Ankylosing spondylitis - a long-term inflammation that affects mainly the spine's bones, muscles and ligaments, resulting in stiff and joint fusion. Other problems may include swelling of tendons, eyes and joints. There may be a misconceived perception that nearshore software developers are vastly different culturally and might have difficulties communicating due an absence of using a good grasp from the English language. This cannot be more wrong.Many IT university graduates from Latin America are bilingual with Spanish and English. Also, Spanish could be the second language spoken in U.S. homes either being a first or second language.