What happens if ankylosing spondylitis is not treated?

Ankylosing spondylitis is an inflammatory condition that commonly affects the spine and the joints linking the spine to the pelvis. Ongoing inflammation can make the back and hips painful or stiff, especially after rest. Over time, the joints and supporting tissues may become less flexible, making turning, bending and maintaining an upright posture harder. Reduced chest movement can also affect deep breathing. Symptoms vary, and early management aims to preserve movement rather than waiting for stiffness to become established.

Arrange review with a clinician familiar with inflammatory spinal conditions. Treatment may include Anti-Inflammatory Medication when appropriate, together with Exercise Therapy that maintains spinal, hip and chest mobility. Physiotherapy can adapt exercises to pain, posture and function. Hydrotherapy may make movement more comfortable because water supports body weight. Keep a record of morning stiffness, night pain, mobility changes and any new symptoms to discuss at review.

Seek urgent medical help for new weakness or numbness in both legs, loss of bladder or bowel control, or severe back pain after a fall. Prompt review is also needed for a painful red eye with light sensitivity, sudden chest symptoms or rapidly worsening mobility. Joint stiffness, morning joint stiffness and reduced range of motion can have several causes, so a change in pattern should be assessed.

Ask whether your symptoms fit active inflammation, what monitoring is needed, and how to exercise safely. Discuss medication benefits and side effects, posture and breathing exercises, flare planning, and which changes should trigger an earlier appointment.