Mechanical vs Inflammatory Back Pain
Is your back pain the result of an injury (mechanical) or is it caused by a medical
condition (inflammatory)? Answer these 5 questions and talk to your doctor.
Based on your answers, your back pain may be inflammatory.
There are several causes of inflammatory back pain. For some people,
it’s caused by Ankylosing Spondylitis. Talk to your doctor to determine
if you should see a rheumatologist – a specialist qualified in the
diagnosis and management of inflammatory conditions like AS.
Based on your answers, your back pain may not be inflammatory.
That makes it less likely you have a disease like Ankylosing Spondylitis.
It’s still important to talk to your doctor to understand what is causing
your back pain. Your doctor may recommend that you see a specialist
to diagnose and manage your symptoms.
What is Ankylosing Spondylitis?
An•ky•los•ing Spon•dy•li•tis, or AS, is a lifelong autoimmune disease, and form of arthritis, that causes inflammation, pain, and stiffness, mainly in the spinal joints. AS symptoms can be confused with symptoms of mechanical back pain, which are primarily in the lower back. AS symptoms often start in the lower back and can be difficult to diagnose.
What could my symptoms mean?
Mechanical Back Pain.
Caused by a specific injury or strain to the back, like lifting too much weight. Mechanical back pain is very common, occurring at least once in 85% of adults younger than 50. Mechanical back pain can be distinguished by:
Inflammatory Back Pain.
- Being alleviated by bed rest
- Lasting less than 4-6 weeks
Caused by inflammation in the spinal joints, and not a result of any specific injury. The back pain associated with AS is inflammatory in nature. Some symptoms to help determine if your back pain can be related to an inflammatory condition like AS are:
- Back pain and stiffness worsen with rest or inactivity, with pain often occurring at night or early in the morning
- Back pain and stiffness tend to be eased by exercise or movement
- Back pain lasting more than 3 months (chronic)
In the early stages of AS, the pain and stiffness often starts in the lower back, but over time, it may move up the spine and into the neck. Patients with active disease experience pain, swelling, and discomfort, and may experience morning stiffness.
AS symptoms vary from person to person, and can have a wide range of effects.
One person's experience could be completely different from another person's. For some people, over time, AS can lead to fusion of spinal joints. In the most severe cases, AS can result in a forward-stooped posture. Learn more about AS symptoms and common areas of the body that are affected.
Who's at risk?
Historically, it was thought that AS was more common in men than women. But recent research suggests it may be equally common in both sexes. Disease onset usually occurs before age 35 – peaking around age 28. A family history of AS can also increase the risk of developing the disease. Learn about other AS risk factors and potential AS causes.
Unfortunately, diagnosing AS can be difficult. That's why it's important to learn as much as you can about the disease and to talk to your doctor about your back pain.