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The signs and symptoms of ankylosing spondylitis often appear gradually, with peak onset being between 20 and 30 years of age. Initial symptoms are usually a chronic dull pain in the lower back or gluteal region combined with stiffness of the lower back.
Many people with spondylosis on X-ray do not have any symptoms. In fact, lumbar spondylosis (spondylosis in the low back) is present in 27%-37% of people without symptoms. In some people, spondylosis causes back pain and neck pain due to nerve compression (pinched nerves).any people with spondylosis on X-ray do not have any symptoms. In fact, lumbar spondylosis (spondylosis in the low back) is present in 27%-37% of people without symptoms. In some people, spondylosis causes back pain and neck pain due to nerve compression (pinched nerves).