Pulmonology OPD:2:00 PM - 8:30 PM
Rheumatology OPD:10:00 AM - 8:30 PM
Behind Nishant Tower, Gandhi Road, Akola
+91 74984 96987
At Nishchay Hospital, we provide expert pulmonology and rheumatology care, focused on accurate diagnosis and personalised treatment. Our specialists help you breathe easier and move better, under one roof.
Rheumatology Care
Spondyloarthritis Treatment in Akola
Persistent back pain and stiffness are not always caused by posture, age or muscle strain. When back pain starts at a younger age, is worse after rest and improves with movement, it may sometimes be related to an inflammatory condition such as spondyloarthritis.
At Nishchay Hospital, we provide specialist-led spondyloarthritis treatment in Akola under the care of Dr. Niti Y. Kedia, Rheumatologist. The focus is on identifying inflammatory disease early, understanding how it is affecting the individual and creating a treatment plan that supports mobility and long-term disease control.
At Nishchay Hospital, we provide expert pulmonology and rheumatology care, focused on accurate diagnosis and personalised treatment. Our specialists help you breathe easier and move better, under one roof.
Rheumatology Care
Spondyloarthritis Treatment in Akola
Persistent back pain and stiffness are not always caused by posture, age or muscle strain. When back pain starts at a younger age, is worse after rest and improves with movement, it may sometimes be related to an inflammatory condition such as spondyloarthritis.
At Nishchay Hospital, we provide specialist-led spondyloarthritis treatment in Akola under the care of Dr. Niti Y. Kedia, Rheumatologist. The focus is on identifying inflammatory disease early, understanding how it is affecting the individual and creating a treatment plan that supports mobility and long-term disease control.
What Is Spondyloarthritis?
Spondyloarthritis (SpA) is a group of inflammatory rheumatic diseases that can affect the spine, joints and the areas where tendons and ligaments attach to bones.
Unlike ordinary mechanical back pain, inflammatory back pain is related to inflammation within the musculoskeletal system. It can cause prolonged stiffness, pain and reduced movement.
Spondyloarthritis can affect people at different ages and may develop gradually. In some people, symptoms are mainly related to the spine, while others may have pain or swelling in the arms and legs or symptoms involving the skin, eyes or bowel.
Early assessment can help distinguish inflammatory back pain from more common mechanical causes.
Types of Spondyloarthritis
Spondyloarthritis includes several related conditions.
Axial Spondyloarthritis
Axial spondyloarthritis is a chronic inflammatory disease that mainly affects the spine, chest, and pelvis
Ankylosing Spondylitis
Ankylosing spondylitis is an inflammatory arthritis that mainly affects the spine and can cause vertebrae to fuse over time
Psoriatic Arthritis
Psoriatic arthritis occurs in some people with psoriasis and can affect the joints, spine, fingers and toes.
Reactive Arthritis
Reactive arthritis can develop after certain infections and may cause joint inflammation along with other symptoms.
Enteropathic Arthritis
This type of spondyloarthritis is associated with inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis.
These conditions share some features but are not identical. Diagnosis and treatment depend on the specific pattern of disease.
Signs you shouldn't ignore
Symptoms of Spondyloarthritis
Symptoms can develop slowly and may initially be mistaken for routine back pain. Common symptoms include:
- Persistent lower back or buttock pain
- Morning stiffness
- Back pain that improves with movement or exercise
- Pain or stiffness that becomes worse after prolonged rest
- Pain that may disturb sleep, particularly during the second half of the night
- Pain or swelling in other joints
- Heel pain or pain where tendons attach to bone
- Reduced flexibility of the spine
- Recurring episodes of symptoms
- Fatigue
Symptoms outside the joints
Some people may also experience eye inflammation or redness, psoriasis or skin changes, persistent bowel symptoms, or swelling of an entire finger or toe. Not everyone with spondyloarthritis has all of these symptoms.
The Back Pain Pattern That's Worth Noticing
Not all back pain needs a rheumatology opinion — but certain patterns are strong indicators that something inflammatory is going on:
- Back pain and stiffness that started before age 40
- Pain that came on gradually, not from a specific injury
- Stiffness that’s worse in the morning or after long periods of rest
- Pain that actually improves with movement or exercise, rather than getting worse
- Pain that wakes you up in the second half of the night
- Pain that started on one side and later moved to affect both sides
What Causes Spondyloarthritis?
The exact cause of spondyloarthritis is not fully understood. The condition is thought to involve a combination of genetic susceptibility, immune-system activity and environmental factors.
One genetic marker associated with several forms of spondyloarthritis is HLA-B27. However, being HLA-B27 positive does not mean that a person definitely has spondyloarthritis, and many people with the condition may not have this marker.
A family history of spondyloarthritis or related inflammatory conditions may increase risk. Certain infections and inflammatory bowel conditions can also be associated with specific types of spondyloarthritis.
How Is Spondyloarthritis Diagnosed?
There is no single test that can diagnose spondyloarthritis in every patient. Diagnosis usually combines symptoms, physical examination, blood tests and imaging.
Spondyloarthritis Treatment in Akola
Gout treatment really works on two separate tracks, and it’s important both are addressed:
Anti-inflammatory medication
as the first step to manage pain and stiffness.
Biologic therapy
when disease activity remains high or does not respond well to standard treatment.
Disease-modifying treatment
to control long-term inflammation, particularly with peripheral joint involvement.
Physiotherapy, exercise and regular monitoring
to improve movement, ease symptoms, and track changes in disease activity over time.
Getting this combination right, and adjusting it as needed, is what actually keeps the spine flexible over the years rather than letting stiffness gradually set in.
Exercise and Lifestyle With Spondyloarthritis
Staying active is generally an important part of managing inflammatory spinal conditions. Depending on the individual’s condition, a rheumatologist or physiotherapist may recommend:
- Regular low-impact exercise
- Stretching and mobility exercises
- Strengthening exercises
- Posture-focused exercises
- Avoiding prolonged periods of inactivity
- Maintaining a healthy weight
- Avoiding smoking
- Adequate sleep and recovery
Spondyloarthritis and Other Health Conditions
Spondyloarthritis can sometimes occur with conditions affecting other parts of the body.
- Psoriasis
Some people with psoriasis develop psoriatic arthritis, which can cause joint pain, stiffness and swelling.
- Inflammatory Bowel Disease
Crohn’s disease and ulcerative colitis can be associated with inflammatory joint symptoms.
- Eye Inflammation
Some people with spondyloarthritis develop uveitis, which can cause eye pain, redness, light sensitivity or blurred vision.
When Should You See a Rheumatologist for Back Pain?
Back pain is common and is often caused by mechanical or muscular problems. However, a rheumatology evaluation may be appropriate when back pain:
- Starts at a relatively young age
- Continues for several months
- Causes prolonged morning stiffness
- Improves with movement rather than rest
- Becomes worse after prolonged sitting or rest
- Disturbs sleep or is worse during the early morning
- Occurs along with heel pain or swollen joints
- Is associated with psoriasis or inflammatory bowel disease
- Occurs in someone with a family history of spondyloarthritis
Worth a closer look
These symptoms do not confirm spondyloarthritis, but they may warrant further evaluation.
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Spondyloarthritis vs Common Back Pain
Not all persistent back pain is caused by spondyloarthritis.
Inflammatory Back Pain
- Often begins at a younger age
- Develops gradually
- Morning stiffness is common
- May worsen after rest
- Often improves with movement
- Can be associated with other inflammatory conditions
Mechanical Back Pain
- May follow strain, injury or physical activity
- Can worsen with certain movements or positions
- Often improves with rest
- May be related to muscles, discs, joints or other structural problems
The pattern of symptoms is important, but only a proper medical assessment can determine the cause.
Rheumatologist in Akola
Dr. Niti Y. Kedia
Best Rheumatologist in Akola & Joint Pain Specialist
Dr. Niti Y. Kedia is a gold-medalist physician trained in Internal Medicine, with focused post-doctoral training in Rheumatology. She provides specialised arthritis and autoimmune care in Akola, backed by advanced diagnostic skills and international training.
She completed a 2-year post-doctoral Fellowship in Rheumatology at the Indian Spinal Injuries Centre, Delhi, and holds EULAR training in musculoskeletal ultrasound – a precision imaging technique that allows early and accurate detection of joint inflammation, often before it is visible on standard X-rays.
- Fellowship in Rheumatology – Indian Spinal Injuries Centre, Delhi
- MRCP (UK) Specialty Certificate Exam in Rheumatology
- EULAR-Trained in Musculoskeletal Ultrasound
- MD (Internal Medicine) – Gold Medalist, D. Y. Patil University, Navi Mumbai
- DNB Internal Medicine
- MNAMS
Dr. Niti Kedia's Credentials at a Glance
Gold Medalist, MD Medicine
Top academic distinction in internal medicine
EULAR-Trained
Musculoskeletal ultrasound specialist
All-Ages Care
Adult & paediatric rheumatology
Rheumatologist in Akola
Dr. Niti Y. Kedia
Best Rheumatologist in Akola & Joint Pain Specialist
Dr. Niti Y. Kedia is a gold-medalist physician trained in Internal Medicine, with focused post-doctoral training in Rheumatology. She provides specialised arthritis and autoimmune care in Akola, backed by advanced diagnostic skills and international training.
She completed a 2-year post-doctoral Fellowship in Rheumatology at the Indian Spinal Injuries Centre, Delhi, and holds EULAR training in musculoskeletal ultrasound – a precision imaging technique that allows early and accurate detection of joint inflammation, often before it is visible on standard X-rays.
- Fellowship in Rheumatology – Indian Spinal Injuries Centre, Delhi
- MRCP (UK) Specialty Certificate Exam in Rheumatology
- EULAR-Trained in Musculoskeletal Ultrasound
- MD (Internal Medicine) – Gold Medalist, D. Y. Patil University, Navi Mumbai
- DNB Internal Medicine
- MNAMS
Dr. Niti Kedia's Credentials at a Glance
Gold Medalist, MD Medicine
Top academic distinction in internal medicine
EULAR-Trained
Musculoskeletal ultrasound specialist
All-Ages Care
Adult & paediatric rheumatology
Why Choose Nishchay Hospital for Spondyloarthritis Care?
- Specialist Rheumatology Evaluation: Persistent inflammatory back pain and joint symptoms are assessed by a rheumatology specialist rather than treated as routine back pain alone.
- Individualized Treatment: Treatment is based on the type of spondyloarthritis, disease activity, symptoms, investigations and overall health.
- Appropriate Imaging and Testing: Blood tests and imaging are selected according to the clinical situation rather than relying on one test for diagnosis.
- Advanced Treatment Options: Patients with active disease may be considered for biologic or targeted therapies after appropriate evaluation.
- Long-Term Disease Management: Regular follow-up helps monitor disease activity, treatment response, mobility and associated symptoms.
Why Choose Nishchay Hospital for Spondyloarthritis Care?
- Specialist Rheumatology Evaluation: Persistent inflammatory back pain and joint symptoms are assessed by a rheumatology specialist rather than treated as routine back pain alone.
- Individualized Treatment: Treatment is based on the type of spondyloarthritis, disease activity, symptoms, investigations and overall health.
- Appropriate Imaging and Testing: Blood tests and imaging are selected according to the clinical situation rather than relying on one test for diagnosis.
- Advanced Treatment Options: Patients with active disease may be considered for biologic or targeted therapies after appropriate evaluation.
- Long-Term Disease Management: Regular follow-up helps monitor disease activity, treatment response, mobility and associated symptoms.
What is spondyloarthritis?
Spondyloarthritis is a group of inflammatory rheumatic diseases that can affect the spine, joints and areas where tendons and ligaments attach to bones. Some forms can also be associated with psoriasis, inflammatory bowel disease or eye inflammation.
Is spondyloarthritis the same as spondylitis?
The terms are sometimes used interchangeably, but they are not always referring to the same thing. Spondyloarthritis describes a group of inflammatory rheumatic conditions, while “spondylitis” can be used more broadly for inflammation of the spine. A specialist evaluation can clarify the underlying condition.
What are the early symptoms of spondyloarthritis?
Early symptoms may include persistent lower back or buttock pain, prolonged morning stiffness and pain that improves with movement but worsens after rest. Heel pain or symptoms in other joints may also occur.
Is ankylosing spondylitis the same as spondyloarthritis?
Ankylosing spondylitis is a form of axial spondyloarthritis. It primarily affects the spine and sacroiliac joints and may cause inflammatory back pain and stiffness.
Can spondyloarthritis be cured?
There is currently no permanent cure, but appropriate treatment can help control inflammation, reduce symptoms, maintain mobility and manage the condition over the long term.
Can exercise help spondyloarthritis?
Yes. Appropriate exercise can help maintain flexibility, strength and physical function. A rheumatologist or physiotherapist can recommend exercises suited to the individual’s condition.
Can spondyloarthritis affect the eyes or skin?
Yes. Some forms of spondyloarthritis are associated with eye inflammation, psoriasis and other symptoms outside the joints. New eye pain, redness or vision changes should be evaluated promptly.
Best Pulmonologist & Rheumatologist in Akola, offering advanced lung care, arthritis treatment, sleep apnea treatment, and joint pain treatment under one roof.
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