When should I see a rheumatologist for back pain?

You should see a rheumatologist if you have back pain that's not from an injury and doesn't go away in a few days, pain that comes back after treatment, or symptoms that suggest a rheumatic condition. You may need to first see your primary care provider for a referral.


How do I know if I need to see a rheumatologist?

If you have pain in your joints that is accompanied by other symptoms, like swelling and fatigue, your doctor may have recommended seeing a rheumatologist.
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When should you see a rheumatologist?
  • Pain, stiffness or swelling in more than one joint.
  • Fatigue.
  • Generalized weakness.
  • Skin rashes or lesions.
  • Hair loss.


What are the symptoms of rheumatoid arthritis in the back?

RA in the spine can cause the following symptoms:
  • Neck and/or back pain (depends on area affected)
  • Swelling of joints.
  • Warmth around the joints.
  • Headaches and pain at the base of the skull (if RA is present in cervical spine)
  • Painful and stiff joints.
  • Loss of flexibility and function of joints.


What autoimmune disease causes back pain?

Some common autoimmune disorders include rheumatoid arthritis, in which joints all over the body (including facet joints in the spine) are attacked, causing back pain and inflammation as well as permanent decreases to mobility.

What does rheumatoid arthritis back pain feel like?

Stiffness and loss of flexibility in the spine, such as being unable to straighten your back or turn your neck. Swelling and tenderness over the affected vertebrae. Feeling of grinding when moving the spine. Pain, swelling and stiffness in other areas of the body (especially in inflammatory arthritis)


You May Need a Rheumatologist for Back Pain



Do rheumatologists treat back pain?

Severe or persistent back pain is often treated by a rheumatologist or an orthopedic surgeon. A rheumatologist is an expert in autoimmune diseases such as rheumatoid arthritis and ankylosing spondylitis, whereas orthopedists treat joint and muscle injuries and osteoarthritis.

Can a blood test detect rheumatoid arthritis?

No blood test can definitively prove or rule out a diagnosis of rheumatoid arthritis, but several tests can show indications of the condition. Some of the main blood tests used include: erythrocyte sedimentation rate (ESR) – which can help assess levels of inflammation in the body.

What inflammation causes back pain?

The classic association of inflammatory back pain symptoms is with ankylosing spondylitis; however, IBP may also be present in other seronegative spondyloarthropathies such as psoriatic arthritis, enteropathic arthropathy, juvenile idiopathic arthritis, and reactive arthritis.


Is back pain a symptom of lupus?

Conclusions: The prevalence of chronic low back pain in individuals with systemic lupus erythematosus was 26%. The maximal voluntary isometric contraction of the back muscles was 63% predicted by five variables of interest, however, only the handgrip strength was a statistically significant predictive variable.

What does spinal inflammation feel like?

Transverse myelitis is an inflammation of part of the spinal cord. The exact cause is often not known, but it sometimes happens after infections or in people with autoimmune diseases. Common symptoms are back or neck pain, weakness or sensation changes in the arms or legs, or loss of bladder or bowel control.

What is commonly mistaken for rheumatoid arthritis?

Lupus and Scleroderma

The autoimmune diseases systemic lupus erythematosus and scleroderma often present with joint involvement that mimics rheumatoid arthritis. While lupus and scleroderma are two different diseases, they often overlap with one another.


Which part of the spine is most commonly affected in rheumatoid arthritis?

The cervical spine is often affected in this disease and can present in the form of atlantoaxial instability (AAI), cranial settling (CS), or subaxial subluxation (SAS). Patients may present with symptoms and disability secondary to these entities but may also be neurologically intact.

What is the best treatment for lower back arthritis?

Lumbar arthritis treatment

Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed medications to treat back pain caused by arthritis. These medications can help relieve pain and inflammation.

What will rheumatologist do on first visit?

“The first visit will include a physical exam in which your rheumatologist will search for joint swelling or nodules that may indicate inflammation,” says Dr. Smith. “Lab tests, such as X-rays and blood work, may also supply pieces of the puzzle to assist your rheumatologist in arriving at your diagnosis.”


Can I self refer to a rheumatologist?

Generally, you cannot self-refer to a specialist within the NHS, except when accessing sexual health clinics or A&E treatment. A specialist will only see you with a letter of referral from your GP.

What tests do rheumatologists run?

What should I expect when I see a rheumatologist?
  • Biopsy to test tissue for signs of autoimmune disease.
  • Blood tests to check liver or kidney function.
  • Bone density test (DEXA scan).
  • CT scan, MRI or ultrasound to view organs and structures.
  • Chest X-ray to assess lung issues.
  • Heart tests, such as an electrocardiogram.


What are the top 5 signs of lupus?

The most common signs and symptoms include:
  • Fatigue.
  • Fever.
  • Joint pain, stiffness and swelling.
  • Butterfly-shaped rash on the face that covers the cheeks and bridge of the nose or rashes elsewhere on the body.
  • Skin lesions that appear or worsen with sun exposure.


What are the 11 indicators of lupus?

The 11 Signs of Lupus: What You Need to Know
  • A butterfly-shaped rash across both sides of the face.
  • Raised, red skin patches.
  • Sensitivity to light.
  • Ulcers in the mouth or nose.
  • Arthritis plus swelling or tenderness in two or more joints.
  • Seizures or other nervous system problems.
  • Excessive protein in urine.


What are the 12 signs of lupus?

With that said, anyone with lupus can be affected by the following symptoms:
  • Joint swelling, pain, and stiffness. ...
  • A butterfly-shaped face rash. ...
  • Unusually high sensitivity to sunlight. ...
  • Fever. ...
  • Chest pain. ...
  • Hair loss. ...
  • Mouth sores. ...
  • Kidney problems.


What is a red flag for back pain?

“Red flags” include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; constitutional symptoms; atypical pain (eg, that which occurs at night or that is unrelenting); the presence of a severe or rapidly ...


What are the 5 classic signs of inflammation?

Based on visual observation, the ancients characterised inflammation by five cardinal signs, namely redness (rubor), swelling (tumour), heat (calor; only applicable to the body' extremities), pain (dolor) and loss of function (functio laesa).

Which antiinflammatory is best for lower back pain?

NSAIDs work by lowering inflammation, which in turn decreases back pain.
  • Best for fast back pain relief: Ibuprofen (Advil, Motrin) ...
  • Best for all day/night back pain relief: Naproxen (Aleve) ...
  • Best for back pain relief if you can't use NSAIDs: Acetaminophen (Tylenol)


How does a doctor confirm rheumatoid arthritis?

Imaging Tests

Doctors may use x-rays to monitor the progression of the disease or to rule out other causes for the joint pain. Magnetic resonance imaging (MRI) and ultrasound may help diagnose rheumatoid arthritis in the early stages of the disease.


What blood test is usually positive in patients with rheumatoid arthritis?

The higher the levels of anti-CCP antibody, the more likely it is to suggest RA. This test is 97% specific for RA if it is present. Once a patient develops a positive anti-CCP, it will usually remain positive, despite remission.

What are the 7 diagnostic criteria for RA?

The new criteria are as follows: 1) morning stiffness in and around joints lasting at least 1 hour before maximal improvement; 2) soft tissue swelling (arthritis) of 3 or more joint areas observed by a physician; 3) swelling (arthritis) of the proximal interphalangeal, metacarpophalangeal, or wrist joints; 4) symmetric ...