and prevent complications.<\/p>\n<p>&nbsp;<\/p>\n<p>Common management steps include:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Regular physiotherapy and exercises focused on stretching, posture, and spinal flexibility.<\/li>\n<li>Avoiding prolonged inactivity or bed rest, which worsens stiffness.<\/li>\n<li>Using heat or cold packs to manage pain around affected joints.<\/li>\n<li>Sleeping on a firm, flat mattress to prevent the spine from curving forward.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Individuals with persistent lower back pain that worsens with rest but improves with movement, especially those under 40, should seek medical evaluation and book the <a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/hla-b27-qualitative-pcr\">HLA-B27 Qualitative PCR test<\/a> with Dr. Lal PathLabs. Download the <a href=\"https:\/\/bit.ly\/dlplapp\" target=\"_blank\" rel=\"noopener\">Dr. Lal PathLabs app <\/a>now for easy test bookings.<\/p>\n<h2><strong>FAQs<\/strong><\/h2>\n<h4><strong>1. What is the meaning of ankylosing spondylitis?<\/strong><\/h4>\n<p>Ankylosing spondylitis refers to a chronic autoimmune condition that inflames the spine and sacroiliac joints, causing pain, stiffness, and potential vertebral fusion. It belongs to a group of diseases called spondyloarthritis.<\/p>\n<h4><strong>2. What does a positive HLA-B27 test result mean?<\/strong><\/h4>\n<p>A positive HLA B27 test indicates the presence of the HLA-B27 antigen, strongly linked to ankylosing spondylitis. However, not everyone who tests positive develops the disease, so results must be interpreted alongside clinical symptoms and imaging.<\/p>\n<h4><strong>3. At what age does ankylosing spondylitis typically begin?<\/strong><\/h4>\n<p>Ankylosing spondylitis most commonly begins in people between below the age 40.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Ankylosing spondylitis is a chronic inflammatory condition that primarily affects the spine and sacroiliac joints. These are the joints connecting the base of the spine to the pelvis. Over time, persistent inflammation leads to pain, stiffness, and in severe cases, fusion of vertebrae. &nbsp; Spondyloarthritis, the broader disease family to which ankylosing spondylitis belongs, [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":19084,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","fifu_image_url":"","fifu_image_alt":""},"categories":[1055],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts\/19083"}],"collection":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/comments?post=19083"}],"version-history":[{"count":1,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts\/19083\/revisions"}],"predecessor-version":[{"id":19085,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts\/19083\/revisions\/19085"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/media\/19084"}],"wp:attachment":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/media?parent=19083"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/categories?post=19083"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/tags?post=19083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}