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Inflammatory back pain in primary care

M R Underwood1, P Dawes

  • 1Department of Primary Health Care, University of Keele.

British Journal of Rheumatology
|November 1, 1995
PubMed
Summary
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Rheumatology (Oxford, England)·2007

A screening questionnaire identified inflammatory back pain in 15% of sufferers. Mild ankylosing spondylitis may benefit from treatment, even if it doesn't progress to definite ankylosis.

Area of Science:

  • Rheumatology
  • Orthopedics
  • Pain Management

Background:

  • Inflammatory back pain is a common symptom.
  • Early identification of spondyloarthropathy is crucial for management.

Purpose of the Study:

  • To assess the prevalence of inflammatory back pain using a screening questionnaire.
  • To evaluate the diagnostic yield of the questionnaire in identifying ankylosing spondylitis and related conditions.

Main Methods:

  • A screening questionnaire for inflammatory back pain was administered to 313 back pain sufferers.
  • Positive respondents underwent further clinical examination.

Main Results:

  • 15% (46/313) screened positive for inflammatory back pain.

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  • Only 2 patients had definite ankylosing spondylitis.
  • 39% (18/46) exhibited features of spondyloarthropathy.

    • Conclusions:

    • A significant proportion of back pain sufferers may have undiagnosed mild ankylosing spondylitis.
    • Treatment for ankylosing spondylitis may be beneficial for these patients, irrespective of disease progression.
    • The screening questionnaire shows potential for identifying individuals who could benefit from further evaluation and management.