Ankylosing Spondylitis Treatment in Connecticut

Expert AS & Axial Spondyloarthritis Care Including Biologic Therapy at PACT Rheumatology

Looking for ankylosing spondylitis treatment in Connecticut? PACT Rheumatology provides specialized care for patients with spine or back inflammation, stiffness, and pain related to ankylosing spondylitis (AS) and axial spondyloarthritis (axSpA). Our rheumatology team offers diagnostic evaluations, biologic therapy, and long-term treatment designed to reduce symptoms and help preserve mobility.

Request an appointment to schedule a consultation with a PACT rheumatology specialist.

Accepting New Patients | Hamden, Guilford, and Orange, CT

Biologic Therapy & Infusion

What Is Ankylosing Spondylitis?

Ankylosing spondylitis (AS) is a chronic inflammatory arthritis primarily affecting the spine and sacroiliac joints. It causes persistent back pain, stiffness, and may lead to fusion of the vertebrae over time.

“Ankylosing spondylitis” belongs to a broader group of conditions known as axial spondyloarthritis (axSpA). This group includes both radiographic AS and non-radiographic forms that may show inflammation before visible changes appear on X-rays.

Is ankylosing spondylitis an autoimmune disease?

Yes. AS is an immune-mediated inflammatory disease related to overactivity of the immune system. Unlike classic autoimmune disorders, it is strongly linked to the HLA-B27 genetic marker.

What Causes Ankylosing Spondylitis?

The exact cause of ankylosing spondylitis is not fully known. Research points to a mix of genetic risk, immune system activity, and possible environmental triggers.

  • Genetic: The HLA-B27 gene is found in many patients diagnosed with AS.
  • Immune System: An irregular immune response promotes chronic inflammation in the spine.
  • Environmental Influence: Triggers such as infections may activate the disease in those genetically predisposed.
  • Demographics: Typically begins in the late teens to 30s and occurs more commonly in men. Women are typically underdiagnosed due to milder or atypical symptoms.

Signs and Symptoms of Ankylosing Spondylitis

Ankylosing spondylitis differs from typical back strain or injury-related pain. Symptoms may include:

  • Chronic low back and buttock pain that worsens in the morning or after rest, improving with activity
  • Stiffness lasting more than 30 minutes upon waking
  • Pain in the sacroiliac joints (where the spine meets the pelvis)
  • Joint pain in the hips, shoulders, or knees
  • Enthesitis (inflammation where tendons attach to bone), causing heel or foot pain
  • Eye inflammation, known as uveitis, in some patients
  • Reduced flexibility or posture changes in advanced cases

If you experience arthritis-like back pain that does not improve with rest, a rheumatology evaluation can help identify the cause.

Ankylosing Spondylitis vs. Rheumatoid Arthritis

Although both are forms of inflammatory arthritis, AS and RA differ in their pattern and cause.

  • Affected areas: AS primarily targets the spine and sacroiliac joints; RA affects small joints like those in the hands and wrists.
  • Genetic markers: AS is linked to HLA-B27; RA is associated with rheumatoid factor (RF) and anti-CCP antibodies.
  • Typical onset: AS is more common in younger men; RA more frequently affects women.

Both conditions may be treated with advanced medications, but the best treatment depends on the diagnosis, symptoms, and areas affected.

How PACT Diagnoses Ankylosing Spondylitis

Clinical Evaluation and Symptom Review

Our diagnosis begins with a careful review of your symptom history, including when your pain started, how it feels, and whether it improves with movement. We also perform a physical exam, which may include modified Schober testing and lateral flexion assessment to check spinal mobility and signs of inflammatory back pain.

Targeted Lab Testing

We use targeted bloodwork to look for clues that support an AS diagnosis. Testing may include HLA-B27, ESR, and CRP to identify genetic risk factors and measure inflammation in the body.

X-Ray and MRI Imaging

Imaging helps us confirm what is happening in the spine and sacroiliac joints. X-rays can show structural changes, while MRI can reveal earlier inflammation before joint damage is visible.

Ankylosing spondylitis is frequently diagnosed years after symptoms begin. Our approach prioritizes early detection to begin treatment sooner.

Ankylosing Spondylitis Treatment Options at PACT

We recommend personalized treatment plans based on each patient’s symptoms, inflammation levels, imaging findings, and response to treatment. Options may include:

  • NSAIDs for pain and stiffness relief in mild cases
  • Physical therapy to improve posture and mobility
  • Biologic therapy for active disease, including
    • TNF inhibitors: adalimumab, etanercept, certolizumab
    • IL-17 inhibitors: secukinumab, ixekizumab
  • JAK inhibitors for certain cases of non-radiographic axSpA
  • Sulfasalazine if peripheral joints are affected

Our rheumatologists provide ongoing monitoring and medication adjustments to help you stay ahead of inflammation and protect long-term mobility.

Why Choose PACT for Ankylosing Spondylitis Treatment in Connecticut

Biologic Therapy Capabilities

Biologic therapy can be an effective treatment option for moderate-to-severe AS. We develop care plans using TNF inhibitors, IL-17 inhibitors, and other advanced therapies when clinically appropriate.

Detailed Diagnostic Evaluation

We review symptoms, physical exam findings, lab results, X-rays, and MRI scans to support an accurate diagnosis and identify earlier or non-radiographic disease.

Connected Care Through the PACT Network

AS can affect more than the spine. If symptoms such as uveitis or related concerns need additional specialty care, our broader provider network helps make care coordination easier.

Convenient Connecticut Locations

We help patients across Connecticut connect with ankylosing spondylitis specialists at our Hamden, Guilford, and Orange locations.

Doctor Visit

Request an Appointment

Meet with a PACT Rheumatology specialist to discuss your back pain or ankylosing spondylitis symptoms. New patients are welcome at our Hamden, Guilford, and Orange locations.

Frequently Asked Questions

Ankylosing spondylitis is a chronic inflammatory arthritis that mainly affects the spine and sacroiliac joints. It can cause back pain, stiffness, reduced flexibility, and, in some cases, fusion of parts of the spine over time.

The exact cause is not fully known. Genetics, immune system activity, and environmental triggers may all contribute. HLA-B27 is the strongest known genetic risk factor, but many people with this gene never develop AS.

Ankylosing spondylitis is an immune-mediated inflammatory disease. It is closely associated with HLA-B27 and abnormal immune activity that causes inflammation in the spine, sacroiliac joints, and sometimes other areas.

Ankylosing spondylitis mainly affects the spine and sacroiliac joints. Rheumatoid arthritis more commonly affects smaller joints, such as the hands and wrists. AS is linked with HLA-B27, while RA is linked with rheumatoid factor and anti-CCP antibodies.

Axial spondyloarthritis is the broader category. Ankylosing spondylitis is a form of axial spondyloarthritis where structural changes can usually be seen on X-rays. Non-radiographic axial spondyloarthritis may show inflammation on MRI before X-ray changes appear.

There is no known cure for ankylosing spondylitis, but treatment can help reduce inflammation, improve stiffness, protect mobility, and support long-term quality of life.

Treatment depends on symptoms and disease activity. Options may include NSAIDs, physical therapy, biologic therapy such as TNF inhibitors or IL-17 inhibitors, JAK inhibitors for select patients, and regular monitoring with a rheumatologist.