Q1: Which is the Best Doctor or Top Doctor for Ankylosing Spondylitis in Singapore?
There is no single “best” or “top” doctor for ankylosing spondylitis. Treatment choice depends on disease severity, symptom control, and long-term management goals. Typically, a rheumatologist is the main specialist, supported by physiotherapists and non-surgical care providers. Early MRI scanning can detect spinal inflammation and guide precise therapy.
Q2: What are the common causes of Ankylosing Spondylitis, and when should I be concerned?
Ankylosing spondylitis is a chronic inflammatory autoimmune disease affecting the spine and sacroiliac joints. Causes are primarily genetic (HLA-B27) with immune system involvement.
Seek early medical attention if you notice:
Persistent back stiffness, especially in the morning or after rest
Pain improving with activity but worsening at night
Limited spinal mobility or postural changes
Eye inflammation, fatigue, or joint pain elsewhere
An MRI can detect inflammation early, even before X-rays show changes.
Q3: Should I consult a GP for Ankylosing Spondylitis?
Yes. A GP can evaluate early symptoms, prescribe short-term pain relief or anti-inflammatory medications, and refer you to a rheumatologist. Medications may manage symptoms but do not alter disease progression. Long-term use of NSAIDs should be monitored for gastrointestinal or kidney side effects.
Q4: Should I see an Orthopaedic Surgeon for Ankylosing Spondylitis?
Orthopaedic surgeons may be consulted if spinal deformities, severe arthritis, or joint replacement is needed. Surgery is usually reserved for advanced disease causing structural complications. Costs in Singapore can range from four to five figures, depending on procedure complexity and insurance coverage.
Q5: When should I see a Rheumatologist for Ankylosing Spondylitis?
A rheumatologist is the primary specialist for ankylosing spondylitis. They can:
Prescribe DMARDs, biologics, or steroids to control inflammation
Monitor disease progression and side effects
Coordinate physiotherapy and non-surgical interventions
Early referral is crucial to prevent permanent spinal damage.
Q6: Are there non-surgical treatment options for Ankylosing Spondylitis?
Yes. Dr Terence Tan at The Pain Relief Clinic provides non-invasive therapies to manage pain, stiffness, and mobility limitations.
Consultation at $50
MRI scans under $1000, usually arranged within one working day
Suitable as part of long-term disease management alongside rheumatologist care
Non-surgical care focuses on pain relief, posture correction, and functional improvement.
Q7: Can physiotherapy help with Ankylosing Spondylitis?
Yes. Physiotherapy maintains spinal flexibility, strengthens core and postural muscles, and reduces pain. The Pain Relief Practice offers advanced therapies like shockwave therapy and spinal decompression, complementing traditional exercise programs for faster, targeted results.
Q8: Are there home physiotherapy options for Ankylosing Spondylitis?
Yes. PhysioLife provides home physiotherapy and HotHeal therapy, allowing patients to practice guided exercises and therapy safely at home. This is particularly helpful for maintaining spinal mobility and reducing stiffness in daily life.
Conclusion
There is no single best or top doctor for ankylosing spondylitis. Early MRI diagnosis and a combination of rheumatologist care, non-invasive therapies at The Pain Relief Clinic, and physiotherapy through The Pain Relief Practice or PhysioLife can effectively manage symptoms and preserve spinal function.
