Ankylosing Spondylitis Treatment In New Jersey
In Wayne, Parsippany, And Paramus, NJ
The Spine Center at Modern Orthopedics of New Jersey
Paramus
72 Route 17 North
Paramus, NJ 07652
Wayne
2025 Hamburg Turnpike
STE C, Wayne, NJ 07470
Parsippany
3799 US-46
#207, Parsippany, NJ 07054
Ankylosing spondylitis is a chronic inflammatory type of arthritis that primarily affects the sacroiliac joints (where the pelvis meets the lower spine) and the joints and ligaments of the spine.
The disease may cause lower back or hip pain, morning stiffness, and reduced mobility. Pain and stiffness often improve with movement but worsen after periods of rest.
In more advanced cases, ankylosing spondylitis can contribute to postural changes and fusion between spinal bones.
At Modern Orthopaedics of New Jersey, Dr. Joseph Pyun evaluates the spinal and structural effects of ankylosing spondylitis. He and his team then develop individualized treatment plans based on your symptoms, mobility, lifestyle, and goals.
Comprehensive Ankylosing Spondylitis Care At Modern Orthopaedics
As an orthopedic spine surgeon with advanced fellowship training in spine surgery, Dr. Pyun’s role is to evaluate spinal symptoms and structural changes that may require specialized care.
Ankylosing spondylitis is a chronic condition; symptoms may flare, improve, and change over time. Ongoing treatment can help control symptoms and preserve mobility, while imaging can identify structural complications that may require specialized care.
Symptoms That Shouldn't Be Ignored
Common symptoms of ankylosing spondylitis include:
- Lower back or hip pain and stiffness that gets worse at night, in the morning, or after periods of inactivity
- Reduced spinal flexibility or difficulty bending, turning, or standing upright
- Pain in the neck, upper back, ribs, heels, shoulders, or hips
- Fatigue
- Eye redness, pain, light sensitivity, or blurred vision
If your symptoms are persistent, worsening, or beginning to interfere with sleep or your day-to-day activities, talk with your medical team. Painful eye symptoms should be evaluated as soon as possible.
Seek immediate medical attention if you develop:
- Rapidly worsening weakness or numbness
- Loss of coordination
- Difficulty walking
- Sudden severe neck or back pain (especially after a fall or collision)
Ankylosing spondylitis can make a severely stiff or fused spine more vulnerable to serious injury.
If ongoing pain, stiffness, or changes in mobility are affecting your spine, Dr. Pyun and the team at Modern Orthopaedics of New Jersey can evaluate whether structural changes related to the disease may be contributing to your symptoms. From there, they can help you determine the next step in your care.
Our Ankylosing Spondylitis Treatment Options
Medication & Pain Management
Anti-inflammatory medications are commonly used to reduce pain and stiffness when medically safe; if inflammation remains active, a rheumatologist may recommend other medications that address the immune activity driving the disease.
Current treatment guidelines typically recommend anti-inflammatory medication as initial therapy, with TNF inhibitors, IL-17 inhibitors, and certain targeted medications available when additional disease control is needed.
Dr. Pyun can determine whether pain may be related to active inflammation, joint damage, spinal deformity, fracture, or nerve compression. Selected pain-management treatments may help address a specific joint or source of discomfort.
Surgical Options For Severe Spinal Involvement
Most patients with ankylosing spondylitis do not need spine surgery. Surgery may be considered when the condition is associated with:
- Severe spinal deformity
- An unstable spinal fracture
- Advanced structural damage affecting the spine
- Nerve or spinal cord compression
- Other structural problems that threaten spinal alignment or neurologic function
When surgery is necessary, Dr. Pyun prioritizes minimally invasive techniques when possible. Depending on the underlying problem, surgery may focus on stabilizing the spine, improving alignment, or relieving pressure on nearby nerves or the spinal cord.
More complex spinal deformities or fractures may require a more extensive surgical approach.
Physical Therapy, Posture, & Mobility Programs
Physical therapy and regular exercise are key elements of ankylosing spondylitis care. A tailored program may include:
- Spinal mobility
- Posture and extension exercises
- Back and core strengthening
- Breathing exercises
- Low-impact aerobic activity
What To Expect At Your Consultation
Diagnostic Imaging & Evaluation
Evaluation may involve a combination of physical examination, imaging, and rheumatologic testing:
- X-rays may show changes in the sacroiliac joints or spine, including altered alignment, fusion, or fracture.
- An MRI can help identify inflammatory changes that may not yet appear on X-rays and can also provide a closer look at soft tissues, nerves, and/or the spinal cord when needed.
- Blood tests for inflammation and the HLA-B27 genetic marker may be used as evidence, but no single blood test confirms ankylosing spondylitis.
Should the evaluation point to ankylosing spondylitis, Dr. Pyun and his team may recommend seeing a rheumatologist if you have not already done so.
Your Long-Term Care Plan
Ankylosing spondylitis requires ongoing management rather than a one-time treatment. Your plan may include:
- A home mobility program
- Physical therapy
- Medications
- Follow-up appointments
- Advice and techniques to improve bone health, help prevent injuries, and give you the power to get more out of your daily life
Why Choose Modern Orthopaedics Of New Jersey
Modern Orthopaedics of New Jersey provides advanced spine care in a state-of-the-art clinical environment. Dr. Joseph Pyun is a board-certified, fellowship-trained orthopedic spine surgeon who can help you understand your diagnosis and move forward with a plan based on your condition, lifestyle, and mobility goals.
Conservative Treatment Before Surgery
Dr. Pyun prioritizes non-surgical care whenever possible. Surgery is reserved for structural problems that are severe, progressive, or unlikely to improve through more conservative treatment.
Personalized, Relationship-Based Care
Ankylosing spondylitis affects everyone differently. Dr. Pyun will explain imaging findings, answer questions, and coordinate care so each recommendation reflects your symptoms, lifestyle, and long-term priorities.
Insurance And Scheduling
Insurance coverage and referral requirements vary by plan. Our team can answer scheduling questions and provide the information needed to confirm coverage with your insurer.
Schedule Your Consultation
If persistent back or hip stiffness, reduced mobility, or changing spinal symptoms are affecting daily life, schedule an evaluation with Dr. Joseph Pyun at Modern Orthopaedics of New Jersey. With locations in Wayne, Paramus, and Parsippany, if you live in New Jersey, Dr. Pyun can provide care at a medical clinic near you.
FAQ
What causes ankylosing spondylitis?
The exact cause is unknown. Genetics and environmental factors appear to contribute, and the HLA-B27 genetic marker increases risk.
Is ankylosing spondylitis a serious condition?
Severity varies. Some patients have intermittent symptoms, while others develop significant stiffness, spinal fusion, deformity, eye inflammation, or increased risk of spinal fracture.
Can ankylosing spondylitis be cured?
No; it is a chronic condition. Physical therapy, exercise, medication, and coordinated care can help control inflammation and preserve function.
How is ankylosing spondylitis diagnosed?
Diagnosis is based on several factors, including:
- Symptoms
- Medical and family history
- Physical examination
- Imaging
- Blood tests
What is the best treatment for ankylosing spondylitis?
Treatment often combines exercise or physical therapy with anti-inflammatory or targeted medication. Surgery is reserved for serious structural complications.
Can exercise help with ankylosing spondylitis?
Yes; the right exercises can help you maintain and improve your posture, flexibility, and strength. A physical therapist can tailor the program for you and your symptoms.
At what age does ankylosing spondylitis usually start?
Symptoms usually begin before age 45 and often first appear during the teen years or early adulthood.
A Different Orthopedic Experience.
We combine cutting-edge technology with personalized care to deliver exceptional orthopedic treatment. Our team of experts focuses on your unique needs to ensure optimal outcomes and a superior healing experience.
Our Approach to Care
Comprehensive solutions for your orthopedic needs
Treatment Diversity
We offer a comprehensive range of treatments, ensuring personalized, targeted plans for every patient.
Technological Excellence
We utilize cutting-edge technology for precise diagnosis and innovative treatment options.
Collaborative Care
Our multi-disciplinary approach involves various specialties to provide comprehensive care and recovery.
Skilled Experts
Our team is composed of highly skilled, experienced orthopedic professionals, providing expert care.
Patient Focus
We prioritize patient comfort and satisfaction, creating a supportive environment for optimal healing.
Post-Treatment Support
Our robust post-treatment support ensures ongoing patient care through recovery and rehabilitation services.
About Us
Modern Orthopaedics specializes in conditions and treatments of the shoulder, elbow, hand/wrist, hip, knee and foot/ankle with locations in Wayne, Parsippany, and Paramus, NJ.
Offices
Navigation
Contact Us