Table of Contents >> Show >> Hide
- What Ankylosing Spondylitis Actually Is (And Why It’s Not “Just Back Pain”)
- The Symptom Lineup: What Ankylosing Spondylitis Can Feel Like
- Diagnosis: Why Ankylosing Spondylitis Is Often Missed
- Mick Mars and AS: A Public Journey Built on Adaptation
- What People Can Learn From Mick Mars’ Story (Even If They’ve Never Held a Guitar Pick)
- AS Treatment Basics: What Management Often Includes
- Real-World Experiences Related to Mick Mars’ Journey With AS Symptoms (Extra Section)
- Conclusion: The Big Takeaway From Mick Mars’ Journey
Rock history is full of iconic riffs, legendary tours, and guitarists who look like they were born with a six-string in their hands.
Mick Marsco-founder and longtime guitarist of Mötley Crüefits that description. But there’s another part of his story that doesn’t get
as many spotlights: for decades, he’s lived with ankylosing spondylitis (AS), a chronic inflammatory form of arthritis that can target the
spine, hips, and more.
In October 2022, Mars announced he would retire from touring due to ongoing health challenges, bringing a very real conversation into the
mainstream: what does it look like to keep creating, performing, and living while your body is constantly negotiating with inflammation?
This article breaks down ankylosing spondylitis symptoms in plain English, explains why they’re often missed, and uses Mars’ public journey
as a relatable lensbecause AS can be invisible until it suddenly isn’t.
What Ankylosing Spondylitis Actually Is (And Why It’s Not “Just Back Pain”)
Ankylosing spondylitis is part of a family of conditions often called axial spondyloarthritis. The short version:
the immune system triggers inflammation around jointsespecially where the spine meets the pelvis (the sacroiliac joints)and over time,
the body may respond by forming new bone. In severe cases, parts of the spine can fuse, reducing flexibility and changing posture.
Here’s the sneaky part: early AS symptoms can mimic “normal” stuffsports strain, bad posture, growing pains, sleeping weird, carrying a backpack
like a medieval knight. But inflammatory back pain behaves differently than mechanical pain (like a pulled muscle), and that difference matters.
Inflammatory vs. Mechanical Back Pain: The Clue Most People Don’t Get Told
- Inflammatory pain often feels worse in the morning or after rest, and may improve with movement.
- Mechanical pain often worsens with activity and improves with rest.
- AS pain can come with stiffness that lasts, fatigue, and symptoms beyond the back.
If your spine ever feels like it’s trying to “buffer” every time you stand upespecially if it keeps happeningAS becomes a possibility worth
discussing with a healthcare professional. (No, diagnosing yourself via vibes is not a valid medical plan.)
The Symptom Lineup: What Ankylosing Spondylitis Can Feel Like
AS symptoms can vary a lot from person to person. Some people have mild flares and long quiet stretches. Others deal with steady discomfort and
progressive stiffness. Many people notice symptoms beginning in late adolescence or early adulthood.
1) Low Back and Hip Pain That Has a Schedule (And It’s Rude)
A classic pattern is pain and stiffness in the lower back and hips that feels worse after sleep or long sitting. People often describe waking up
stiff, moving like a robot in the morning, then loosening up after a hot shower or some movement.
2) Stiffness and Reduced Flexibility Over Time
When inflammation sticks around, flexibility can shrinksometimes gradually, sometimes in noticeable steps. Bending, twisting, or even looking over
your shoulder can become harder. Posture changes can develop if the spine becomes less mobile.
3) Fatigue That Isn’t “Just Tired”
Chronic inflammation can drain energy. Add interrupted sleep (because pain loves a dramatic entrance at 2 a.m.), and fatigue can become one of the
most disruptive symptomsmentally and physically.
4) Pain Beyond the Spine
Ankylosing spondylitis can affect hips, shoulders, knees, ankles, and areas where tendons and ligaments attach to bone (called entheses). That can
show up as heel pain, rib discomfort, or tenderness around joints.
5) Eye Inflammation: The Symptom That Deserves Zero Delays
Some people with spondyloarthritis develop uveitis/iritispainful red eye, light sensitivity, and vision changes. This is a medical-urgency situation.
If it happens, it’s not a “wait and see” moment.
Diagnosis: Why Ankylosing Spondylitis Is Often Missed
Getting diagnosed can take time, partly because many people with back pain are young and otherwise healthyso clinicians (and patients) may assume
it’s mechanical. Also, early X-rays can look normal. That’s why modern diagnosis often involves a combination of:
- History and symptom pattern (especially inflammatory back pain signs)
- Physical exam (mobility, posture, tenderness)
- Imaging (X-ray and/or MRI, depending on the situation)
- Labs that may include inflammation markers and genetic testing like HLA-B27 (helpful, but not definitive)
Bottom line: a rheumatologist is typically the specialist best equipped to evaluate suspected axial spondyloarthritis.
Mick Mars and AS: A Public Journey Built on Adaptation
Mick Mars has spoken publicly for years about living with ankylosing spondylitis while building a decades-long career.
In 2022, he stepped back from touring due to the conditionan announcement that sparked a wave of people saying, “Wait… that’s what AS is?”
(Sometimes awareness arrives wearing leather pants and carrying an amp.)
Living With a Chronic Condition While Doing a Physically Demanding Job
Touring isn’t just standing under lights for two hours. It’s travel, load-ins, soundchecks, late nights, early mornings, and repeating that cycle
until time itself feels jet-lagged. For someone with AS, that routine can collide with the exact triggers that make symptoms worse: long periods of
sitting, disrupted sleep, and limited recovery time.
Mars’ story highlights something people with AS often learn the hard way: managing symptoms isn’t only about a “bad day.” It’s about building a
system that can survive many days in a rowespecially when your job doesn’t pause for inflammation.
A Major Milestone: Stepping Back From Touring (October 2022)
In late October 2022, Mars announced he would no longer tour, citing ongoing issues related to his ankylosing spondylitis. Reports at the time noted
he intended to step away from the demands of touring while remaining connected to music-making where possible.
In other words: he wasn’t “quitting music.” He was drawing a boundary with the touring schedulebecause AS doesn’t negotiate, and neither do stadium logistics.
The Reality Check: Chronic Illness Can Create Complicated Business Conversations
After his retirement from touring, Mars and his bandmates entered a public legal dispute in 2023, with ongoing coverage into 2024.
Without taking sides, it’s a reminder that chronic illness doesn’t only affect jointsit can affect contracts, identity, finances, and friendships.
When a body changes what someone can physically do, the ripple effects can get loud.
What People Can Learn From Mick Mars’ Story (Even If They’ve Never Held a Guitar Pick)
1) Pay Attention to the Pattern, Not Just the Pain
If pain is worse after rest, improves with movement, and keeps repeatingespecially with morning stiffnesslog it. Patterns are evidence.
Evidence gets taken seriously.
2) Movement Is Not a Punishment; It’s Often Part of the Treatment Plan
Many reputable medical sources emphasize that staying activewithin a safe plancan help maintain flexibility and reduce stiffness.
That doesn’t mean “go become a marathon runner overnight.” It means consistent, thoughtful movement, often guided by physical therapy.
3) Posture and Breathing Matter More Than People Realize
AS can affect the joints around the ribs and spine. That can impact chest expansion and comfort with deep breathing. Posture habits and targeted exercises
can be part of protecting mobility over time.
4) The Goal Isn’t “Toughing It Out.” The Goal Is Function.
The most useful framing for chronic illness is often: “What helps me keep doing life?” That may include medication, physical therapy, sleep strategies,
ergonomic changes, stress management, and support. Being stubborn can be a personality trait; being strategic is a survival skill.
AS Treatment Basics: What Management Often Includes
There’s no single cure for ankylosing spondylitis, but there are many ways to manage symptoms and protect function. Treatment plans are individualized,
typically combining medical therapy and lifestyle strategies.
Common building blocks of care
- Medications such as NSAIDs for pain and inflammation; in some cases, biologics (often TNF inhibitors or IL-17 inhibitors) may be used.
- Physical therapy to maintain mobility, posture, and strength.
- Regular exercise tailored to the person (mobility, stretching, strengthening, and aerobic activity).
- Posture and ergonomics to reduce strain and support alignment.
- Smoking avoidance, since smoking can worsen outcomes and breathing capacity.
- Monitoring for complications like eye inflammation and bone health concerns.
Important note: If you suspect AS, get evaluated. Early treatment can help reduce inflammation and preserve function before structural changes become harder
to reverse.
Real-World Experiences Related to Mick Mars’ Journey With AS Symptoms (Extra Section)
Mick Mars’ story resonates because it’s not just “celebrity health trivia.” It mirrors the lived experience of many people with ankylosing spondylitis:
symptoms that start quietly, a long period of pushing through, and eventually a moment when your body says, “Cool plan. Counterpoint: no.”
Below are experiences commonly reported by people living with ASshared here in a general, respectful wayso readers can recognize the human side behind
the medical terms.
The “Morning Upgrade” That Nobody Asked For
A lot of people describe waking up with stiffness that feels like someone replaced their spine with a rusty zipper overnight. It’s not always sharp pain
sometimes it’s a deep, locked-in tightness that makes simple tasks feel weirdly dramatic: putting on socks, tying shoes, turning to check traffic.
For some, the first 20–60 minutes of the day become a routine: hot shower, gentle movement, a few stretches, and a slow ramp-up before the body “unfreezes.”
That patternworse after rest, better with movementoften becomes the first big clue that something inflammatory is going on.
Fatigue That Feels Like Your Battery Is Stuck at 12%
People also talk about fatigue that doesn’t match their life. They’ll say things like, “I slept eight hours, but I feel like I pulled an all-nighter.”
Chronic inflammation can be exhausting on its own, and pain can interrupt deep sleep. Over time, this can affect mood, focus, and motivation.
One of the hardest parts is that fatigue is invisiblefriends might see someone who “looks fine,” while that person is doing mental math just to decide
whether they can handle a grocery run and a shower on the same day. (Spoiler: sometimes the shower wins. Sometimes the groceries win. Sometimes neither wins.)
The Social Side: Explaining a Condition You Can’t “Show”
Many people with AS learn to become translators. They translate symptoms into language others understand: “It’s not soreness. It’s inflammation.”
They translate limitations without sounding like they’re making excuses: “I can go, but I can’t stand for two hours.” They translate unpredictability:
“I might feel okay today and awful tomorrow.” That’s one reason Mick Mars’ public journey matterswhen someone well-known talks about AS, it helps legitimize
the experience for people who’ve been brushed off or misunderstood.
Movement as Medicine (But Not in a Gym-Bro Way)
A common theme is learning that rest isn’t always relief. Many people find that gentle, consistent movement helps more than long periods of sitting.
That might mean walking, stretching after warmth, swimming, yoga modifications, or physical therapy exercises. The goal is rarely “fitness bragging rights.”
It’s maintaining range of motion, protecting posture, and keeping life functional. People often describe it like brushing teeth: not always exciting, but
shockingly important if you want fewer problems later.
Finding Identity Beyond the Symptoms
Finally, people with AS often talk about rebuilding identity. When symptoms affect sports, work, music, or social life, it can feel like losing a version
of yourself. The healthier shift is not “pretend it doesn’t exist,” but “adapt without erasing who I am.” That might look like changing routines,
adjusting goals, or asking for help sooner. Mick Mars stepping back from touring can be seen through that lens: not an ending to creativity, but a boundary
set so the rest of life and music can still happen. Chronic illness may change the stage setup, but it doesn’t automatically cancel the show.
Conclusion: The Big Takeaway From Mick Mars’ Journey
Mick Mars’ journey with ankylosing spondylitis symptoms puts a recognizable face on a condition that often hides in plain sight. AS can start young,
look like ordinary back pain, and quietly reshape daily life through stiffness, fatigue, and flare-ups. But with proper evaluation and a thoughtful plan,
many people can protect function and keep doing what matters to themwhether that’s touring the world or just getting through the morning without feeling
like a folding chair.
If you recognize the patternmorning stiffness, pain that improves with movement, persistent symptoms, or eye pain/vision changesconsider talking to a
healthcare professional (often a rheumatologist). The sooner you understand what’s happening, the sooner you can stop guessing and start managing.
