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March 6, 2025
Ankylosing spondylitis (AS) is a chronic inflammatory disease that primarily affects the spine and the sacroiliac joints in the pelvis. It can lead to significant discomfort and stiffness, particularly in the lower back. If you've been referred to a rheumatologist due to symptoms like bilateral sclerosis in the sacroiliac joints, it's important to understand the diagnostic process and what to expect during your appointment.
The diagnosis of ankylosing spondylitis often begins with a detailed medical history and physical examination. Key symptoms include chronic lower back pain and stiffness, particularly in the morning or after periods of inactivity, which improves with exercise Ankylosing Spondylitis: Causes, Treatment | HSS Rheumatology. Other symptoms may include pain and stiffness in other joints, fatigue, and in some cases, inflammation in the eyes known as uveitis Ankylosing spondylitis - Symptoms - NHS.
Diagnostic tests for AS typically include imaging studies such as X-rays or MRI to detect changes in the sacroiliac joints and spine. MRI is particularly useful for identifying early inflammatory changes before they are visible on X-rays Ankylosing Spondylitis : Symptoms, Diagnosis and Treatment. Blood tests may also be conducted to check for the presence of the HLA-B27 gene, which is associated with AS, although not all individuals with AS have this gene Ankylosing Spondylitis Causes & Treatment | NIAMS.
Research indicates that muscle changes are common in individuals with ankylosing spondylitis. Studies have shown alterations in muscle tissue, such as reduced fiber size and changes in muscle enzyme activity, which may contribute to the clinical features of AS Muscle changes in ankylosing spondylitis. These changes can lead to muscle stiffness and pain, further complicating the condition.
During your first rheumatology appointment, you can expect a comprehensive evaluation. The rheumatologist will review your medical history, conduct a physical examination, and discuss your symptoms in detail. They may order additional tests, such as blood tests or imaging studies, to confirm the diagnosis and assess the extent of the disease What Happens When You See a Rheumatologist for AS? - WebMD.
The appointment may also involve discussions about treatment options, which can include medications to reduce inflammation and pain, physical therapy to maintain mobility, and lifestyle modifications to manage symptoms Preparing for a Rheumatologist Visit for Ankylosing Spondylitis.
Understanding the diagnostic process and what to expect at your rheumatology appointment can help you feel more prepared and engaged in your healthcare journey. Ankylosing spondylitis is a manageable condition with the right treatment and lifestyle adjustments. Early diagnosis and intervention are key to maintaining quality of life and preventing further complications.
This article was generated using artificial intelligence. While we strive for accuracy and include sources, it can make mistakes. Check important info and always consult a healthcare professional for medical advice.