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Bertolotti's syndrome is a commonly missed cause of back pain which occurs due to lumbosacral transitional vertebrae (LSTV). It is a congenital condition but is not usually symptomatic until one's later twenties or early thirties. [1] However, there are a few cases of Bertolotti's that become symptomatic at a much earlier age.
Degenerative arthritis, or osteoarthritis of the spine, can cause degeneration within the sacroiliac joints and lead to inflammation and joint pain. Any form of spondyloarthropathies, which includes ankylosing spondylitis, psoriatic arthritis , reactive arthritis or arthritis related to inflammatory bowel diseases , including ulcerative colitis ...
Over-diagnosis and attention on herniated discs has led to the SI joint becoming an underappreciated pain generator in an estimated 15% to 25% of patients with axial low back pain. [1] [8] [3] [5] [6] [7] The ligaments in the sacroiliac are among the strongest in the body and are not suspected by many clinicians to be susceptible to spraining ...
Cervical canal stenosis may lead to myelopathy, a serious condition causing symptoms including major body weakness and paralysis. [14] Such severe spinal stenosis symptoms are virtually absent in lumbar stenosis , however, as the spinal cord terminates at the top end of the adult lumbar spine, with only nerve roots ( cauda equina ) continuing ...
It can affect one or more joints throughout the body. Hypermobile joints are common and occur in about 10 to 25% of the population, [3] but in a minority of people, pain and other symptoms are present. This may be a sign of hypermobility spectrum disorder (HSD). Hypermobile joints are a feature of genetic connective tissue disorders such as ...
Other rheumatological disorders that can cause the features typical for RS3PE include late onset (seronegative) rheumatoid arthritis, acute sarcoidosis, ankylosing spondylitis and other spondyloarthropathies such as psoriatic arthropathy, mixed connective tissue disease, chondrocalcinosis and arthropathy due to amyloidosis.
Enthesophathy and arthritis of large joints of the lower extremities is more common than the characteristic early-morning back pain seen in adult AS. [13] Ankylosing tarsitis of the ankle is a common feature, as is the more classical findings of seronegative ANA and RF as well as presence of the HLA-B27 allele. [ 13 ]
Facet joints also prevent each vertebra from slipping over the one below. A small capsule surrounds each facet joint providing a nourishing lubricant for the joint. Also, each joint has a rich supply of tiny nerve fibers that provide a painful stimulus when the joint is injured or irritated. Inflamed facets can cause a powerful muscle spasm.