Early diagnosis of back pain. What to do to not to overlook AS? Case report
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Published:
Dec 31, 2022
Keywords:
spine osteoarthritis, spondyloarthropathy, ankylosing spondylitis, non-steroidal anti-inflammatory drugs
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Abstract
Chronic back pain, especially low back pain, is one of the most common reasons for all medical consultations. Non-specific back pain is usually caused by osteoarthritis and overloading changes of the spine. Other, less common causes of back pain include inflammatory diseases of the spine and sacroiliac joints – spondyloarthropathies (SpA), including ankylosing spondylitis (AS). Early diagnosis of AS (SpA) is essential for stopping the progression of the disease, improving the quality of life and prognosis. Non-steroidal anti-inflammatory drugs (NSAIDs) play a most important role in the pharmacotherapy of both non-specific back pain and AS.
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Rupiński , R. (2022). Early diagnosis of back pain. What to do to not to overlook AS?. Medycyna Faktow (J EBM), 15(4(57), 420-423. https://doi.org/10.24292/01.MF.0422.8
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2. Sokalska-Jurkiewicz M, Morgiel E. Badanie fizykalne układu ruchu. Przegląd Reumatologiczny. 2007; 1(12): 6-7.
3. van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984; 27(4): 361-8.
4. Verhagen A, Downie A, Popal N et al. Reg flags presented in current low back pain guidelines: a review. Eur Spine J. 2016; 25(9): 2788-802.
5. Sieper J, van der Heijde D, Landewé R et al. New criteria for inflammatory back pain in patients with chronic back pain: a real patient exercise by experts from the Assessment of SpondyloArthritis international Society (ASAS). Ann Rheum Dis. 2009; 68(6): 784-8.
6. Sieper J, Rudwaleit M, Baraliakos X et al. The Assessment of SpondyloArthritis international Society (ASAS) handbook: a guide to assess spondyloarthritis. Ann Rheum Dis. 2009; 68: ii1-ii44.
7. McCrum C. Appraisal of Clinical Practice Guideline: NICE Guidance on Spondyloarthritis in over 16s: diagnosis and management. J Physiother. 2019; 65(4): 242.