@A MySpondylitisTeam Member. Yes, this is often normal. The good news is that at this stage you can reverse disease progression, even stop it entirely, more easily. I reversed it and so far have kept it reversed primarily through focused physical therapy and now also diet and supplemental nutrition. Dont let anyone tell you that it cant be done. Following conventional medicate and operate (lack of) wisdom that is true. Following updated conventional medicine proven strategies there absolutely IS a cure. It's just a matter of what you prefer to endure. I had moderate sclerosis (extra bony buildup damage) the full length of both SIs with sacroilitis in 2017/18. Definitely visible on xrays and MRIs. Osteoporosis too. All gone now with just physical therapy specific exercise, diet, and supplements. I keep it up, no problems at all there, I quit for more than a week, problems return. Stay strong💪😌🙏

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A MySpond...

There is also a type of AxSpa known as Non-Radiographic Spondyloarthritis (nr-AxSpa). It’s called this because no inflammation or abnormalities show up because you are in early stages of the disease or you actually have a slightly different form of Spondylitis. I personally have Peripheral Spondyloarthritis. It affects the joints just about everywhere else in your body such as feet, ankles, knees, shoulders, elbows, wrists, hands, neck, and ribs. The joints missing are therefore the hips and spine. Spondylitis affects my joints like those with Axial Spondylitis. Both my MRI and a Nuclear Bone Scan (with contrast) showed inflammation (my Rheumatologist said I was lit up like a Christmas tree!) in multiple areas but my hips and spine were absolutely fine. My Rheumatologist initially put me on Enbrel, then added Methotrexate, and eventually also added hydroxychloroquine to get my disease under control (I’m not able to use any NSAIDs (often the usual first line of treatment) due to blood pressure issues).