Table of ContentsView AllTable of ContentsFrequent SymptomsRare SymptomsComplicationsWhen to See a DoctorNext in Axial Spondyloarthritis GuideCauses of Axial Spondyloarthritis
Table of ContentsView All
View All
Table of Contents
Frequent Symptoms
Rare Symptoms
Complications
When to See a Doctor
Next in Axial Spondyloarthritis Guide
The primary symptoms ofaxial spondyloarthritis(axSpA)include back pain, fatigue, joint pain, heel pain, sleep problems, and abdominal pain.Symptoms vary from person to person, but for many the first symptom is a gradual onset of pain in the lower back and hips, especially after periods of inactivity, such as sleeping.
This article discusses the common and rarer symptoms of axial spondyloarthritis, as well as its complications.
Verywell / Laura Porter

For most people with axSpA, symptoms tend to be worse in the morning or after periods of rest.
The duration and severity of your symptoms may change over time as the condition progresses. Symptoms can come and go, and they may vary in intensity depending on thetreatmentyou receive and your overall health status. Most people arediagnosed with axial spondyloarthritisin their young adulthood.
Common symptoms of axial spondyloarthritis include:
Less common symptoms of axSpA can also be experienced in relation to the disease.
Rare symptoms of axial spondyloarthritis include:
Complications can occur as a result of having axial spondyloarthritis. Not everyone with axSpA will experience complications, but they are important to be aware of.
Possible complications of axSpA include:
If you suspect you have axial spondyloarthritis, it’s important to see your healthcare provider so you can be formally diagnosed and begin treatment to help manage your symptoms.
If you already have a diagnosis of axSpA, see your healthcare provider right away if you:
Depending on your symptoms, your healthcare provider may run additional tests to determine what potential complications you are experiencing or prescribe different medications to help reduce your symptoms.
Summary
Axial spondyloarthritis (axSpA)—a condition affecting the joints of the spine, chest, and pelvis—can cause back pain, fatigue, joint pain, heel pain, sleep problems, abdominal pain, and more. These symptoms often occur after periods of inactivity, like sleeping or resting.
14 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Strand V, Singh JA.Patient burden of axial spondyloarthritis.J Clin Rheumatol. 2017;23(7):383-391. doi:10.1097/RHU.0000000000000589
Arthritis Foundation.Spondyloarthritis.
Arthritis Foundation.Adjusting to a new spondyloarthritis diagnosis.
Maatallah K, Triki W, Riahi H, et al.Plantar fascia enthesitis: Clinical, radiographic and ultrasound findings in patients with axial spondyloarthritis.The Egyptian Rheumatologist. 2020;42(4):267-270. doi:10.1016/j.ejr.2020.07.011
National Axial Spondyloarthritis Society.Your eyes.
Zviahina OV, Shevchuk SV, Kuvikova IP, Segeda IS.Anemia in patients with ankylosing spondylitis, association with the activity of the inflammatory process and the severity of the disease.Wiad Lek. 2020;73(4):715-721. doi:10.36740/WLek202004117
Blomqvist A & Engblom D.Neural mechanisms of inflammation-induced fever.The Neuroscientist.2018 Mar 20, 24(4): 381-399. doi:10.1177/1073858418760481
Sarfaraz S, Anis S.Multiple autoimmune syndrome: an unusual combination of autoimmune sisorders.Rev Recent Clin Trials. 2020;15(3):240-243. doi:10.2174/1574887115666200621184110
Lim MJ, Kang KY.A contemporary view of the diagnosis of osteoporosis in patients with axial spondyloarthritis.Front Med (Lausanne). 2020;7:569449. doi:10.3389/fmed.2020.569449
Moltó A, Nikiphorou E.Comorbidities in spondyloarthritis.Front Med (Lausanne). 2018;5:62. doi:10.3389/fmed.2018.00062
Lu M-C, Tung C-H, Yang C-C, et al.Incident osteoarthritis and osteoarthritis-related joint replacement surgery in patients with ankylosing spondylitis: A secondary cohort analysis of a nationwide, population-based health claims database. Rolfson O, ed.PLoS ONE. 2017;12(11):e0187594. doi:10.1371/journal.pone.0187594
Fragoulis GE, Liava C, Daoussis D, Akriviadis E, Garyfallos A, Dimitroulas T.Inflammatory bowel diseases and spondyloarthropathies: From pathogenesis to treatment.World J Gastroenterol. 2019;25(18):2162-2176. doi:10.3748/wjg.v25.i18.2162
Ferraz-Amaro I, Rueda-Gotor J, Genre F, et al.Potential relation of cardiovascular risk factors to disease activity in patients with axial spondyloarthritis.Ther Adv Musculoskelet Dis. 2021;13:1759720X211033755. doi:10.1177/1759720X211033755
Meet Our Medical Expert Board
Share Feedback
Was this page helpful?Thanks for your feedback!What is your feedback?OtherHelpfulReport an ErrorSubmit
Was this page helpful?
Thanks for your feedback!
What is your feedback?OtherHelpfulReport an ErrorSubmit
What is your feedback?