Locations:
Search IconSearch

Could My Stiff, Aching Back Be a Sign of Ankylosing Spondylitis?

The short answer from a rheumatologist

Man in morning with chronic back pain

Q: I have chronic lower back pain that’s worse in the morning. Could it be ankylosing spondylitis?

A: Ankylosing spondylitis is a form of arthritis that causes inflammation of the spine, resulting in back pain and stiffness. It can also affect other joints.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

There are many potential causes of back pain, which can make it tricky to diagnose. But often times, people with AS experience back pain that:

  • is focused in the buttocks and low back.
  • is associated with morning stiffness.
  • improves with exercise.
  • doesn’t get better with rest.
  • feels worse during the night.

People who have AS may also experiences joint pain and swelling in other areas such as the hips or shoulders, as well as skin changes, eye changes or bowel issues.

A physician makes an AS diagnosis through a combination of a physical exam, blood work and imaging tests, such as MRI.

AS is progressive, and if it’s severe, it can cause the bones of the spine to fuse over time. So early treatment is important to prevent disability and reduce pain and stiffness. Treatment may include:

  • NSAIDs, steroids, biologics or other medications, as prescribed by a rheumatologist
  • An exercise program that includes low-impact and weight-bearing exercises
  • Regular stretching
  • A healthy, anti-inflammatory diet
  • Minimizing stress

Treatment starts with an accurate diagnosis, so talk with your doctor if you’ve been experiencing any kind of chronic pain.

Rheumatologist Margaret Tsai, MD

Advertisement

Learn more about our editorial process.

Related Articles

Man eating a healthy salad while sitting in the kitchen at home.
September 22, 2022/Rheumatology & Immunology
What’s the Best Diet for Ankylosing Spondylitis?

Some diets are better than others, but it comes down to what works best for you

Person doing yoga plank on floor mat.
September 16, 2022/Rheumatology & Immunology
Best Types of Exercises for Ankylosing Spondylitis

Pilates, stretching and hydrotherapy can support your spine and maintain a wide range of motion

Person getting acupuncture in lower spine area for pain in back.
September 14, 2022/Rheumatology & Immunology
Natural Ways To Treat Ankylosing Spondylitis Symptoms

Non-drug therapies like massage therapy and acupuncture can help manage pain, stiffness and fatigue

Patient with lower back pain in doctor's office.
Does Ankylosing Spondylitis Cause GI Problems?

Doctors aren’t sure why, but the conditions are connected

Person sitting up straight in chair while checking smartphone.
July 14, 2022/Orthopaedics
How To Improve Your Posture When You Have Ankylosing Spondylitis

Ease pain and stay active by keeping your spine in its proper position

Closeup of irritated eye showing redness with blood vessels in eye.
Why Ankylosing Spondylitis Causes Eye Pain

About 35% of people with this autoimmune condition also develop uveitis

Ankylosing spondylitis sleep positions
Strategies for Coping With Ankylosing Spondylitis

Managing the chronic pain of this autoimmune condition is important

Female sitting at desk with computer screen with video meeting with multiple people
January 18, 2024/Rheumatology & Immunology
9 Tips for Living With Lupus

Learn all you can, seek out support and don’t be afraid to advocate for yourself

Trending Topics

White bowls full of pumpkin seeds, dark chocolate and various kinds of nuts
25 Magnesium-Rich Foods You Should Be Eating

A healthy diet can easily meet your body’s important demands for magnesium

Woman feeling for heart rate in neck on run outside, smartwatch and earbuds
Heart Rate Zones Explained

A super high heart rate means you’re burning more than fat

Spoonful of farro salad with tomato
What To Eat If You’ve Been Diagnosed With Prediabetes

Type 2 diabetes isn’t inevitable with these dietary changes

Ad