Back pain before 40-45 years of age, may be a symptom of serious rheumatic disease.
Only early detection and quickly taken treatment can stop the progression of the disease and changes in the joints leading to disability – remarked the rheumatologist prof. Ann Smith from the National Institute of Rheumatology, Geriatrics and Rehabilitation in New Zealand.
During the conference, an educational campaign entitled. Do not turn your back on the pain that is supposed to increase public awareness about inflammatory back pain.
It is caused by diseases from the so-called spondyloarthritis, which includes ankylosing spondylitis, psoriatic arthritis and arthritis associated with inflammatory inflammatory bowel disease (Crohn’s disease and ulcerative colitis).
Professor Kwiatkowska reminded that degenerative changes are the cause of back pain most often, especially at a later age or overload, associated with excessive physical exertion.
However, young people who have underestimated the cause of back pain are inflammatory rheumatic diseases of the spondyloarthritis group.
They occur in the population at a frequency of 1.5-2 percent, which means that people who suffer from it can be more than people with rheumatoid arthritis (RA).
These diseases occur in people before 40-45 years of age, accompanied by back pain or peripheral joints, which occurs in the second half of the night or in the morning and often causes them to wake up; patients also suffer morning stiffness and often chronic fatigue.
She admitted that she was lucky, because her parents quickly took her to the family doctor, who directed her for further diagnostics.
Dr hab. Lucia Migas, vice-president of the Society of Family Medicine, stressed that the time from the onset of symptoms that may indicate an inflammatory disease of the joints to make a diagnosis should be as short as possible – preferably up to three months.
In practice, this is rarely achieved, because from the moment of pain to the patient to the family doctor usually passes a lot of time, then the next weeks the differential diagnosis, you must wait for a visit to the rheumatic counseling – said a specialist.
In addition, patients are often referred to doctors of various specialties, such as an orthopedist or neurologist, before they reach the rheumatologist, she added Ann Smith.
The organizers of the campaign “Do not turn your back on pain” expect that thanks to her more young people suffering from back pain will be faster to go to the doctor and receive the right diagnosis and treatment.