Bekhterev's disease (spondylitis)

Ankylosing spondylitis is a genetic rheumatic disease that mainly presents with outbursts of inflammation of the spine.

1 May 2021 | 5 Min. Reading Time

Overview

Ankylosing spondylitis is a genetic rheumatic disease that mainly presents with outbursts of inflammation of the spine. Dull back pain is therefore very typical. Consistent physiotherapy and doing regular exercises at home are the most important measures to provide relief and slow the progression of this incurable disease.

Symptoms

Fatigue, fever, weight loss
Back pain
- Gradual onset, dull
- Not related to body position
Stiffness in the morning
General joint pains
Eye: inflammation of the iris
Chronic inflammatory bowel diseases (in 5 to 10% of cases)

Course

Highly variable, gradual progression
Spine stiffens over time

Causes and treatment

Cause

Genetic susceptibility is suspected
- 90 to 95% of sufferers have the HLA-B27 antigen on the surface of their white blood cells

Further treatment by your doctor / in hospital

Possible tests

Examination of the spine
Blood test (HLA-B27, inflammatory markers, etc.)
Imaging of the spine
- MRI (magnetic resonance imaging)
- X-ray

Possible therapies

Most important measure: consistent physiotherapy
- Regular exercises at home
Medication
- Anti-inflammatories and painkillers
- NSAIDs (e.g. ibuprofen)
- Cortisone (for severe attacks)

What can I do myself?

Follow a consistent programme of physiotherapy exercises by yourself

When to see a doctor?

Reduced or declining mobility of the spine
Regular back pain
- Lower back pain (typical: at intersection between spine and pelvis)
Stiffness in the morning
General joint pains
Unexplained weight loss