For me, mornings were always the worst times for back and hip pain. I think it was mostly just due to inactivity of sleeping because any prolonged times of inactivity would cause problems, such as sitting too long at a desk. After I crawled out of bed, a hot shower would help loosen me up so that I could function. As long as I stayed active, the back and hip pain would not be crippling bad, but I soon as I stopped, the pain would flare up greatly again.

All in all, I would say that the problem could mostly be attributed to body temperature, noting that the causal problem was from AS and its relation to klebsiella. I even noticed that if I a got a fever from some other sickness, my back and hip pain would decrease.

However, I haven't had such bad pain problems once I got the no-starch diet figured out.

--Greg

Last edited by gbash; 04/26/21 03:16 PM.

AS symptoms started 1991. Official dx in 2006 with HLA-B27+, fused SIJ, bone spurs in back, extreme rib/hip pain, and other family with SpA. Started Enbrel in 2006 with good results, but stopped in 2010 due to nerve damage (MS) from it. Getting good results with no-starch diet since 2011.