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Understanding Spondylitis

Spondylitis is a type of arthritis that causes inflammation in the vertebrae, leading to pain and stiffness in the spine, and sometimes other areas of the body. Over time, this inflammation can cause vertebrae to fuse, reducing flexibility and mobility. Ankylosing spondylitis (AS) is the most common form, primarily affecting the lower back but can spread to the rib cage, neck, and hips. Other forms include psoriatic spondylitis, reactive arthritis, and enteropathic arthritis, often linked to inflammatory bowel diseases.

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Causes and Risk Factors

The exact cause of spondylitis remains unknown, but genetic factors play a significant role, particularly in cases of ankylosing spondylitis, where the presence of the HLA-B27 gene is a common indicator. Other contributing factors may include immune system dysfunction, chronic inflammation, or infections that trigger an autoimmune response.

Spondylitis often affects younger adults, typically beginning in early adulthood, and men are more likely to develop the condition than women. It is a chronic condition that can progress over time, making it essential to detect early signs and seek medical care promptly.

Symptoms of Spondylitis

Spondylitis symptoms can vary in severity and progression but typically include:

  • Chronic pain and stiffness in the lower back, buttocks, or hips, especially after periods of inactivity or in the morning.
  • Reduced flexibility in the spine, leading to difficulty bending or turning.
  • Fatigue due to chronic inflammation and pain.
  • In some cases, pain or swelling in other joints, such as the knees, shoulders, or feet.
  • In more advanced cases, the fusing of vertebrae can result in a "bamboo spine," where the spine becomes inflexible and rigid.

Symptoms often worsen over time if left untreated, so early diagnosis is essential for managing the condition effectively.

Diagnosis of Spondylitis

Diagnosing spondylitis involves a comprehensive medical evaluation, including a physical examination, a review of medical history, and imaging tests. X-rays or MRI scans can show inflammation or joint damage in the spine and sacroiliac joints.

Blood tests may also be used to check for the HLA-B27 gene or elevated inflammation markers, which are common in cases of ankylosing spondylitis. Early diagnosis can help prevent long-term damage and improve the overall outcome of treatment, so seeking medical advice when symptoms first appear is critical.

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Treatment Options for Spondylitis

While there is no cure for spondylitis, various treatments can help manage the symptoms and slow the progression of the disease. At Gerling Spine Care and Research Institute, we offer personalized care tailored to each patient's unique condition. Common treatments include:

Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain and inflammation. In more severe cases, biologics or disease-modifying antirheumatic drugs (DMARDs) may be prescribed to control inflammation and slow disease progression.

Physical Therapy

Regular exercise and physical therapy play a crucial role in maintaining flexibility, strength, and mobility in patients with spondylitis. Tailored exercise programs can help improve posture and prevent stiffness in the spine.

Minimally Invasive Procedures

In cases of severe pain or joint damage, minimally invasive surgical interventions may be necessary to alleviate discomfort and restore function. Procedures such as joint injections or spinal fusion may be considered if other treatments are not effective.

Lifestyle Adjustments

Maintaining an active lifestyle and practicing good posture are essential components of managing spondylitis. Low-impact exercises such as swimming, walking, or yoga can help improve flexibility and reduce stiffness.

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Why Choose Gerling Spine Care and Research Institute?

At Gerling Spine Care and Research Institute, we are committed to providing cutting-edge treatments for spine-related conditions, including spondylitis. Our multidisciplinary team of experts, led by Dr. Michael Gerling, ensures that patients receive comprehensive, individualized care tailored to their needs. Through a combination of advanced medical techniques, non-invasive treatments, and regenerative therapies, we aim to provide effective solutions for managing spondylitis, reducing symptoms, and improving the quality of life for our patients. We understand the challenges that come with living with chronic pain and inflammation, and our approach focuses on long-term management and patient-centered care. If you are experiencing symptoms of spondylitis or have been diagnosed with this condition, our team is here to help guide you through every step of your treatment journey. With our expertise, state-of-the-art facilities, and compassionate care, you can trust that you are in the best hands for your spine health.

Our Locations

Gerling Spinecare & Research Institute consists of NY Orthopedics & Gerling Institute NJ. Two practices, one standard of excellence.

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Relief starts with quality orthopedic care. Contact us today to take the next step toward a more active, pain-free life.

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