The first signs of Axial Spondyloarthritis are pain and stiffness in the lower back, especially after prolonged periods of inactivity. This can be especially bad in the morning and patients might have difficulty getting out of bed. This is quite different from back strain which is better with rest.This may be associated with pain in the hips, knees and feet, especially at the heel. As the condition progresses, the pain and stiffness can affect the entire spine and last the whole day. This causes difficulty in walking, sleeping, getting out of bed, bending forward and other activities of daily living.
Patients with active Axial Spondyloarthritis often experience fatigue, poor appetite and weight loss. The eyes can also be affected in Axial Spondyloarthritis and the symptoms include redness of the eyes, increased sensitivity to light and blurred vision. Patients might also experience swelling of the joints of the fingers and toes, and even chest pain when taking a deep breath. Some patients can also develop inflammation of the intestines and pass bloody or slimy stools. Patients can also develop red and silvery skin rashes, also known as psoriasis.