Ankylosing Spondylitis Clinic

Welcome to the Ankylosing Spondylitis Clinic at Emirates Hospitals Group. We are dedicated to providing specialized care for ankylosing spondylitis (AS), a chronic inflammatory disease that primarily affects the spine and pelvis. Our experienced team of rheumatologists and support staff are here to offer comprehensive diagnosis, personalized treatment plans, and ongoing support to help you manage symptoms and improve your quality of life.

What is Ankylosing Spondylitis?

Ankylosing spondylitis (AS) is a type of inflammatory arthritis that affects the spine and the sacroiliac joints, which are located at the base of the spine where it connects to the pelvis. The disease causes inflammation, pain, and stiffness in the affected areas, which can lead to a progressive fusion of the spinal vertebrae over time. AS can also affect other joints and organs, leading to a range of symptoms.

Ankylosing Spondylitis Treatments

At our Ankylosing Spondylitis clinic, we offer a range of treatments designed to manage symptoms, reduce inflammation, and improve overall function:

• Medications:
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Used to reduce pain and inflammation.
  • Disease-Modifying Anti-Rheumatic Drugs (DMARDs): To slow disease progression and reduce joint damage.
  • Biologics: Targeted therapies, such as TNF inhibitors and IL-17 inhibitors, to address specific immune system pathways involved in inflammation.
  • Corticosteroids: To manage severe inflammation and acute flare-ups.
• Physical Therapy: Customized exercise programs to enhance flexibility, strengthen muscles, and maintain spinal mobility.
• Lifestyle Modifications: Advice on posture, ergonomic adjustments, and regular exercise to manage symptoms and maintain mobility.
• Surgery: In rare cases, surgical interventions may be considered to address severe spinal deformities or joint damage.

Causes of Ankylosing Spondylitis

The exact cause of ankylosing spondylitis is not fully understood, but several factors are believed to contribute:

• Genetics: A significant genetic component, particularly the presence of the HLA-B27 gene, is associated with a higher risk of developing AS.
• Immune System: AS is thought to be an autoimmune condition where the immune system mistakenly attacks the body’s own tissues, leading to inflammation.
• Environmental Factors: While not fully defined, environmental factors may play a role in triggering or exacerbating the condition in genetically predisposed individuals.

Ankylosing Spondylitis Symptoms

Common symptoms of ankylosing spondylitis include:

• Chronic Back Pain: Persistent pain and stiffness in the lower back and buttocks, especially in the morning or after periods of inactivity.
• Reduced Spine Flexibility: Decreased ability to bend and twist the spine.
• Pain in Other Joints: Pain and inflammation in joints such as the hips, shoulders, or knees.
• Fatigue: General feeling of tiredness or exhaustion.
• Enthesitis: Inflammation at the site where tendons and ligaments attach to bones, which can cause pain in the heels or other areas.

Diagnosis of Ankylosing Spondylitis

Diagnosing ankylosing spondylitis involves:

• Medical History and Physical Examination: Assessment of symptoms, joint pain, and range of motion.
• Blood Tests: To check for markers of inflammation and the presence of the HLA-B27 gene.
• Imaging Studies: X-rays or MRI scans to evaluate changes in the spine and sacroiliac joints and assess the extent of inflammation and damage.

Ankylosing Spondylitis Recovery and Management

Managing ankylosing spondylitis effectively involves a multidisciplinary approach:

• Ongoing Monitoring: Regular follow-up appointments to track disease progression and adjust treatment as necessary.
• Rehabilitation: Continued physical therapy to maintain mobility and prevent deformities.
• Patient Education: Resources and guidance to help you understand the condition and make informed decisions about your treatment.