Ankylosing Spondylitis

Ankylosing Spondylitis (AS) is a type of chronic inflammatory arthritis that primarily affects the spine and sacroiliac joints, causing pain and stiffness. Over time, it can lead to fusion of the vertebrae, resulting in reduced flexibility and a hunched posture.
 

Early diagnosis and timely Ankylosing Spondylitis treatment in Orlando can significantly slow disease progression, relieve symptoms, and help patients maintain an active, independent lifestyle.

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Common Symptoms of Ankylosing Spondylitis

Symptoms usually develop gradually and may worsen over time if untreated. Common signs include:

• Chronic lower back pain and stiffness, especially in the early morning or after inactivity

• Pain that improves with movement or exercise but not with rest

• Persistent fatigue and reduced energy levels

• Pain or stiffness in the hips, shoulders, or neck

• Limited spinal mobility and posture changes in advanced stages

If these symptoms persist for more than three months, consulting a rheumatologist for ankylosing spondylitis is highly recommended.

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Who is at Risk?

• Most commonly diagnosed in men between late teens and early 40s

• Family history of ankylosing spondylitis

• Presence of the HLA-B27 gene, which is strongly associated with AS

• Early evaluation by the best rheumatologist for ankylosing spondylitis can help confirm the diagnosis and start treatment promptly.

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Associated Conditions:

Ankylosing Spondylitis is a systemic condition and may be linked with other inflammatory disorders, including:

• Uveitis (eye inflammation causing redness and pain)

• Inflammatory bowel disease (Crohn’s disease or ulcerative colitis)

• Psoriasis

• Osteoporosis, increasing fracture risk

• Managing AS often requires a comprehensive, whole-body approach under specialist care.

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Diagnosis:

Diagnosis involves a combination of clinical evaluation and testing:

• Detailed medical history and physical examination

• Imaging tests such as X-rays or MRI of the spine and sacroiliac joints

• Blood tests, including HLA-B27 and inflammatory markers (ESR, CRP)

• An experienced rheumatologist for ankylosing spondylitis can accurately diagnose the condition, even in its early stages.

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Ankylosing Spondylitis Treatment in Orlando

Treatment focuses on reducing inflammation, relieving pain, and preserving spinal mobility. A personalized treatment plan may include:

• NSAIDs (such as ibuprofen or naproxen) for pain and stiffness

• Biologic therapies (TNF inhibitors or IL-17 inhibitors) for moderate to severe disease

• Physical therapy to improve posture, strength, and flexibility

• Regular low-impact exercises like swimming and stretching

• Lifestyle changes such as smoking cessation and posture correction

Seeing the best rheumatologist for ankylosing spondylitis in Orlando ensures access to advanced therapies and long-term disease management.

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Self-Care Tips for Living With Ankylosing Spondylitis

Along with medical treatment, daily self-care plays a crucial role:

• Practice daily stretching and strengthening exercises

• Maintain good posture and ergonomic support at work and home

• Use heat or cold therapy to ease pain and stiffness

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Frequently Asked Questions

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1. How do I find the best rheumatologist in Orlando for Ankylosing Spondylitis?

The best rheumatologist in Orlando or Central Florida for AS is typically one who specializes in Axial Spondyloarthritis. Look for board-certified specialists at reputable networks like Orlando Health or Florida Medical Clinic, and ensure they offer advanced biologic infusion therapies and in-house imaging (MRI).
 

2. Is back pain from Ankylosing Spondylitis different from regular back pain?

Yes. Unlike mechanical back pain (which usually gets better with rest), AS pain worsens with rest and improves with exercise. If your stiffness is at its peak at 3:00 AM or right after waking up, it is a hallmark sign to see a specialist.
 

3. Can I live a normal life with an AS diagnosis?

Absolutely. With early intervention and modern Ankylosing Spondylitis treatment, most patients maintain their career, travel, and stay active. The key is "treating to target"—working with your doctor to keep inflammation levels as low as possible.
 

4. Why is the HLA-B27 gene test important?

While the presence of the HLA-B27 gene doesn't "guarantee" you have AS, it is a powerful diagnostic clue. In Central Florida, specialists use this test alongside clinical symptoms to fast-track a diagnosis, often saving patients years of searching for the cause of their pain.
 

5. What is the fastest way to start Ankylosing Spondylitis treatment at Elite Rheumatology?

To get the fastest rheumatology appointment at Elite Rheumatology, you can typically be seen as a new patient within one week (depending on insurance).

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