Ankylosing spondylitis (AS), also called axial spondylarthritis, is an autoimmune condition affecting the spine or other joints. The condition causes joints and bones like vertebrae (the bones in your spine) to fuse together, causing mobility issues and pain. It can be hard to recognize because it often causes gradually worsening symptoms and has no definitive test, which can sometimes lead to ankylosing spondylitis being misdiagnosed.
If you’ve recently received a diagnosis of ankylosing spondylitis, you’re living with pain in the back—literally. The Clinic by Cleveland Clinic can provide a second opinion that gives you peace of mind about your treatment moving forward. Learn more and enroll today to get a second opinion on ankylosing spondylitis from the expert specialists at the #2 hospital in the world.
Autoimmune Conditions Are Complex
Like many autoimmune conditions, experts aren’t certain about what causes ankylosing spondylitis. This can make it more difficult to make an accurate diagnosis. They may have to rule out other conditions or take a closer look at your medical history and symptoms before making a judgment.
Several studies have estimated that the average diagnosis time for AS is around 5–7 years, which can feel like a lifetime when you’re living with severe pain and flare-ups.1 Back pain, especially lower back pain common with ankylosing spondylitis, is seen in many other conditions as well. This can make it challenging for doctors to pinpoint the cause and reach a proper diagnosis.
Ankylosing spondylitis can also cause misleading symptoms, like eye pain and vision problems, skin rashes, and stomach issues. These symptoms may cause doctors to rethink their diagnosis. Treating autoimmune conditions can also be completely different from treating other less complex conditions, which can cause hesitation in diagnosing one.
How Experts Diagnose AS
Diagnosing ankylosing spondylitis requires a comprehensive approach due to the complexity and variety of its symptoms. Usually, a general practitioner will recommend a referral to a rheumatologist, a specialist in arthritis and other conditions that affect the joints, muscles, and bones.
Physical Exam and Imaging
During a physical exam, your doctor may evaluate your range of motion, flexibility, and any visible signs of inflammation or deformity. Imaging tests like X-rays, MRI scans, and CT scans can help doctors see the extent of joint damage caused by ankylosing spondylitis.
Medical and Family History
Medical professionals typically start with a detailed patient history and physical examination, focusing on your reported symptoms and any family history of similar issues. They will also consider any other health conditions you may have.
Blood Tests
Additionally, blood tests can assist in diagnosis by checking for markers of inflammation as well as specific genetic factors, such as the HLA-B27 gene, which is present in many people with ankylosing spondylitis. Identifying these markers contributes to building a more definitive diagnosis, especially when combined with other clinical findings.
Without extensive testing and expertise, ankylosing spondylitis can be misdiagnosed. A second opinion from a specialist can provide the clarity and peace of mind you need to move forward with your treatment.
Getting a Second Opinion for Ankylosing Spondylitis
Receiving an accurate diagnosis is crucial when it comes to managing a complex condition like AS. If you have any concerns or doubts about your initial diagnosis, seeking a second opinion can provide clarity and reassurance.
The Clinic by Cleveland Clinic provides second opinions on rheumatic conditions like AS. Our experts have years of experience in diagnosing and treating autoimmune conditions, making them well-equipped to evaluate your case. When you seek a second opinion from us, you don’t have to jump through hoops or navigate red tape—we make the process hassle-free from start to finish.
Enroll to Get a Second Opinion from The #2 Hospital in the World
A second opinion may confirm or change your diagnosis of ankylosing spondylitis. Regardless, it can provide peace of mind and confidence that you can move forward knowing that you can get the care you need. Register online today at The Clinic by Cleveland Clinic to get a second opinion from some of the nation’s leading experts.
Sources:
