Spondylitis is one of the leading causes of back and neck pain and is most commonly the result of an inflammation of the vertebral joints. It develops very silently and comes to prominence when the condition has fully developed. Pain in spondylitis is generally concentrated around the cervical region of the neck, shoulder and lower spine with the stings and instances of pain flowing further downwards.

Enthesitis (inflammation of the place where muscles and ligaments connect to bones) accounts for much of the pain and stiffness of ankylosing spondylitis (AS). This inflammation eventually leads to bony fusion of the joints.

Other joints can also develop the inflammation of the lining of the joint (synovitis), with lower limb joints commonly involved than upper-limb joints. Ankylosing spondylitis often develops in young adult men and it may last a lifetime.


Pain in the lower back and buttocks are the prime symptoms of ankylosing spondylitis (AS). In contrast to mechanical low back pain, stiffness and low back pain in AS patients are worse after a period of rest or on waking up in the morning. It improves after exercise and a hot bath or a shower. Progressive stiffening of the spine is common, with ankylosis (fusion of some or all spinal joints) emerging after some years of disorder in many, but not all, patients. The most of patients have mild or moderate disorder with intermittent exacerbations and suspension and maintain some mobility and independence throughout life.

Other symptoms

Sacroiliitis (inflammation of the sacroiliac joint- joint where the spine connects to the pelvis) is the common initial feature of AS. It causes pain in the buttocks that may further radiate down the thighs, but never below the knee.

Inflammatory sacroiliac and back pain usually begins slowly, persists for beyond three months, is worsened by inactivity, and is improved by exercise.

Inflammation and stiffness go up the spine over a period of years to produce progressive pain and restriction.


World class surgeons, at Vimhans PrimaMed, equipped with modern techniques and equipments make a comprehensive treatment plan for spondylitis that commonly includes medication and exercise. It can help patients maintaining a normal upright posture and spinal mobility minimize the impact of hip and joint manifestations, and reduce stiffness and pain.

A full treatment plan involves the following:

Exercises- Stretching and spinal exercises can improve the mobility and posture and minimize the long-term impact.

Medications- Your physicians will prescribe the finest medication option which will usually vary case to case. Following are the medication categories:

A. Non-steroidal anti-inflammatory drugs
B. Oral corticosteroids
C. Corticosteroid injections
D. Tumor necrosis factor inhibitors

Surgery- Total hip, shoulder or knee replacements are the options for restoring mobility in those joints when they are severely damaged. Corrective spinal surgery has turned out to be a safer prospect since the emergence of magnetic resonance imaging and may be essential if your spine fuses into a severely bent position.