Ankylosing spondylitis (AS) is a distinct disease entity characterized by inflammation of multiple articular and paraarticular structures especially of the spine, sacroiliac joints and large peripheral joints such as the hips, shoulders and rarely the knees frequently resulting in bony ankylosis. This is a case report of a 50 year old school teacher with ankylosing spondylitis (AS) that presented at the University of Abuja Teaching Hospital Gwagwalada, Abuja. This case was presented to create further awareness and highlight peculiarity of management in our settings.

Key-words: Ankylosing Spondylitis, Bamboo spine, sacroiliac joint, physiotherapy