Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region Save

Non-radiographic Axial Spondyloarthritis of the Sacral and Sacrococcygeal Region

Non-radiographic axial spondyloarthritis (nr-axSpA) is a chronic inflammatory condition that primarily affects the axial skeleton, including the sacral and sacrococcygeal region. This condition is characterized by pain and stiffness in the lower back, which can severely impact an individual's quality of life.

While radiographic evidence of sacroiliitis is absent in nr-axSpA, patients may still experience similar symptoms to those with radiographic axial spondyloarthritis (AS). The distinction lies in the absence of visible structural damage in the sacroiliac joints on imaging studies. However, it is essential to note that the underlying inflammatory process is still present and can cause significant pain and discomfort.

Common symptoms of nr-axSpA include chronic lower back pain and morning stiffness, which typically improve with exercise and worsen with rest. Fatigue, limited spinal mobility, and discomfort in the sacral and sacrococcygeal region are also common. If left untreated, the inflammation can lead to progressive joint damage and spinal fusion, further reducing mobility and flexibility.

Diagnosing nr-axSpA can be challenging due to the absence of visible changes on radiographs. However, healthcare professionals rely on a combination of clinical evaluation, patient history, blood tests, and imaging techniques to make an accurate diagnosis. Magnetic resonance imaging (MRI) is particularly helpful in identifying early signs of inflammation in the sacroiliac joints, even without visible radiographic changes.

1. Chronic lower back pain and stiffness
2. Morning stiffness that improves with exercise
3. Discomfort in the sacral and sacrococcygeal region
4. Limitations in spinal mobility
5. Fatigue and reduced quality of life

Once diagnosed, the goal of managing nr-axSpA is to alleviate symptoms, control inflammation, and maintain optimal functionality. Treatment options include nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and lifestyle modifications. Regular exercise, such as stretching and strengthening exercises, can help maintain spinal flexibility and strengthen supporting muscles.

In conclusion, nr-axSpA is a chronic inflammatory condition affecting the sacral and sacrococcygeal region. Although radiographs may not reveal visible damage, the underlying inflammatory process can cause significant pain and stiffness. Early diagnosis and appropriate management are essential to improve the quality of life for individuals with nr-axSpA and prevent further joint damage.