Who is who?
Once AS is suspected, your GP should refer you to a rheumatologist (rheumatology specialist) in an appropriate hospital. The rheumatologist is one of the rheumatology team who will help confirm a diagnosis and manage your treatment. Rheumatology teams vary from hospital to hospital but may include the following:
Rheumatologist
A rheumatologist is a doctor specialising in conditions such as AS. They will confirm if your condition is AS, decide initial treatment and oversee the long-term management of your condition. They will take an in-depth family history and may request blood tests, X-rays or scans.
Specialist rheumatology nurse
This nurse may also be known as a clinical nurse specialist, rheumatology nurse practitioner or liaison rheumatology nurse. These nurses are specially trained to look after the physical, emotional and social needs of people with conditions such as AS. Some are trained to carry out activities usually done by doctors e.g. examining joints, performing joint injections, reviewing and asking for investigations, and changing treatments if needed. They will work closely with your rheumatologist.
Physiotherapist
A physiotherapist is an expert who assesses physical movement, and helps an individual to improve their physical functioning and reduce physical pain. They help people with AS to maximise an active and independent life both at home and at work. Some physiotherapists specialise in the care and treatment of people with inflammatory conditions such as AS.
Occupational therapist
An occupational therapist can provide information and support to help people with AS adapt their lifestyle to minimise the impact that AS may have on their ability to do every day activities and work.
Orthopaedic surgeon
An orthopaedic surgeon is responsible for performing any joint-related operations that are needed.
Radiographer
A radiographer is responsible for carrying out imaging tests such as MRI (magnetic resonance imaging) scans and X-rays. These tests help to identify inflammation in the joints and damage to the bone itself. Some AS treatments may require you to have scans at regular intervals.
Pharmacist
A pharmacist can be based in the hospital or community. They are responsible for dispensing medicines and can provide valuable advice about medications including information on side effects. They can also be a good source of information about AS.
Ophthalmologist
An ophthalmologist is a specialist who is responsible for examining, diagnosing and treating diseases and injuries of the eye. You may be referred to an ophthalmologist if your AS is causing you to have problems with your eyes.
Gastroenterologist
A gastroenterologist is a doctor who specialises in diagnosing and treating conditions related to the gastrointestinal tract. You may be referred to a gastroenterologist if your AS is causing you to have bowel problems.