7 Surprising Symptoms of Ankylosing Spondylitis

Ankylosing Spondylitis (AS) is a chronic inflammatory condition that primarily affects the spine, but its symptoms can extend far beyond back pain. It often begins subtly and is mistaken for common aches. As a Spine Specialist in Swargate, Sinhagad Road & Parvati Pune, I see many patients unaware that their symptoms may be signs of Ankylosing Spondylitis. Here are 7 lesser-known symptoms to watch for:

1. Hunched Posture

As AS progresses, chronic inflammation causes the bones in the spine to gradually fuse. This can lead to a noticeable forward curvature of the spine, creating a hunched or stooped posture. Over time, this becomes difficult to reverse without early intervention.

2. Fatigue

Chronic inflammation throughout the body puts the immune system in overdrive, using up energy and causing persistent fatigue. Many patients feel exhausted despite getting enough sleep, affecting their concentration, work, and lifestyle.

3. Chest Pain

Inflammation can affect the joints between the ribs and spine, making it painful to take deep breaths. This tightness in the chest may feel similar to heart-related pain, which can be alarming, but it is a musculoskeletal issue related to AS.

4. Morning Stiffness

Stiffness in the back and joints that is most intense in the morning is a hallmark sign of AS. This stiffness may last for 30 minutes or longer and usually improves with movement or exercise. Resting for long periods also worsens the stiffness.

5. Eye Pain and Redness

Inflammation from AS can extend to the eyes, causing a condition known as uveitis. Symptoms include eye pain, redness, blurred vision, and sensitivity to light. This can be a recurring problem and often requires urgent medical attention.

6. Hip and Buttocks Pain

Pain in the lower back, hips, or buttocks—especially deep pain near the pelvic area—may result from inflammation of the sacroiliac joints. This is one of the earliest signs of AS and often gets mistaken for common muscle strain.

7. Neck Pain

In more advanced stages, AS may affect the cervical spine (neck area), causing reduced range of motion, stiffness, and discomfort. Turning the head can become painful and mobility is gradually limited without treatment.

8. Low Back Pain

Chronic pain in the lower back, particularly at night or in the early morning, is a classic symptom. Unlike mechanical back pain, this inflammation-based pain often gets better with movement and worsens with rest.

9. Diarrhea or Constipation

Some people with AS experience gastrointestinal issues such as diarrhea, constipation, or bloating. These symptoms may be linked to inflammation in the intestines or a related condition like inflammatory bowel disease (IBD), which commonly coexists with AS.

Conclusion

Ankylosing Spondylitis can go undetected for years if symptoms are overlooked or misattributed. If you’re experiencing any combination of the above, consult a spine specialist in Pune without delay. Early diagnosis and the right treatment can slow the disease’s progression and improve quality of life.

Dr. Mandar Borde offers expert care for AS and comprehensive spondylosis treatment in Pune, including spondylosis treatment in Swargate. His personalized approach focuses on reducing pain, improving mobility, and preventing complications—so you can live more comfortably every day.