Ankylosing spondylitis CreakyJoints

What is Ankylosing Spondylitis? Ankylosing spondylitis (AS), also sometimes referred to as Bechterew's disease or Marie Strümpell disease, is a chronic type of arthritis that causes inflammation, pain and stiffness most often in the spine and the joints located just above the tailbone, called the sacroiliac joints Ankylosing spondylitis can also involve joints beyond the spine — called peripheral joints — such as the shoulders, ribs, hips, and feet. As ankylosing spondylitis progresses, spinal joints can fuse together, giving patients less range of movement, though not necessarily more pain In addition to causing lower back and hip pain, ankylosing spondylitis can cause pain in other joints, fatigue, and trouble sleeping. As symptoms worsen, the disease can take a toll on your overall quality of life. Some patients find it difficult to drive, keep up with their job, or maintain friendships

In a new analysis of 52 studies, researchers found that people with rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic arthritis (PsA), and gout may have a higher stroke risk than that of the general population. By Kelsey Kloss. 4.5.21 9:51AM Ankylosing Spondylitis Medications. There are a variety of Ankylosing Spondylitis medications your physician or dermatologists may prescribe, including NSAIDs, biologics, biosimilars, DMARDs (including methotrexate), sulfasalazine, glucocorticoids. These medications will work differently for each individual Controlling inflammation means managing the disease and slowing it down. In 2001, when Beau Biden was diagnosed with ankylosing spondylitis, biologics were only just beginning to be investigated as a treatment for spondylitis. In 2003, Enbrel was the first biologic to be approved by the FDA for the treatment of spondylitis

10 Ankylosing Spondylitis Sign - Causes Signs and Symptom

About Ankylosing Spondylitis - CreakyJoint

This innovative, nationwide research network of patients with rheumatoid arthritis, spondyloarthritis (e.g., psoriatic arthritis, ankylosing spondylitis), and other conditions is led by a Patient Governor Group with input from the wider CreakyJoints community, putting patients at the center of all research conducted with ArthritisPower Ixekizumab Now Available for Australians with Ankylosing Spondylitis. Ixekizumab (Taltz®) is a new treatment option for Australians with ankylosing spondylitis - a chronic form of arthritis that affects the spine and pelvis. CreakyJoints.org n'est pas destiné à se substituer à un avis médical professionnel, à un diagnostic ou à un. Ankylosing spondylitis (also known as radiographic axial spondyloarthritis) is a form of autoimmune arthritis that affects around 1 to 2 per cent of adults. It usually develops between the ages of 15 and 45, however, patients often comment that they have had symptoms for years before receiving a correct diagnosis CreakyJoints reports ankylosing spondylitis (AS) is tricky to diagnose, as other diseases present similarly. CreakyJoints spoke to Susan M. Goodman, MD, rheumatologist at HSS, who explained there are two main factors that contribute to the difficulty of diagnosing AS. The first is the prevalence of back pain

CreakyJoints is a digital community for millions of arthritis patients and caregivers worldwide who seek education, support, advocacy, and patient-centered research. We represent patients in English and Spanish through out popular social media channels, our websites, and the 50-State Network, which includes more than 1,600 trained volunteer. Ankylosing spondylitis is a chronic, inflammatory autoimmune disease that is a rare form of arthritis.It primarily affects the joints between the bones of the pelvis (sacroiliac joints), and the spinal column, ribcage, neck, and skull bones (the axial skeleton)

Ankylosing spondylitis (AS) advocate Jed Finley details growing up with the condition and shares how its challenges led him to his passion: creating community. like CreakyJoints. I've found. Introduction: We describe the journey to diagnosis of ankylosing spondylitis (AS) from the patient perspective and examine differences in this journey by sex. Methods: US adults aged ≥ 18 years with a self-reported AS diagnosis were recruited online through CreakyJoints, a patient support community, and ArthritisPower, a patient research registry

Ankylosing spondylitis (AS) is a type of inflammatory arthritis that affects your spine, although it can affect other joints, too. Many people who have this condition report chronic back pain and.. Ever since I was diagnosed with ankylosing spondylitis almost a decade ago, I've wanted to make the disease a household name. The fact that President Biden is talking about how it has affected his son can only help.Charis Hill: Writer, Speaker, Advocate - BeingChari With no definitive tests to identify ankylosing spondylitis, misdiagnosis is common. One study carried out by CreakyJoints, an online community for those living with arthritis, and ArthritisPower. What is Ankylosing Spondylitis? Ankylosing spondylitis (AS), also sometimes referred to as Bechterew's disease or Marie Strümpell disease, is a chronic type of arthritis that causes inflammation, pain and stiffness most often in the spine and the joints located just above the tailbone, called the sacroiliac joints. Inflammation means that your body's immune system is releasing chemicals.

Ankylosing spondylitis - lumbar spine | Image

Ankylosing Spondylitis: About, Causes, and Treatments

Co-founded in 1999 by arthritis patient Seth Ginsberg, CreakyJoints has grown to a community of more than 80,000 patients and their families in all 50 states, Western Europe, South America and Australia. For more information and to become a member (for free), visit www.CreakyJoints.org CreakyJoints, part of the non-profit Global Healthy Living Foundation (GHLF), is an education, support and advocacy organization for people with all forms of arthritis and rheumatic disease. CreakyJoints bring humor to the arthritis world Ankylosing Spondylitis or AS for short, is a type of arthritis that causes inflammation, pain and stiffness on the axial spine and sacroiliac joints, that is located just above the tailbone 1 . The condition generally starts appearing when the patient is in their late teens or early twenties 2 , an Get Axial Spondyloarthritis and Ankylosing Spondylitis Support for the Coronavirus Pandemic By submitting this form, you give consent to GHLF and CreakyJoints to send you useful content via email. You can unsubscribe at any time by clicking unsubscribe at the bottom of our emails The 10 Worst Side Effects of Ankylosing Spondylitis, and How to Cope with Them — CreakyJoints; Uveitis and Arthritis: How Inflammation Can Affect Your Eyes — CreakyJoints; Men, Women & Medical Differences in Axial Spondyloarthropathy — The Rheumatologist; Preparing for a Rheumatologist Visit for Ankylosing Spondylitis — CreakyJoints

Number three - Ankylosing Spondylitis and Uveitis. As many as 40% of people with Ankylosing Spondylitis may experience a kind of inflammation in the eye called uveitis and that's from the American College of Rheumatology, Uveitis causes swelling of the uvea which is the layer of tissue in the middle of your eye beneath your cornea Cristina's Rheumatoid Arthritis Story: 'All RA Patients Understand the Same Language of Pain and Fatigue'. This story was told to CreakyJoints Canada by Cristina Montoya, a 39-year-old registered dietitian and holistic cannabis practitioner who lives in Ontario, Canada with her husband and son

Stay in Touch with CreakyJoints Canada. Part of the nonprofit Global Healthy Living Foundation, CreakyJoints is a digital community for millions of arthritis patients and caregivers worldwide who seek education, support, advocacy, and patient-centered research. All of our programming and services are always provided free of charge How Yoga Saved My Body and Mind After I Was Diagnosed with Rheumatoid Arthritis. Breathe in. Breathe out. Shavasana. I'm lying in corpse position, looking up at the blue sky through my living room window. It's early morning, and the sun is just beginning to crest the rooftops. The birds are singing in melodic disorder, but there's an. Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints. Chronic inflammation in these areas causes pain and stiffness in and around the spine. Over time, chronic spinal inflammation (spondylitis) can cause the vertebrae to fuse together, ultimately leading to loss of spine mobility Keegan was diagnosed with ankylosing spondylitis about 6 years ago. This came years and years after having back pain, hip pain, and immobility that caused him to be bedridden. We thought our path was so clear! Just get on some biologics and everything would be fine. But it wasn't. Most of his symptoms improved except for hip pain During an ankylosing spondylitis flare, symptoms such as pain and stiffness worsen. But there are self-care steps you can take to feel better and manage the physical and emotional impact of a flare

Ankylosing Spondylitis More Than Doubles - CreakyJoint

Can women get ankylosing spondylitis? Historically, AS was considered a man's disease, and this bias may lead to women being underdiagnosed. Women typically have different symptoms than men with AS, and this may also lead to a lengthy process before being diagnosed. 1-3 New research shows that the men and women experience AS at the same rates Ankylosing spondylitis (AS), a form of arthritis that mainly affects the spine, For some people with AS, that process can take years, according to the nonprofit CreakyJoints. Pain is really. Ankylosing spondylitis is a rare form of arthritis and is a chronic, inflammatory autoimmune disease. It mainly affects the sacroiliac joints between the bones of the pelvis, and the axial skeleton, which includes the spinal column, ribcage, neck, and skull bones CreakyJoints reports certain types of arthritis are prone to enthesitis, or pain where the tendons and ligaments meet the bone, and ways to manage the pain, according to experts. In both psoriatic arthritis and ankylosing spondylitis, the back and under portions of the heel are common sites of enthesitis, he cited Ankylosing spondylitis is a physically and emotionally taxing disease, and it can be financially taxing too. CreakyJoints digital community: Seeing a Rheumatologist for Ankylosing.

Ankylosing Spondylitis Archives - CreakyJoint

  1. Many biologic drugs used to treat spondylitis (also known as ankylosing spondylitis) can be conveniently self-injected at home. It is common to feel wary of self-injection initially, but many people with spondylitis find that self-injection, when appropriate, has advantages over injections in a clinical setting
  2. Working with CreakyJoints forced us to take a look at how the clinic serves patients. Rather than being focused on a physical location, the John Whelton Arthur Virshup CreakyJoints South Florida Arthritis Clinic now operates out of 4 private practice locations in Boca Raton, Boynton Beach, Stuart, and West Palm Beach, Florida
  3. e differences in this journey by sex. Methods US adults aged ≥ 18 years with a self-reported AS diagnosis were recruited online through CreakyJoints, a patient support community, and ArthritisPower, a patient research registry. Respondents completed a web-based survey on.
  4. Since the disease took quite a toll on my body over the years, I felt that I was in no shape to compete with women who embodied perfection. Aside from the fact I am extremely small in stature (I stand a mere 4'9 tall, just like Snooki), I rely on a wheelchair to get around
  5. CreakyJoints® today announced the expansion of their patient guideline library with editions for Psoriatic Arthritis and Ankylosing Spondylitis
  6. e differences in this journey by sex. Methods: US adults aged C 18 years with a self-reported AS diagnosis were recruited online through CreakyJoints, a patient support com-munity, and ArthritisPower, a patient research registry. Respondents completed a web-base

Let's refresh: Ankylosing spondylitis (pronounced ank-eye-low-sing spon-dill-eye-tiss) is a form of inflammatory arthritis that usually first affects the lower back, especially the sacroiliac. The Ankylosing Spondylitis Xplained story is based on a real person - Shayne! It reflects his story, his experiences with AS, and his advice to others. There have also been lots of people who contributed along the way with their stories and advice This week, Rheumatology Network interviewed Michael C. Schweitz, MD, to discuss the recent press release published by CreakyJoints that announced the partnership with the John Whelton Arthur Virshup CreakyJoints South Florida Arthritis Clinic, formally known as the Arthritis Foundation Clinic. Schweitz has been a volunteer rheumatologist with the clinic for the last 44 years, the past. ArthritisPower® and CreakyJoints® data featured in one oral presentation and seven posters at 2018 ACR/ARHP Annual Meeting. Quality of Life in Patients With Ankylosing Spondylitis in the.

Happy Monday CreakyJoints! Whether you've been battling chronic illness for years or are new to the world, what do you wish you'd heard on the day of your diagnosis? We wish we'd been encouraged to speak up to our health care provider. * * * Image Description: A gif of a woman saying I'm listening while holding her hand to her ear It Ankylosing spondylitis is an inflammatory condition that causes pain, stiffness, and inflammation in other parts of the body like the hips, ribs, shoulders, heels, and other joints. 2. Ankylosing spondylitis is the most common form of spondylitis, says Li Sun, DO, of RWJBarnabas Health in New Jersey Cost: Free. Displays exercises suitable for people with ankylosing spondylitis (AS). We have tried to make the programme as clear, straightforward and enjoyable as possible. Included in the app are: a recommended warm up; written and visual guides on 31 exercises; 23 videos spanning all five sections; and audio clips on all exercises. These articles were tagged with 'ankylosing-spondylitis' in the Newsroom of Hospital for Special Surger

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2414 Fifteenth St. Troy, NY 12180. 2 Emma Lane, Suite B. Clifton Park, NY 12065. Responding To Patients' Needs With Timely And Personalized Care Since 1984. In the first episode of My Back Is Killing Me, a special Joint Task Force encounters a particularly mysterious case: a young woman living with debilitating back pain for years — and she just can.

If you have any questions about the registration process or about participation in the Registry, please contact Ben Nowell, the Principal Investigator of the research at CreakyJoints of the Global Healthy Living Foundation at feedback@arthritispower.org. You may also call Dr. Jeffrey Curtis at 205-975-2176 Lineage Signs an Exclusive Option Agreement with Amasa Therapeutics to Supply and Use of Clinical-Grade Hyste A recent review by Duron and colleagues 1 has brought to light the challenges that rheumatologists face in appraising high-quality, accurate, and relevant research amid the exponential volumes of published clinical literature associated with COVID-19.. We spoke with the study authors, Michael Putman, MD, assistant professor at Medical College of Wisconsin in Milwaukee and medical advisor to.

Psoriatic arthritis is a chronic inflammatory disorder that is most commonly associated with the skin condition, psoriasis; however, it is possible to have psoriatic arthritis without psoriasis.Depending on the type of joint affected, it can be categorized into five main types. While you may initially have one type, it can progress to become another Creaky Joints features advice for people with ankylosing spondylitis, a type of inflammatory arthritis that affects the spine. The hallmark symptom is lower back pain, but it can affect your entire body. Other symptoms include chronic fatigue, a stiff neck and trouble sleeping. Pain that wakes you up in the second half of the night is common;..

Ankylosing Spondylitis Medications - CreakyJoint

Seth Ginsberg told OTW, CreakyJoints has embarked on a new and urgently needed project to create patient-friendly and patient-centered guidelines for the treatment of arthritis. We began with rheumatoid arthritis, with plans to issue guidance for other conditions (psoriatic arthritis, ankylosing spondylitis and osteoarthritis) in the New Year At the American College of Rheumatology Conference in San Diego, Cure Arthritis Marketing Director, Derek Belisle, sat down with CreakyJoints special reporter and Cure Arthritis Ambassador, Nicole Dalton, to discuss the Arthritis National Research Foundation, the latest research and what to expect next. Cure Arthritis community partner CreakyJoints has been instrumental in helping to spread. Ankylosing spondylitis (AS), a common type of spondyloarthropathy, is a chronic inflammatory autoimmune disease that mainly affects spine joints, causing severe, chronic pain; additionally, in.

By Keynote Contributors Dawn Gibson and Dr. Ben Nowell Ankylosing spondylitis patient, member of CreakyJoints ® Director of Patient-Centered Research, CreakyJoints and co-principal investigator. The Arthritis National Research Foundation welcomed two new additions to its governing boards: TV personality and author, Christine Schwab, previously on ANRF's Advisory Board, will be joining the Board of Directors and Seth Ginsberg, founder and President of CreakyJoints.org, will serve on the Advisory Board This article by the website CreakyJoints features a recipe for an Epsom salt bath, Note: Ankylosing Spondylitis News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment Diagnosis of Ankylosing Spondylitis. A rheumatologist is commonly the type of physician who will diagnose ankylosing spondylitis (AS), since they are doctors who are specially trained in diagnosing and treating disorders that affect the joints, muscles, tendons, ligaments, connective tissue, and bones. A thorough physical exam, including X-rays.

Spondylitis Association of America (SAA) is a national, non-profit organization, dedicated to being a leader in the quest to cure ankylosing spondylitis and related diseases, and to empower those affected to live life to the fullest. Ankylosing spondylitis information, ankylosing spondylitis treatment, ankylosing spondylitis forums, ankylosing spondylitis diagnosis, articles on ankylosing. Background/Purpose: Ankylosing spondylitis (AS) is a chronic, systemic, inflammatory disease that affects primarily the sacroiliac joints and spine and can cause irreversible damage. Measuring disease activity and quality of life of AS patients can be complex due to the slow progression and invisible nature of the disease. The objective of this web-based survey was to [ to the first edition of CreakyJoints' patient guidelines for ankylosing spondylitis (AS) which is classified under the Axial Spondyloarthritis (axSpA) family. It is designed to help raise your voice with the decision-makers you'll encounter while living with this disease. This guide is the first of its kind, and is developed by leading expert Ankylosing spondylitis is associated with an increased risk of venous thromboembolism. Overall, there appeared to be a 50 percent increase in risk of venous thromboembolism with a larger effect seen in deep vein thrombosis than in pulmonary embolism. Dr. Juan Avina-Zubieta and colleagues wrote, we demonstrated a 53 percent and 63 percent.

Ankylosing Spondylitis vs

Beau Biden Had Ankylosing Spondylitis and - CreakyJoint

­­­­­­CreakyJoints is a nonprofit dedicated to raising awareness and doing advocacy work in the field of arthritis. I am a member of their Patient Council, a group of advocates from across the country who help guide the organization's work. Charis is a professionally disabled writer, speaker and model living with Ankylosing. CreakyJoints announces the publication of Raising the Voice of the Patients: A Patient's Guide to Living with Rheumatoid Arthritis, the first ever R. ankylosing spondylitis, and others CreakyJoints 10,964 views. 2:03. NASS Branches empowering communities living with ankylosing spondylitis - Duration: Ankylosing Spondylitis : Signs and Symptoms (2 of 5) - Duration: 3:15

CreakyJoints Releases Guide, Made by Patients, Reviewed by Rheumatologists News CreakyJoints has released a guide for people living with ankylosing spondylitis, the first to be developed by patients and reviewed by rheumatologists Model Charis Hill, an ankylosing spondylitis advocate, will take to the runway as will CreakyJoints member Kelly Rouba-Boyd, who lives with RA and is also 2 nd Vice President of the Arthritis. A.S. awareness A.S. Awareness Month ankylosing spondylitis anxiety biologics Chronic Illness coping emotions enbrel exercise featured friends gratitude invisible disability letting go medication mental health optimism rheumatologist self-reflection spoonie spoon theory tracking treatment trust vaccines walk your A.S. of Ankylosing Spondylitis (AS), also known as Marie-Strumpell disease or Bechterew's disease, is an inflammatory disorder of the spine and large joints that causes vertebrae in the spine to fuse together. AS is a chronic disease that affects the skeletal system. Source: National Institutes of Health

How Doctors Diagnose Ankylosing Spondylitis: What to

Background A US-based study demonstrated that patients with ankylosing spondylitis (AS) experience a significant delay (on average 14 years) from symptom onset to diagnosis of AS.1 U nderstanding the diagnosis journey of patients with AS and identifying opportunities to reduce misdiagnosis and incorrect referral are crucial to reducing time to diagnosis, preventing irreversible joint damage. In addition, CreakyJoints Patient Council member and ankylosing spondylitis advocate Charis Hill will be featured modeling Michael's collection. We love the example Michael Kuluva sets for.

CreakyJoints Releases First-ever Guideline Developed by

CreakyJoints® publishes new patient guidelines volume: Raising the Voice of Patients: A Patient's Guide to Living with Osteoarthritis ankylosing spondylitis, and family planning for. Ankylosing spondylitis (AS) is a debilitating disease with a negative impact on patients' quality of life (QOL), said study author W. Benjamin Nowell, Ph.D., Director of Patient-Centered Research at CreakyJoints and co-principle investigator of ArthritisPower, in an interview with DocWire News (CER). CreakyJoints will focus on spondyloarthritis as a pilot for this new engagement approach with the aim of developing a framework that can be em-ployed for other chronic disease conditions. CreakyJoints will convene a panel of patients and technical experts in New York during August to pilot the project. In arthritis, psoriatic arthritis, ankylosing spondylitis and gout. What do these conditions have in common? Inflammation in the joints that may also be seen in other parts of the body such as the skin, lungs, or heart are a feature in all of these conditions. creakyjoints.org 845.348.0400 Creaky Joints focuses on education, research, patient. Curtis says affiliation with CreakyJoints provides access to a large number of engaged rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis and psoriasis patients — the groups being studied. We want to create an environment where we are continually collecting data on a long-term, ongoing basis, said Curtis

What Is the Difference Between Ankylosing Spondylitis and

Hi Maura! So sorry for the delay. I recommend getting in touch with the Spondylitis Association of America and/or CreakyJoints. Both orgs are awesome regarding spondyloarthritis, and CreakyJoints is awesome doing work for several conditions. Maybe they will have some ideas. Like Liked by 1 perso The cause of discovertebral lesions in ankylosing spondylitis may be due to infectious, inflammatory or traumatic etiologies suggest researchers writing in the Journal of Rheumatology. They examined the most prevalent-and conflicting-theories associated with this medical mystery

What's Causing Your Back Pain? - CreakyJoint

Patients with ankylosing spondylitis (AS) often experience a delay from symptom onset to diagnosis of AS. Therefore, understanding AS and its diagnosis, and having the ability to identify opportunities to reduce misdiagnosis and incorrect referral could prevent negative outcomes for this patient population CreakyJoints — an online, nonprofit community for patients with rheumatoid arthritis, ankylosing spondylitis and family planning for patients living with arthritis.. The Ankylosing Spondylitis Podcast. In this episode, I interview Ricky White, author and current President of Walk AS One. Ricky was diagnosed in 2010 with Ankylosing Spondylitis and it would lead him on a whole new journey. Click here to listen CreakyJoints website, an online rheumatic-disease patient support community (www.CreakyJoints.org), composed of patients with arthritis and arthritis-related disease, CreakyJoints members with self-reported musculoskeletal conditions will be invited to join the ArthritisPower research registry and download the ArthritisPower App

Axial Spondyloarthritis, Ankylosing Spondylitis, and

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  1. Ankylosing spondylitis is thought to arise from an as yet ill defined interaction between environmental pathogens and the host immune system in genetically susceptible individuals.; Increased faecal carriage of Klebsiella aerogenes occurs in patients with established AS and may relate to exacerbation of both joint and eye disease.; Wider alterations in the human gut microbial environment are.
  2. CreakyJoints. 118,864 likes · 1,010 talking about this. CreakyJoints is a digital community for millions of arthritis patients and caregivers worldwide who seek education, support, advocacy, and..
  3. Ankylosing spondylitis: Overall, the safety profile observed in patients with active ankylosing spondylitis treated with upadacitinib 15 mg was consistent with the safety profile observed in patients with rheumatoid arthritis. No new safety findings were identified. Please see the full SmPC for complete prescribing information at www.EMA.europa.eu
What Is Axial Spondyloarthritis? Symptoms, Causes, Diagnosis

ankylosing spondylitis Archives - CreakyJoints Australi

  1. Ankylosing spondylitis is a chronic, inflammatory musculoskeletal disease primarily affecting the spine and characterized by debilitating symptoms of pain, limited mobility and structural damage.
  2. The Raising the Voice of Patients series is available for free download on the CreakyJoints website, and other volumes address rheumatoid arthritis, osteoarthritis, psoriatic arthritis, ankylosing.
  3. seronegative arthritis ankylosing spondylitis + seronegative arthritis ankylosing spondylitis 18 Apr 2021 RA affects the lungs in a number of ways. The most common, and most serious, of these is interstitial lung disease, which leads to scarring, or.
  4. Ankylosing spondylitis: Overall, the safety profile observed in patients with active ankylosing spondylitis treated with upadacitinib 15 mg was consistent with the safety profile observed in.
  5. Neck pain is a less common symptom, but between 6 percent and 11 percent of people with ankylosing spondylitis reported it as an early symptom. Symptoms Beyond the Joints While back pain indicates to many people they may have a musculoskeletal issue, other early symptoms associated with spondyloarthritis may affect parts of the body outside the.

Ixekizumab Now Available for Australians with Ankylosing

  1. utes to catch up on Rheumatology Network's highlights from the week ending May 28, 2021
  2. Psoriatic arthritis and ankylosing spondylitis are multi-faceted diseases that can cause severe pain, restricted mobility, and lasting structural damage, said Iain McInnes, Professor of Medicine and Versus Arthritis Professor of Rheumatology at University of Glasgow, UK.In clinical trials, RINVOQ demonstrated improvements across multiple manifestations of these diseases
  3. Other CreakyJoints Research; Ankylosing spondylitis (AS) is the most common form of spondyloarthritis, which is a family of arthritic diseases that affect the spine, sacroiliac joints, and the places where ligaments and tendons attach to bones (called entheses)