If you’re around or less that 40 and dealing with persistent back pain, it’s time to look beyond the usual suspects. In a recent video, AIIMS doctor Priyanka Sehrawat warned that disc problems aren’t always the only cause. Many times (especially in younger people) back pain stems from an inflammatory disorder and ould easily be overlooked. Doctor Sehrawat explained that the condition is called Ankylosing spondylitis (AS).
It affects a key joint where the spine meets the pelvis (the sacroiliac joint). When this joint becomes inflamed, it can cause severe stiffness and pain. Regular physiotherapy, medications and back‑friendly exercises may not fix the problem if inflammation is the underlying cause.
Why Ankylosing Spondylitis Is More Than Just A Bad Back
AS often shows up as lower back pain and stiffness that is worst in the morning or after long periods of rest. It isn’t a simple muscle strain. At first, the pain may come and go. Over time, it may spread to the hips, buttocks or even legs.
With AS, staying active actually helps ease the pain (the opposite of what you’d expect with common back issues).
If left unchecked, the disease may even cause sections of the spine to fuse together, leading to stiff posture, reduced flexibility and difficulty taking deep breaths if the ribs or chest joints are affected.
AS can also impact other parts of the body. People may experience fatigue, eye inflammation, joint pain outside the spine or mood‑lowering symptoms like persistent tiredness.
Early Clues You Shouldn’t Ignore
1. Morning stiffness in the lower back or hips, which eases with movement or light exercise.
2. Pain that improves with activity instead of worsening is a major red flag for AS.
3. Recurring stiffness or pain in the hips, buttocks, or thighs.
Other symptoms like fatigue, joint discomfort, eye redness or unexplained tiredness.
What To Do If You Suspect Ankylosing Spondylitis
If back pain has lasted for months, especially with morning stiffness or discomfort that eases with movement, it’s wise to see a doctor. Specialists might recommend imaging tests (like MRI or X-ray) or blood tests to check for inflammation or genetic markers.
While AS cannot be completely cured, early detection can make a big difference. Treatments and lifestyle changes (including proper exercise, posture care and medication) can help reduce inflammation, ease pain and slow disease progression.
Don’t dismiss persistent back pain or morning stiffness as “just ageing” or a simple muscle issue. Sometimes, the problem runs deeper. If usual remedies don’t help, it’s worth asking your doctor – Could this be Ankylosing Spondylitis?
Being informed could save your spine and your future mobility.
