Posts Tagged ‘ankylosing spondylitis and endometriosis’
Sacroiliitis is one of those ‘itises’ that once you have it you won’t want to repeat it –ever!
This inflammation of one or both of the sacroiliac joints that connect the lower spine (sacrum) to the pelvis can be extremely painful. There is severe pain and stiffness in your low back and hips and walking is difficult. Pain may radiate from the lower back and pelvis into the buttocks or back of the thigh.
The sacroiliac joints are surrounded by a large amount of ligaments and fibrous tissue for stability. Because these joints are deep in the muscle of your buttocks, they are difficult to examine. The pain when you move may be so severe that you become unwilling to move at all and this makes the condition difficult to diagnose. Sacroiliitis can be mistaken for other causes of low back pain such as:
• Herniated disc
• Muscle strain
• Septic Hip
• Abscess of the psosas muscle –this is a part of the hip flexor group of muscles
• Kidney Infection
• Ankylosing spondylitis
• Trauma, such as a car accident or fall which affects your lower back, spine, pelvis or buttocks. Torn ligaments can create inflammation or lead to infection of the sacroiliac joints.
• Heavy lifting, if done incorrectly, can injure muscles and joints.
• Spondyloarthropathies, which are inflammatory arthritis conditions including: ankylosing spondylitis, arthritis associated with psoriasis.
• Degenerative arthritis of spine, which can cause inflammation of sacroiliac joints
• Osteoarthritis leads to degeneration of the sacroiliac joints.
• Pregnancy, in which the ligaments in pelvis become softer and stretch to accommodate childbirth.
• Infection of the sacroiliac joint. This may be due to a bacterial infection in food such as brucellosis. This disease occurs in slaughterhouse workers, farmers, veterinarians, ranchers. It was spread through contaminated milk prior to pasteurization requirements.
• Reiter’s Syndrome, which causes sacroiliac joint pain along with other symptoms.
Because of the difficulty diagnosing this disorder, predisposing risk factors must be considered, including:
• History of bone, joint, skin infection.
• Injury to spine, pelvis or buttocks
• Urinary Tract Infection may spread infection from urinary tract to sacroiliac joints.
• Pregnancy, when the area around sacroiliac joints may become inflammmed.
• Endocarditis, which is an infection of the lining of the heart, can spread to joints and other body organs.
• Illicit IV drug use increases the risk
• Pain and stiffness in lower back, thighs, buttocks
• Pain becomes worse with walking due to the motion of the hips.
• Psoriasis, an inflammatory skin condition, may occur with a type of arthritis.
• Pain radiating down leg, often mimics sciatica
• Decreased range of motion
• Elevated temperature
• Bloody Diarrhea occurs with Reiter’s Syndrome which causes painful urination, joint pain, sacroiliac joint pain, and eye inflammation
• Eye inflammation in one or both eyes, a symptom of Reiter’s Syndrome and often evident with sacroiliitis.
It is important to seek medical evaluation promptly with sacroiliitis and to not delay treatment. This illness is no ordinary episode of back pain, and it can lead to joint destruction and the possible development of a disabling ailment or a severe systemic infection.
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Back pain is an all-too-familiar problem that can range from a dull, constant ache to a sudden, sharp pain that leaves you incapacitated. It can come on suddenly—from an accident, a fall, or lifting something heavy—or it can develop slowly, perhaps as the result of age-related changes to the spine. Regardless of how back pain happens or how it feels, you know it when you have it. And chances are, if you don’t have back pain now, you will eventually.
“Weekend warriors”—people who go out and exercise a lot after being inactive all week—are more likely to suffer painful back injuries than people who make moderate physical activity a daily habit. Studies show that low-impact aerobic exercise is good for the disks that cushion the vertebrae, the individual bones that make up the spine.
Diet: A diet high in calories and fat, combined with an inactive lifestyle, can lead to obesity, which can put stress on the back.
Heredity: Some causes of back pain, such as ankylosing spondylitis, a form of arthritis that affects the spine, have a genetic component.
Race: Race can be a factor in back problems. African American women, for example, are two to three times more likely than white women to develop spondylolisthesis, a condition in which a vertebra of the lower spine—also called the lumbar spine—slips out of place.
The presence of other diseases: Many diseases can cause or contribute to back pain. These include various forms of arthritis, such as osteoarthritis and rheumatoid arthritis, and cancers elsewhere in the body that may spread to the spine.
Occupational risk factors: Having a job that requires heavy lifting, pushing, or pulling, particularly when this involves twisting or vibrating the spine, can lead to injury and back pain. An inactive job or a desk job may also lead to or contribute to pain, especially if you have poor posture or sit all day in an uncomfortable chair.
Cigarette smoking: Although smoking may not directly cause back pain, it increases your risk of developing low back pain and low back pain with sciatica. (Sciatica is back pain that radiates to the hip and/or leg due to pressure on a nerve.) For example, smoking may lead to pain by blocking your body’s ability to deliver nutrients to the disks of the lower back. Or repeated coughing due to heavy smoking may cause back pain. It is also possible that smokers are just less physically fit or less healthy than nonsmokers, which increases the likelihood that they will develop back pain. Smoking also increases the risk of osteoporosis, a condition that causes weak, porous bones, which can lead to painful fractures of the vertebrae. Furthermore, smoking can slow healing, prolonging pain for people who have had back pain.
What Are the Causes of Back Pain?
It is important to understand that back pain is a symptom of a medical condition, not a diagnosis itself. Medical problems that can cause back pain include the following:
Mechanical problems: A mechanical problem is a problem with the way your spine moves or the way you feel when you move your spine in certain ways. Perhaps the most common mechanical cause of back pain is a condition called intervertebral disk degeneration, which simply means that the disks located between the vertebrae of the spine are breaking down with age. As they deteriorate, they lose their cushioning ability. This problem can lead to pain if the back is stressed. Other mechanical causes of back pain include spasms, muscle tension, and ruptured disks, which are also called herniated disks.
Injuries: Spine injuries such as sprains and fractures can cause either short-lived or chronic pain. Sprains are tears in the ligaments that support the spine, and they can occur from twisting or lifting improperly. Fractured vertebrae are often the result of osteoporosis. Less commonly, back pain may be caused by more severe injuries that result from accidents or falls.
Acquired conditions and diseases: Many medical problems can cause or contribute to back pain. They include scoliosis, a curvature of the spine that does not usually cause pain until middle age; spondylolisthesis; various forms of arthritis, including osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis; and spinal stenosis, a narrowing of the spinal column that puts pressure on the spinal cord and nerves. Although osteoporosis itself is not painful, it can lead to painful fractures of the vertebrae. Other causes of back pain include pregnancy; kidney stones or infections; endometriosis, which is the buildup of uterine tissue in places outside the uterus; and fibromyalgia, a condition of widespread muscle pain and fatigue.
Infections and tumors: Although they are not common causes of back pain, infections can cause pain when they involve the vertebrae, a condition called osteomyelitis, or when they involve the disks that cushion the vertebrae, which is called diskitis. Tumors also are relatively rare causes of back pain. Occasionally, tumors begin in the back, but more often they appear in the back as a result of cancer that has spread from elsewhere in the body.
Although the causes of back pain are usually physical, emotional stress can play a role in how severe pain is and how long it lasts. Stress can affect the body in many ways, including causing back muscles to become tense and painful.
Can Back Pain Be Prevented?
One of the best things you can do to prevent back pain is to exercise regularly and keep your back muscles strong. Exercises such as tai chi and yoga—or any weight-bearing exercise that challenges your balance—are good ones to try.
Eating a healthy diet also is important. For one thing, eating to maintain a healthy weight—or to lose weight, if you are overweight—helps you avoid putting unnecessary and injury-causing stress and strain on your back. To keep your spine strong, as with all bones, you need to get enough calcium and vitamin D every day. These nutrients help prevent osteoporosis, which is responsible for a lot of the bone fractures that lead to back pain. Calcium is found in dairy products; green, leafy vegetables; and fortified products, like orange juice. Your skin makes vitamin D when you are in the sun. If you are not outside much, you can obtain vitamin D from your diet: nearly all milk and some other foods are fortified with this nutrient. Most adults don’t get enough calcium and vitamin D, so talk to your doctor about how much you need per day, and consider taking a nutritional supplement or a multivitamin.
Practicing good posture, supporting your back properly, and avoiding heavy lifting when you can may all help you prevent injury. If you do lift something heavy, keep your back straight. Don’t bend over the item; instead, lift it by putting the stress on your legs and hips.
When Should I See a Doctor for Pain?
In most cases, it is not necessary to see a doctor for back pain because pain usually goes away with or without treatment. However, a trip to the doctor is probably a good idea if you have numbness or tingling, if your pain is severe and doesn’t improve with medication and rest, or if you have pain after a fall or an injury. It is also important to see your doctor if you have pain along with any of the following problems: trouble urinating; weakness, pain, or numbness in your legs; fever; or unintentional weight loss. Such symptoms could signal a serious problem that requires treatment soon.
What Is the Difference Between Acute and Chronic Pain?
Pain that hits you suddenly—after falling from a ladder, being tackled on the football field, or lifting a load that is too heavy, for example—is acute pain. Acute pain comes on quickly and often leaves just as quickly. To be classified as acute, pain should last no longer than 6 weeks. Acute pain is the most common type of back pain.
Chronic pain, on the other hand, may come on either quickly or slowly, and it lingers a long time. In general, pain that lasts longer than 3 months is considered chronic. Chronic pain is much less common than acute pain.
Mr. Schuett recommends: Get more than one diagnosis – not all doctors think alike. Do your research – know what to ask. Don’t be afraid to ask. After all, IT’S YOUR BACK.
Just sharing my experiences and thoughts about AS
Video Rating: 4 / 5
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