Are you experiencing back pain? If so, you’re not alone. Approximately 8.2% of Americans have chronic back pain, which is sometimes caused by spondylosis and spondylitis. Understanding the differences between these two conditions is crucial for finding effective relief.
In the content below, we’ll discuss the nuances of spondylosis vs. spondylitis, helping you spot the distinctions. By knowing the differences, you can communicate more effectively with your healthcare provider and explore treatment options.
Don’t let back pain hold you back. Read on to discover the complexities of spondylosis and spondylitis and navigate your way to a pain-free future!
What is Spondylosis?
Spondylosis refers to the natural degeneration of the spine that occurs with age. It often affects the spinal discs, causing them to lose moisture and become less flexible.
This degeneration can lead to the development of bone spurs, which are bony growths that can press against nerves and cause pain. Spondylosis is a common condition that affects many individuals as they grow older.
What is Spondylitis?
Spondylitis is an inflammatory disease that primarily affects the spine, causing pain and stiffness. Unlike spondylosis, spondylitis is characterized by the inflammation of the spinal joints. This inflammation may lead to the fusion of the vertebrae, resulting in a loss of flexibility and mobility in the spine.
Spondylitis is often associated with a condition called ankylosing spondylitis (AS). AS typically starts in the sacroiliac joints, which connect the spine to the pelvis, and can progress to affect the entire spine. The exact cause of AS is unknown, but it is believed to have a genetic component.
Other types of spondylitis include psoriatic arthritis, reactive arthritis, and enteropathic arthritis. These conditions are associated with skin diseases, infections, and inflammatory bowel disease.
The Symptoms of Spondylosis and Spondylitis
The symptoms of spondylosis and spondylitis can overlap. However, there are some key differences to be aware of. In spondylosis, the pain is often localized to the affected area, such as the neck or lower back. The pain may be sharp and may worsen with certain activities. Stiffness and reduced range of motion are common symptoms of spondylosis.
In contrast, spondylitis symptoms typically cause pain and stiffness in the lower back and hips, which may radiate to the buttocks or thighs. The pain is often worse after periods of inactivity and improves with movement and exercise. As the condition progresses, the spine may become more rigid, leading to a stooped posture.
Diagnosing Spondylosis and Spondylitis
To diagnose spondylosis, your doctor will typically start with a physical exam and review of your medical history. They may ask about your symptoms and perform a variety of motion tests. They’ll also check for any abnormalities in your spine. In some cases, imaging tests may be ordered to get an in-depth look at the affected area.
Diagnosing spondylitis is more challenging, since the symptoms are similar to other conditions. Your healthcare provider may perform a physical examination and order imaging tests to rule out other causes of your symptoms.
A blood test may also be done to check for markers of inflammation, like the presence of the HLA-B27 gene. This gene is associated with an increased risk of developing spondylitis.

