What are the ankle symptoms of ankylosing spondylitis?

Ankylosing spondylitis is a chronic, progressive, axial joint lesion that primarily affects the sacroiliac joints, spinal joints, and paravertebral tissues of the pelvis. It occurs mainly in young men between the ages of 20 and 30 years, and is rare in men over the age of 40. Women suffer only 1 in 10 in men, and the disease is mild.

The cause of ankylosing spondylitis is unclear, but it is closely related to genetic factors, most patients have insidious onset, metastatic and ascending low back pain in the early stage of the lesion, and the following low back pain is the most common, accompanied by drowsiness and fatigue, emaciation, shortness of breath, anemia, a few can be accompanied by low-grade fever, as well as morning stiffness, difficulty turning over at night, difficulty getting up or limited movement, a posture to maintain a long-term symptoms is obvious, at this time it is often ignored as other diseases such as lumbar muscle strain, often can not attract people's attention, the disease develops slowly, can be delayed10 In 20 years, the disease develops rapidly, forming hunchback deformity in a short period of time, joint rigidity, X-ray film found that the spine has formed bamboo-like changes, and systemic symptoms and internal organs are involved, and a small number of patients are paralyzed in bed, or even die. Ankylosing spondylitis can cause loss of ankle function. Due to synovial hypertrophy of the ankle joint and the destruction of the cartilage surface of the joint, the ankle joint appears swelling and painful symptoms, and the swelling and pain mostly occur in the active stage of ankylosing spondylitis, and generally does not present persistent ankle swelling and pain symptoms.

The main reason for the limitation of ankle joint mobility is joint inflammation, and some patients have heavy joint swelling and joint effusion, resulting in severe hydrops in the ankle joint. The condition is under control and the symptoms of ankle swelling and pain disappear, and ankle function can generally be restored. Severe ankle swelling and pain can cause ankle stiffness, bony bridge formation, trabecular bone passing through the joint, and complete loss of ankle function.

Hello! Early ankylosing spondylitis is less symptomatic and may include a flat lumbar region, significant contracture of the sacrospinous muscles, and tenderness in one or both sacroiliac joints, lumbar spinous processes, or paravertebral muscles. Subsequently, lumbar lordosis disappears, limited movement in all directions of the spine, reduced thoracic range of motion, and cervical kyphosis may be seen.

In the lumbar spine, it can be manifested as lumbar forward flexion, posterior extension, scoliosis and limited rotational movement, and physical examination can find lumbar spinous process tenderness, paravertebral muscle contracture, and later can lead to lumbar muscle atrophy.

In the lumbar spine, the manifestations are: back pain, anterior chest and lateral chest pain, and finally hunchback deformity, which leads to the restriction of thoracic expansion and activity and affects the function of suffocation. Cervical spine involvement causes neck pain, muscle spasms, and then develops into cervical kyphotic deformity, limited head movement, often fixed in forward flexion, unable to lean up, lateral bend and rotation, severe cases can only see a small piece of ground in front of their toes, can not raise their heads to look up.

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Hello! The early symptoms of ankylosing spondylitis are sacroiliac pain, low back, hip or large joint pain, accompanied by low back stiffness, which is obvious in the morning and can be reduced after activity, which is clinically called morning stiffness. However, in clinical practice, lumbosacral and hip pain are mostly the first symptoms, and there are also patients who have knee joint pain first, or ankle or heel pain first, or leg pain and sciatica first.

In clinical practice, if in the age of 10-35 years old, especially in men, there is continuous or intermittent pain in the lumbosacral and hip joints, accompanied by stiffness in the lower back, limited bending and squatting, or unexplained pain in the small joints such as calcaneus, sternoclaviclatum, costopause, temporomandib, shank, metatarsophalangeal joints, etc., should be considered whether you have ankylosing spondylitis. Ankylosing spondylitis should be checked out as soon as possible, and most patients can be diagnosed by taking a clear anteroposterior pelvic radiograph and checking HLA-B27 at the same time.

Hope it helps. Good luck soon**!

There are many symptoms of ankylosing spondylitis, mainly low back discomfort, pain.