Spondylitis

Spondylitis, also known as ankylosing spondylitis, is a degenerative spine condition that produces inflammation within the facet joints, which are the hinges between the vertebrae. It typically begins as painful inflammation within the joints between the lower spine and the pelvis and spreads to other segments of the spine. The cause is unknown, but it is believed to be an inherited condition and it affects men more frequently than women. Left unchecked, spondylitis will cause the affected joints to fuse together.

Symptoms Associated With Spondylitis

The initial signs of spondylitis include pain and stiffness in the lower back or pelvis, especially after long periods of inactivity. Eventually, the pain and stiffness begins to spread upward into the lumbar (lower back) region, and the symptoms begin to worsen. These include:

• Intermittent lower back pain
• Pain or stiffness that worsens during periods of inactivity, including sleep
• Pain that usually subsides during periods of activity or exercise
• Pain that begins in the joints between the pelvis and spine (sacroiliac joints) and spreads to other parts of the spine

The course of spondylitis is unpredictable, which makes determining a prognosis difficult. Most people with the condition are able to function well unless the hips are severely affected. Over time, the spread of the condition can cause a loss of mobility within the lower spine.

Treatment for Spondylitis

During the early stages of spondylitis, a doctor might prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to address painful inflammation. Corticosteroid injections also might be attempted, along with an exercise regimen designed to help improve posture and breathing. Should chronic symptoms persist, especially within the hips, surgery might become an option.