in the past a clinical diagnosis of AS required a specified amount of radiographic damage to the sacroiliac joints. But many of us don't have the required SI joint damage and were diagnosed with undifferentiated spondyloarthritis. Now some rheumatologists will give you a diagnosis of AS without the required SI joint damage, but others won't.

The newer method of classification removes the specific SI joint requirement and simply recognizes radiographic damage wherever it may be. And there is more understanding that doctors shouldn't have to wait for radiographic damage to be present before prescribing biologic treatment.


Ginny - 58 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis, both currently in remission
unicompartmental knee replacements: right-June 2014, left-Aug 2018
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Culturelle probiotic, Melatonin (as needed)