Low back pain may not be due to lumbar muscle strain, but because of this disabling rheumatism!

*For medical professionals to read and reference low back pain that must not be ignored! The patient Xiao Zhang, due to low back pain in just three months, went to several departments in many hospitals, orthopaedics, pain department, traditional Chinese medicine.
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and finally came to the rheumatology outpatient clinic.
The patient complained that the low back pain was obvious, and the morning There is stiffness in the lower back, which can be improved after getting up and moving
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Back pain, what's the problem? So what was wrong with this young patient? Lumbar muscle strain? Lumbar disc herniation? Lumbar spinal stenosis? Osteoporosis? After diagnosis by a rheumatologist, the diagnosis was ankylosing spondylitis
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Patient A: "I never knew that the disease of low back pain should come to the Department of Rheumatology and Immunology
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" Patient B: "It turns out that the Department of Rheumatology and Immunology can still see this disease!" Patient C: "I thought the Department of Rheumatology and Immunology only saw rheumatoid arthritis.
Indeed, many patients who visit the rheumatology department will raise the above doubts
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Second, low back pain is common, so pay attention! Chronic low back pain is one of the common reasons for visiting a doctor
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80% of people will experience low back pain at least once in their lifetime, and 23% are affected by chronic low back pain
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The current status of epidemiological research in China shows that the prevalence of chronic low back pain is 31.
54%
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In terms of gender distribution, the prevalence of chronic pain in males was 33.
86%, which was higher than that in female patients (29.
53%)
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Chronic low back pain is often accompanied by emotional disorders, which affect people's quality of life and physical and mental health
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The study showed that 43.
04% of patients believed that pain would lead to sleep disorders; 39% of patients believed that pain caused frequent tension, anxiety and other emotions; 3% of patients believed that pain caused depression and even made them irritable and irritable; Patients have doubts about their disease and even hallucinations
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   Three definitions and symptoms of ankylosing spondylitis: Ankylosing spondylitis is a chronic inflammatory disease mainly manifested by sacroiliac joint and spinal enthesitis, and is strongly correlated with HLA-B27
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Starting from the sacroiliac joint, it progresses slowly along the spine (lumbar spine-thoracic spine-cervical spine), and may be accompanied by hip and peripheral joint lesions (knee, ankle), and some patients suffer from unilateral lower extremity arthritis (such as knee, ankle swelling) pain) onset
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The age of onset is more than 20 to 30 years old, and it is more common in men
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   Four are low back pain, what is the difference between ankylosing spondylitis and lumbar muscle strain? Early diagnosis and early treatment! For rigid patients, the most important thing is early detection, early diagnosis and early treatment! ! ! Studies have shown that due to untreated or improper treatment of ankylosing spondylitis, the three-year disability rate is 45.
5%, and the five-year disability rate is as high as 70%
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Most patients with ankylosing spondylitis with an average disease duration greater than 15.
6 years will be incapacitated
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Ankylosing spondylitis needs timely drug treatment to control symptoms and delay the progression of the disease: start anti-inflammatory treatment as soon as possible, which can quickly relieve low back pain, improve morning stiffness, joint swelling and pain and other symptoms; inhibit the progress of bone destruction and protect joint function , in order to fundamentally ensure the long-term quality of life of patients! Surgery cannot delay the progression of ankylosing spondylitis, but can only relieve joint pain and improve joint dysfunction; patients with ankylosing spondylitis involve many joints, and not all joints can be treated by surgery; ankylosing spondylitis except for joints Lesions, as well as extra-articular symptoms such as recurrent uveitis or iritis, ascending aortic root and aortic valve disease, and cardiac conduction system abnormalities, cannot be improved by joint replacement
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Six small questionnaires for self-diagnosis of inflammatory low back pain 1.
Did you start low back pain before the age of 40? 2.
Does back pain wake you up in the middle of the night and prevent you from going back to sleep? 3.
Does your back pain ease if you exercise or move around? 4.
Does your back pain get worse when you rest or sit for long periods of time? 5.
Does your back feel stiff after at least 30 minutes in the morning? 6.
Will my back pain get better after taking NSAIDs such as ibuprofen? 7.
Has your back pain persisted for more than three months? 8.
Does the back pain co-occur with other seemingly unrelated symptoms, including eye inflammation, inflammatory bowel disease, psoriasis, or pain in surrounding joints (such as ankles or knees)? If you have the above symptoms, please go to the rheumatism and immunization department in time~ Source of this article: Friendship Rheumatism Information Responsible Editor: Orange Copyright Notice Author of the manuscript, 1.
Clinical practical skills, misdiagnosed cases, clinical medication, interesting content of rheumatology and immunology; 2.
Interesting diagnosis and treatment stories of rheumatology immunologists; 3.
Major progress in the field of rheumatology and immunology; content that the doctor is interested in)
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