背部疼痛：5个警告强直性脊柱炎

强直性脊柱炎症状

与普通背部疼痛不同，不是由物理创伤到脊柱引起的。相反，它是由椎骨炎症引起的慢性自身免疫病症，脊柱的骨骼引起。脊髓性关节炎的形式。

最常见的症状是间歇性脊柱疼痛和刚度的爆发。然而，这种疾病也可以影响其他关节，以及眼睛和肠道。

In advanced AS, abnormal bone growth or calcification of the ligaments of the vertebral bodies of the spine may cause the joints to fuse. This can severely reduce mobility.

People with AS may also experience inflammation in other joints, such as their knees and ankles, and they may develop vision problems due to inflammation of the eyes.

What are the warning signs?

1. You have unexplained pain in the lower back

典型的背部疼痛经常在休息后感觉更好。与相反的一样。醒来时疼痛和僵硬通常更糟糕。

虽然运动可能会使普通背痛更差，但症状可能在运动后可能感觉更好。

Lower back pain for no apparent reason isn’t typical in young people. Teens and young adults who complain of stiffness or pain in the lower back or hips should be evaluated for AS by a doctor.

疼痛通常位于骶髂关节中，您的骨盆和脊柱相遇。

2. You have a family history of AS

某些遗传标记的人易于影响。但并非所有有基因的人都会出现这种疾病，原因仍然不清楚。

您可能拥有继承的基因，让您更大的风险，就像您有亲戚一样：

• AS
• 银屑病关节炎
• 关节炎与炎症性肠病有关

3. You’re young, and you have unexplained pain in the heels, joints, or chest

背部疼痛,而是一些病人第一擅长ience pain in the heel or pain and stiffness in the joints of the wrists, ankles, knees, or other joints.

Some patient’s rib bones are affected at the point where they meet the spine or where the ribs meet the sternum (breastbone). This can cause tightness in the chest that makes it hard to breathe.

Talk with your doctor if any of these conditions occur or persist.

你的痛苦可能会来，但它逐渐上升了你的脊椎 - 它会变得更糟

AS is a chronic, progressive disease. Although exercise or pain medications may help temporarily, the disease may gradually worsen. Symptoms may come and go, but they won’t stop completely.

往往疼痛和炎症从低备份脊柱蔓延。如果留下未处理，椎骨可能会融合在一起，导致脊柱的前向曲率（脊柱脊柱）。

This can be avoided if the condition is diagnosed early and treatment is started.

5.你通过服用nsaids来缓解你的症状

起初，人们将从常见的逆端非甾体抗炎药（NSAIDs）中得到症状缓解，例如布洛芬或萘普生。

However, these medications don’t alter the course of the disease.

If your doctors think you have AS, they may prescribe more advanced medications. These drugs target specific parts of your immune system responsible for the inflammatory response.

免疫系统组分称为细胞因子在炎症中起着核心作用。特别是 - 肿瘤坏死因子α和白细胞介素10-由现代生物疗法靶向。

These drugs may actually slow the progression of the disease.

痛苦的感觉是什么？

通常，疼痛感觉与沉闷，持续的痛苦一样。通常，您可能会感受到以下一些：

• stiffness and increased pain in the morning after waking up that lessens throughout the day as you move around.
• pain while sleeping that can wake you up
• 从轻型运动，伸展或热水淋浴的缓解。
• pain may move from side to side, especially initially
• symptoms that ease off temporarily, and then return later
• 从你的身体处理炎症的疲劳

谁通常受到的影响？

AS is more likely to affect young men, but it can affect anyone. Initial symptoms usually appear in the late teen to early adult years. AS can develop at any age, however.

The tendency to develop the disease is inherited. A genetic marker called HLA-B27 可以表明增加的风险，但并不总是存在于那些拥有的人中，并不能保证你会发展它。

目前还不清楚为什么有些人得到其他人并没有。

A history of gastrointestinal or genitourinary infections may also increase risk of developing AS, according to theNational Institute for Health and Care Excellence (NICE).

如何诊断出来？

There’s no single test for AS. Diagnosis involves a detailed patient history and physical exam including:

• physical exam and questions about pain
• mobility testing to determine flexibility and movement
• HLA-B27等遗传标记的血液检测
• 成像测试，例如CT扫描，MRI扫描或X射线

Some experts believe MRI should be used to diagnose AS in the early stages of the disease, before it shows up on an X-ray.

When to speak with your doctor

如果你发现你的腰痛（或其他关节的疼痛）持续超过你的预期，或者你发现休息症状会使症状恶化，您可能希望与您的医生联系进行测试。

There’s currently no cure for AS, but you can reduce your symptoms and slow down the progression of the disease by:

• finding it early
• 开始医疗
• 从事特定的物理治疗和姿势训练练习

治疗是推进的，这将有助于您以积极和全年的生活。

接触你的医生，看看你背部疼痛的背后。