Stiff back: Ankylosing spondylitis as the cause

Anyone suffering from back pain and stiffness in the back should get to the bottom of the symptoms quickly to rule out serious illnesses. What sometimes feels like tension or short-term pain can have serious causes. Stiffness in the spine can be caused by ankylosing sp ondylitis , also known as ankylosing spondylitis (AS). Basically, this is a chronic inflammatory disease that affects the spine and sacroiliac joints.

Stiffness in the back Ankylosing spondylitis Physiotherapy Practice Berlin-Mitte Christian Marsch

As the disease progresses, those affected suffer from stiffening of the spine, which can be accompanied by pain and blockages. Early exercise therapy, for example in the form of physiotherapy, can significantly alleviate symptoms.

Symptoms in the spine and back

Genetic factors are primarily responsible for ankylosing spondylitis, although environmental factors or infections can lead to the development of the disease. Regardless of the cause, the symptoms of ankylosing spondylitis are usually gradual, with stiffness, inflammation, blockages or swelling occurring.

Stiffness in the back Bechterew's disease Physiotherapy practice Berlin-Mitte Christian Marsch

The majority of those affected complain of back pain and stiffness in the lower back, which can spread to the hips. The symptoms are often worst in the morning and after periods of rest, although they can be alleviated by exercise.

In the advanced stages of the disease, however, the spine can become progressively stiffer, which can severely restrict simple movements. Those affected often do not know whether they should rest or move, as there is a lack of knowledge about which movement units and rest phases are required to strengthen the body on the one hand, but also to relax it in a targeted manner on the other.

Ankylosing spondylitis Stiffness of the back Physiotherapy practice Berlin-Mitte Christian Marsch

Other symptoms caused by ankylosing spondylitis

Swelling of the joints

Although ankylosing spondylitis primarily affects the spine, other parts of the body can also be affected. For example, sufferers report pain and swelling in the shoulders, hips and knees, which can severely restrict mobility in everyday life.

Eye inflammation as a result of ankylosing spondylitis

Anyone who also suffers from redness and pain in the eyes is very likely to have ankylosing spondylitis. The eye inflammation known as iritis or uveitis affects around 30-40% of sufferers, although the heart and kidneys can also be affected.

Ankylosing spondylitis Stiffness in the back Physiotherapy practice Berlin-Mitte Christian Marsch

Treatment of ankylosing spondylitis

After examinations in the form of X-rays, MRIs or blood tests and a definite diagnosis, ankylosing spondylitis should be treated quickly in order not only to alleviate the symptoms but also to slow down the progression of the disease. It is important to train movement techniques that help to maintain mobility.

Physiotherapy to improve mobility

The aim of physiotherapy in the case of ankylosing spondylitis is to increase the flexibility and mobility of the body by training movement patterns in order to reduce pain. This includes not only movement units, but also learning the correct posture. Incorrect posture and postures that are too relaxed are harmful to the body and cause the disease to progress steadily. In the best case scenario, self-help measures are learned to help you cope with everyday life.

In some cases, drug therapy can help to reduce inflammation, although a doctor should be consulted depending on the stage and intensity of the condition. Surgery may be required to correct deformities, particularly in severe cases, although this should only be undertaken after physical measures have failed.

Ankylosing spondylitis is a serious disease, but it is treatable if diagnosed and treated at an early stage. If the body’s mobility is restricted and pain takes over everyday life, physiotherapy can be a good option to bring about a cure.

Ankylosing spondylitis in the back Stiffness Physiotherapy Practice Berlin-Mitte Christian Marsch
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