The muscles on the side of the spine can contribute to this pain because of spasms. The most common initial symptom of AS is persistent, localized low back pain. They should be sure to find a rheumatologist who is aware of nr-axSpA so an appropriate evaluation can be made. It is important for individuals, particularly young females, to not pass off their symptoms of chronic low back pain. Even some Rheumatologists are not fully aware of AS and nr-AxSpa. #BATTLE NATIONS UNICORN TROOPER HOW TO#Many physicians and other health care professionals (primary care, orthopedists, chiropractors, osteopaths, nurse practitioners) are unaware of AS or how to evaluate it. It's important for individuals with back pain to understand that Rheumatologists are the medical experts for managing inflammatory conditions of the spine that cause back pain like AS. When individuals did seek medical care, their symptoms wire minimized, overlooked, or misinterpreted particularly in young females. Many individuals thought their back pain as a consequence of activity or age. The interval between the onset of symptoms and diagnosis ranged between 40% in less than 2 years, and 25% greater than 11 years. The study recruited 125 nr-axSpA patients who had more than 3 months of chronic back pain starting before age 45.Ībout 50 % of patients ultimately diagnosed with AS saw 4 doctors before seeing a rheumatologist, and 50 % saw 2 rheumatologists before the diagnosis was made. A study publisheed in 2020 at the American College of Rheumatology Convergence meeting looked at the factors contributing to a diagnostic delay. In the United States, a delay in diagnosis of nr-axSpA may be as long as 14 years. Of continued interest is the question of whether nr-axSpA is the early stage of AS or a separate illness. The presence of inflammation solely identified by MRI testing makes the diagnosis of nr-axSpA even more difficult than AS. Prior to the X-ray changes, inflammation affects the sacroiliac joints that may be discovered only on magnetic resonance imaging (MRI) evaluation of the pelvis. The classic diagnosis of AS includes radiographic evidence of inflammation in the sacroiliac joints (sacroiliitis). Unfortunately it is very common because affected individuals and doctors alike often don't recognize the symptoms. How Common is a Delayed Diagnosis with AS?
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