I am a 57-year-old female and didn't know I had ankylosing spondylitis for about 20 years of symptoms. I just thought I was being overly sensitive. In my 20s I suffered with low back pain, and in my 30s, my neck really started bothering me. I think it helped that I always lived an active lifestyle. In my 40s, I was sometimes unable to walk with the hip pain, and I self-medicated with ibuprofen. It wasn't until a bad case of iritis that I was finally diagnosed with ankylosing spondylitis. (I have the HLA-B27 gene.) Life has been better since then, as I know what I've got and I try to manage the pain. I'm on Naproxen, which I take 500 to 750 mg per day with meals. For me, the key is to stay as active as possible. I work full time, but occasionally call in sick so as to get a little extra rest. When I'm in bad pain, I lie down flat for an hour or so, then I can get up and do some more activities. As a very active person, I hate having to pace myself this way, but it is necessary. Regular monthly massages seems to help with my flexibility, and I have a stretching exercise routine which I do two to three times a week and should do daily, but work, community involvement, family and other interests sometimes interfere. My advice is to keep active, keep positive and focus on what you can do.
At age 22 in my senior year of college my hips started hurting. They hurt for 4-5 months, as best I can recollect. I walked a couple of miles a day to and from classes. They hurt when I got up from my chair and started walking; then it would gradually stop hurting. They also hurt in bed at night. I never took any medicine nor visited a doctor. Eventually it went away. Almost 2 decades later my first back X-ray showed fused SI joints, presumably from "sacroilitis". I guess that was it. My hip pain never returned, but the rest of my back hurt chronically until I was diagnosed with AS last month and got on medicine.
Published: July 01
Recently, my internist put me on a short dose of Prednisone that eased the pain quite a bit. Then I saw a rheumatologist who found a fusion in my sacroiliac joints and diagnosed Ankylosing Spondylitis. I was put on more Prednisone for several more weeks, and also on medication to allay the progress of the spondylitis. Of course, the meds have side effects to be aware of. Because I am of advanced age and new to this, I am trying to learn all I can. I may have had symptoms for a long time, but only until the severe hip pain that impaired my activities did I ever feel quite so challenged.
I had back pain starting at age 16. But I was in my late 20's-30's when I developed TMJ and a stiff neck that would not let up. I went from one dr. to another. I went to PT for over 3 months to get my neck and shoulder unfrozen. This is when I was diagnosed with AS. I have flares at least twice a year that leave my barely functional. The last one lasted 6 months and I had to quit my job. But it seems the more rest I get the quicker I come out of a flare. This is just my observation.
Published: June 25
Having back pain sometimes so badly that I would not even be able to move at all. Immobilized on the bed I need to wait for up to two mins before I can slowly move my body again. The extreme pain usually comes morning when waking up and happens something like 5 to 6 times a year. Normal days are just some light pains felt sometimes at shoulder blade, neck. Etc.
Published: June 20
From childhood when I would walk for more than 10 minutes at a time, my low back around my sacrum would really hurt. That has never gone away. Over the past 5 years my neck would constantly hurt and I got migraines. I developed light sensitivity, my eyes almost always hurt. In the last year, I started having pain in my rib cage and trouble taking deep breaths. Then my sternum area hurt so bad I though I was having a heart attack. Now my feet and ankles hurt and get stiff. I just started seeing a rheumatologist two weeks ago and started on prednisone. I have found some relief, but yesterday I did some light exercise and all the inflammation and pain and stiffness came back. By the way...in the past year I have been diagnosed with Chrones and Hashimoto's Thyroiditis. I guess it is all connected. I am only 35 yrs old, female.
Mine started as severe leg pain and pain in the sacral area when I was just a child. It felt like my hip had dislocated. I could not walk let alone move my leg or even both at one time without use of my arms. I was going to chiropractors for years. A simple fall would bring all the symptoms back. I could hear and feel clicking when I walk and had to use a foot rest while sitting in chair even in college. I am 4 foot 10 inches tall and most times my feet hung. I am surprised that I haven't had many problems lately. I am 50 years old now, but I am on a strong pain reliever. One problem that has occurred is that my thumb has locked up and I cannot bend it. My doctor told me to make sure I sleep in a straight line on my back with a very minimal neck pillow.
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Suggested Reading on Ankylosing Spondylitis by Our Doctors
There are many causes of back pain. Pain in the low back can relate to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, muscles of the low back, internal organs of the pelvis and abdomen, and the skin covering the lumbar area.
Crohn's disease is a chronic inflammatory disease,
primarily involving the small and large intestine, but which can
affect other parts of the digestive system as well. Abdominal pain, diarrhea, vomiting, fever, and weight loss are
common symptoms.
Ankle pain is commonly due to a sprain or tendinitis. The severity of ankle sprains ranges from mild (which can resolve within 24 hours) to severe (which can require surgical repair). Tendinitis of the ankle can be caused by trauma or inflammation.
Neck pain (cervical pain) may be caused by any number of disorders and diseases. Tenderness is another symptom of neck pain. Though treatment for neck pain really depends upon the cause, treatment typically may involve heat/ice application, traction, physical therapy, cortisone injection, topical anesthetic creams, and muscle relaxants.
Sacroiliac joint (SI) dysfunction is a general term to reflect pain in the SI joints. Causes of SI joint pain include osteoarthritis, abnormal walking pattern, and disorders that can cause SI joint inflammation including gout, rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Treatment includes oral medications, cortisone injections, and surgery.
Ulcerative colitis is a chronic inflammation of the colon. Symptoms include abdominal pain, diarrhea, and rectal bleeding. Ulcerative colitis is closely related to Crohn's disease, and together they are referred to as inflammatory bowel disease. Treatment depends upon the type of ulcerative colitis diagnosed.
Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of
arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout,
and pseudogout.
Psoriatic arthritis is a disease that causes skin and joint inflammation. Symptoms include painful, stiff, and swollen joints, tendinitis, and organ inflammation. Treatment involves antiinflammatory medications and exercise.
Bone spurs are pointy outgrowths of bone that develop in areas of inflammation or injury. They commonly occur on the heel and spine and may be the result of reactive arthritis, ankylosing spondylitis, or diffuse idiopathic skeletal hyperostosis. Symptoms include pain, numbness, and tenderness. Treatment focuses on decreasing inflammation and avoiding re-injury.
Costochondritis is inflammation of the cartilage where the ribs attach to the sternum. Tietze syndrome affects the same region of the chest and causes inflammation, tenderness, and swelling. Anti-inflammatory medications, rest, physical therapy, and cortisone injections are suitable methods of treatment for both costochondritis and Tietze syndrome.
Reactive arthritis is a chronic, systemic rheumatic disease characterized by three conditions, including conjunctivitis, joint inflammation, and genital, urinary or gastrointestinal system inflammation. Inflammation leads to pain, swelling, warmth, redness, and stiffness of the affected joints. Non-joint areas may experience irritation and pain. Treatment for reactive arthritis depends on which area of the body is affected. Joint inflammation is treated with antiinflammatory medications.
Juvenile arthritis (juvenile rheumatoid arthritis or JRA) annually affects one child in every thousand. There are three types of JRA: pauciarticular (less than four joints affected), polyarticular (more than four joints affected), and systemic-onset (inflamed joints with high fevers and rash). Treatment of juvenile arthritis depends upon the type the child has and should focus on treating the symptoms that manifest.
Kyphosis is outward curvature of the thoracic spine (upper back). Abnormal kyphosis results in the appearance of a hunchback, which is accompanied by back pain, stiffness, and muscle fatigue in the back. There are three types of abnormal kyphosis: postural, Scheuermann's, and congenital kyphosis. Postural kyphosis is caused by poor posture and a weakening of the back's muscles and ligaments. Scheuermann's kyphosis is caused by a structural deformity of the vertebrae. Congenital kyphosis is caused by an abnormal development of the vertebrae prior to birth. Treatment of kyphosis depends upon the type of kyphosis the patient has.
Iritis is inflammation of the iris, the colored portion of the eye. Symptoms include a red, painful eye, blurry vision, and light sensitivity. Treatment usually involves cortisone eyedrops.
Costochondritis is a common form of inflammation of the
cartilage where ribs attach to the breastbone, the sternum. The inflammation can involve multiple cartilage areas on
both sides of the sternum but usually is on one side only.
The cause(s) of costochondritis is(are) not known and may involve several factors. Possible causes include heredity (genetic predisposition), viruses, and trauma (injury).
Costochondritis can be an independent condition by
itself or sometimes be a feature of a more widespread disorder. Examples of
illnesses that can feature costochondritis include
fibromyalgia,
psoriatic arthritis,
ankylosing spondylitis
reactive arthritis, and inflammatory bowel
disease (such as ulcerative colitis and Crohn's disease).
What is the Tietze syndrome?
Costochondritis should be distinguished from Tietze
syndrome, a ...
I am a 57-year-old female and didn't know I had ankylosing spondylitis for about 20 years of symptoms. I just thought I was being overly sensitive. In my 20s I suffered with low back pain, and in my 30s, my neck really started bothering me. I think it helped that I always lived an active lifestyle. In my 40s, I was sometimes unable to walk with the hip pain, and I self-medicated with ibuprofen. It wasn't until a bad case of iritis that I was finally diagnosed with ankylosing spondylitis. (I have the HLA-B27 gene.) Life has been better since then, as I know what I've got and I try to manage the pain. I'm on Naproxen, which I take 500 to 750 mg per day with meals. For me, the key is to stay as active as possible. I work full time, but occasionally call in sick so as to get a little extra rest. When I'm in bad pain, I lie down flat for an hour or so, then I can get up and do some more activities. As a very active person, I hate having to pace myself this way, but it is necessary. Regular monthly massages seems to help with my flexibility, and I have a stretching exercise routine which I do two to three times a week and should do daily, but work, community involvement, family and other interests sometimes interfere. My advice is to keep active, keep positive and focus on what you can do.
Related Reading: ankylosing spondylitis | ibuprofen | iritis