Lumbar spondyloarthropathy

Spondyloarthropathies are a group of long-term chronic diseases that affect skeletal joints. When these diseases affect children we call them juvenile spondyloarthropathies. Spondyloarthropathies include ankylosing spondylitis, Reiter’s syndrome (reactive arthritis), psoriatic arthritis and enteropathic arthritis. Depending on where you live and who you are speaking to spondyloarthropathies may be referred to as spondyloarthritis.

Symptoms of spondyloarthropathy

Although there are a number of conditions under the banner of spondyloarthropathies and they all have a similar presentation and classic symptoms. These may include low back pain and sacroiliac pain, they may also affect the area where tendons attach to bones and we call this region the enthesis and enthesitis when it is inflamed. This usually occurs in the knees feet and hips. Morning stiffness in the low back and spine is common.

Treatment of spondyloarthropathy

For a chiropractor or physiotherapist the most important aspect in the management of this condition is attaining the right diagnosis. If a spondyloarthropathy is suspected images of the pelvis and spine may be taken and these may include X-rays, CT scans and MRI’s. Referral will also be given to a medical doctor who specialises in this area called a rheumatologist with clear communication with your general practitioner.

A chiropractor or physiotherapist will work closely with your medical practitioners and treatments will aim to reduce pain, improve posture and improve the stability of your low back and spine. Exercise advice and clear strategies to avoid mechanical irritation to the involved structures will be given.

Causes of low back pain

The following conditions are common causes of low back pain.