Can ankylosing spondylitis cause paralysis?

Generally speaking, whether ankylosing spondylitis leads to paralysis mainly depends on the severity of the condition, treatment status, and individual differences. Detailed explanations are as follows:

In cases where the disease is mild and properly treated, inflammation of the spinal joints is well-controlled, and progression of joint deformities is slow. Paralysis typically does not occur. Most individuals can maintain normal mobility, with daily activities and work generally unaffected. Occasionally, stiffness or pain in the lower back may occur, which can be relieved through rest and treatment.

In severe cases without timely intervention, spinal fusion and severe joint deformities may develop, potentially restricting spinal mobility. If lower limb joints are affected or nerves become compressed, walking ability may gradually be impaired. In severe situations, independent walking might become impossible, although complete paralysis is rare, with most cases involving a decline in mobility rather than total paralysis.

Regular follow-up visits are necessary to monitor changes in the condition. Consistent treatment should be maintained without discontinuation without medical advice. Maintaining proper posture in daily life and avoiding prolonged sitting or standing is recommended. Appropriate exercises for the back and腰部 muscles can enhance spinal stability. If pain worsens or movement becomes restricted, prompt medical consultation is advised to adjust the treatment plan.