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Back Pain

Risk factors for inflammatory back pain  

past medical or family history of

·           psoriasis

·           IBD

·           iritis

·           ankylosing spondylitis

·            

Inflammatory back pain

·         Morning back stiffness that loosens after 30-60 minutes and is improved by exercise, especially age under 50

·         Sacroiliac joint discomfort that may radiate to the buttocks / hamstrings

·         raised inflammatory markers

 

 If there is no evidence of inflammation in the history, consider referral to MSK

 

Investigations

FBC UE LFT BONE ESR and CRP

 

 

 

Reference

Personal communication Drs Endean, Hutchinson. Rheumatology consultants Royal Cornwall Hospital December 2016