Spine
Spondylitis and spine pain
Dr. Cary H. Rothenberg, D.C., Chiropractor. Professional license 15265498.
Ankylosing spondylitis and other inflammatory spine conditions call for careful clinical judgment. Not all back pain is mechanical. The evaluation includes a review of your symptoms, a physical exam, and any tests or imaging to guide a conservative plan, or to refer you when needed.
Last updated: October 4, 2026.
When should you suspect more than mechanical pain?
- Prolonged morning stiffness that improves with movement.
- Pain that improves with exercise and worsens with prolonged rest.
- Family history of inflammatory disease.
- Systemic symptoms that accompany the back pain.
If you have a fever, unexplained weight loss, or progressive weakness, seek urgent medical evaluation before booking.
Frequently asked questions
What is ankylosing spondylitis?
It is a chronic inflammatory disease that mainly affects the spine and the sacroiliac joints. It can cause pain and stiffness and, over the years, limit how the back moves. Diagnosis and core treatment are handled by a rheumatologist.
What are the first symptoms of ankylosing spondylitis?
It usually begins before age 45 with low back or buttock pain lasting months, morning stiffness that improves with movement and worsens with rest, and sometimes fatigue. If this pattern sounds familiar, see a rheumatologist.
How is spondylitis managed?
Treatment is directed by a rheumatologist and usually includes anti-inflammatory or biologic medication. Regular exercise and physical therapy are an important part of maintaining mobility and posture. Any manual technique is carefully adapted to the condition of the spine.
Want to know what's going on?
At the evaluation we review your case and explain your options. The plan is set in consultation.