Sacroiliac bone pain is not painful later, and it develops into spinal pain, which is ankylosing spo

From your symptoms, you can roughly conclude that there is a tendency to some mandatory spondylitis, but it is not excluded that overwork or sprains and strains and other musculoskeletal injuries, this kind of pain is different from mandatory spondylitis in nature, ankylosing spondylitis has a typical morning stiffness (in the morning is the whole body stiffness after the activity is significantly improved) phenomenon and the pain and morning stiffness will be aggravated after rest, while sprains will not, but due to the development of the disease caused by the usual inattention of most patients, if you have the above symptoms, it is recommended that you go to the hospital for examination, The main ones are: B27 (early fasting test for blood tests) and MIR (spiral CT) test of the hip joint or spine, and then go to the rheumatology and immunology department in the specialized endocrinology department to find a doctor to confirm.

Hello! The sacroiliac joints are the most affected joints, and generally sacroiliitis is an early change in ankylosing spondylitis, but not all people with sacroiliitis and symptoms can be diagnosed as ankylosing spondylitis.

After the diagnosis of the disease, the patient must have a full understanding and correct understanding of the condition, and actively cooperate**. Everyone's condition is different, and the method of medicine is also different from person to person, so you must be cautious! During the period of ankylosing spondylitis, we must pay attention to functional exercise and health care, and maintain a good attitude, so as to benefit the condition.

Our hospital is holding a book donation activity, and we can mail you a copy of the "Ankylosing Spondylitis Prevention and Treatment Manual" for free, which contains a large number of typical cases and induces, daily life precautions, activities and exercises, methods and so on. I hope it can help you, and I wish the patient a speedy one**!

insidious appearance of low back discomfort;

Age 40 years;

Lasts more than 3 months; Shen Jianxiong, Beijing **** orthopedics.

stiffness in the early morning;

Improvement in activity symptoms.

With the above medical history, X-ray shows signs of sacroiliitis, HLA B27 ten, which is confirmed as spondylosis; Further exclusion of psoriasis, inflammatory bowel disease, or reiter's syndrome arthritis allows the diagnosis of primary AS to be made, rather than waiting for significant stiffness of the spine.

The commonly used clinical diagnostic criteria for AS are:

1.The lumbar spine is limited in three directions: forward flexion, scoliosis, and backward leaning;

2.Lumbar spine or lower back pain or history of pain for more than 3 months;

3.Chest expansion is limited, measured at the level of the 4th intercostal space, dilation.

The grade was changed according to the above clinical criteria and sacroiliitis x-rays.

1) Confirmed AS of: bilateral sacroiliitis or grade, and at least one of the above clinical criteria; Unilateral sacroiliitis or grade, or bilateral sacroiliitis grade, and with clinical criteria No. 1, or with clinical criteria No. 2, No. 3.

B27 is a more intuitive diagnosis. Early spondylitis is more difficult to diagnose, X-ray manifestations, clinical symptoms and blood pictures combined, early may be asymptomatic, and when it is found, it may be the middle stage, if the early pain is obvious, it may only be a manifestation of the acute stage of sacroiliitis.

There are several reasons why ankylosing spondylitis invades the sacroiliac joint.

1. It may be related to the anatomical position. The sacroiliac joint is a micro-articulation joint of the human body with a small range of motion, and the sacroiliac joint is a joint formed by connecting the auricular articular surfaces of the sacrum and ilium. The sacroiliac joint is the necessary passage of gravity conduction, and the articular surface that makes up the sacroiliac joint is uneven in adulthood, showing a staggered canine tooth, and the joint capsule is close to the articular surface.

2. It may be related to the characteristics of the organizational structure. The ligaments around the sacroiliac joint are dense, and it is adjacent to capillary-rich organs such as the rectum, bladder, uterus (female), prostate (male), etc., the first three of which are luminal organs that communicate with the outside world, increasing the pathway of external bacterial infection.

3. It may be related to infection. The anatomical position and tissue structure of the sacroiliac joint determine the increase of its chance of infection, and at the same time, the abundant blood circulation and lymphatic circulation near the sacroiliac joint can improve the nutrition of the body, and also create good conditions for the breeding and reproduction of bacteria. This is the reason why Klebsiella can be detected in the intestine of patients with ankylosing spondylitis and women are susceptible to the disease after childbirth.

4. It may be related to immunity. From the perspective of the high affinity of the human body for the HLA-B27 antigen, whether there is a substance associated with the HLA-B27 antigen in the sacroiliac joint, or whether there is a receptor associated with the immune response to ankylosing spondylitis in the sacroiliac joint, is only an inference and needs to be further studied in the future.

Go to the hospital for a check-up.