![]() ![]() Pain in the hips or shoulders is the initial complaint in a minority of patients. ![]() In a majority of patients, the initial symptoms are in the sacroiliac or other spinal joints. Breathing becomes painful when moving ribs that are inflamed at the connection with the thoracic spine. AS patients may also suffer from fever, weight loss, and disordered sleep. The lower back or other parts of the spine become more difficult to move. Compared with men, women may notice more difficulties with neck stiffness initially. With progression of AS, the chest and neck develop pain associated with decreased motion.
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