Ankylosing spondylitis: does it cause neck pain?

Generally, whether ankylosing spondylitis causes neck pain depends on the stage of the disease. If the condition progresses to the middle or late stages and inflammation involves the cervical spine, neck pain typically occurs. However, if the disease is in its early stage and the inflammation primarily affects the sacroiliac joints and lumbar spine without involving the cervical spine, neck pain generally does not occur. A detailed analysis is as follows:

If ankylosing spondylitis continues to progress, the inflammation gradually spreads upward to the cervical spine, and patients will experience neck pain. The pain is often described as a dull ache or a feeling of soreness and swelling. Noticeable neck stiffness typically occurs upon waking in the morning, and the pain may worsen during movement. In severe cases, it can restrict neck rotation, flexion, or extension. Some patients may also experience tension in the neck muscles.

If a patient is in the early stage of ankylosing spondylitis and the inflammation mainly affects the sacroiliac joints and lumbar spine without involving the cervical spine, neck pain generally does not occur. The primary symptoms at this stage include lower back pain and stiffness, which may temporarily improve with physical activity. As the disease progresses, symptoms may gradually extend upward to involve the thoracic and cervical spine.

To prevent cervical spine involvement or to alleviate existing neck pain, proper daily care is essential. Avoid prolonged periods of looking down at mobile phones or computers. Maintain correct sitting and standing postures during work or study, and perform regular neck exercises.