Rheumatology Pavilion | Pain in the waist and hip is ankylosing spondylitis?

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People often say that rheumatism, Chinese medicine is called "paralysis disease", which is closely related to the human body's righteousness and feelings of wind, cold, humidity, and heat. How to care for righteousness and effectively avoid the invasion of external evils? "Rheumatology Pavilion" will regularly push the science popularization knowledge about rheumatism prevention and treatment, teach you to stay away from rheumatism and escort the strong muscles!

Medical Guidance:

He Yiting, chief physician of the Department of Rheumatology, Guangdong Provincial Hospital of Traditional Chinese Medicine

In today's society, scientific and technological progress is rapid, and there are more and more ways to obtain information. Many people encounter pain in the waist and hip, and the first reaction is to find related symptoms on the Internet because of the main manifestations of patients with ankylosing spondylitis, which contains pain in the spine and sacroiliac joints, so I began to doubt whether I suffer There is ankylosing spondylitis. In fact, the cause of the pain there is very complicated. Whether it suffers from ankylosing spondylitis, it is necessary to judge according to different symptoms, etc., and do not make a conclusion! Below from four common clinical diseases, preliminary judgments are provided for reference. It is recommended that obvious pain should be actively visited in a timely manner. Do not blindly treat it by yourself!

01

Lumbosacral strain

Lumbosacral strain is one of the common diseases for the elderly. Like ankylosing spondylitis, its manifestations are mainly pain and stiffness in the back of the back, and they are often accompanied by pain in the hip. These symptoms often worsen when encountering weather changes. However, the occurrence of the disease is related to a long period of bending or habitual posture. At the same time, its pain is characterized by aggravation after labor, relieving after rest, and an exacerbation of the pain during the rest of the interruption of ankylosing spondylitis, and the symptoms are slightly different after activity. Therefore, it is particularly important to maintain a good posture and avoid working too long under the forced position.

02

Reactive arthritis

Reactive arthritis is an arthritis that occurs in the gastrointestinal tract, urogenital tract and other parts. Symptoms such as low back pain and hip pain in ankylosing spondylitis are similar to them. The difference is that reactive arthritis often occurs after being infected, and often has a systemic reaction. Generally, fever, weight loss, burnout weakness, and sweat will occur within a few weeks after being infected. At the same time, the disease itself has a self -limiting characteristic. 1 to 2 peaks may occur during fever. In most cases, there is no effect after using antipyretics, and the fever is generally relieved after 10 to 40 days. About half of the patients will have macroea, superficial skin ulcers and so on.

03

Dense osteitis

Deep osteositis is a osteopolytic disease, commonly in young women aged 20-25. The most popular place for this disease is the edge of the iliac, lumbar spine, and the neighboring joints of the lumbar bones. The main pain is similar to the analgesic spinalitis. It is mainly pain in the lumbosacral region, and it can also spread to the back of the hips and thighs. The difference is that the low back pain of ankylosing spondylitis is often accompanied by rigidity in the morning. It can be reduced after the activity and increased after the rest. Back pain is reduced after rest and worsening after the activity, so it rarely wakes up at night.

04

Maintable specialty bone hypertrophy

Maintable specialty bone hypertrophy is a non -inflammatory disease. The main characteristics are based on the extensive ossification of spine and spine outer ligaments. Related research reports that obesity and diabetes are related to the disease. Sex spinalitis is similar, and there are symptoms such as pain on the back of the back and stiffness in the morning. Therefore, if you want to distinguish between the two, you need to distinguish it from the imaging.

Therefore, after the pain of waist and hip pain, do not worry too much about whether it will suffer from ankylosing spondylitis. There are still many other diseases. Symptoms are similar to that of rigid spinalitis. Xiaobian here recommends that after the symptoms of waist and hip pain, do not blindly treat them by themselves. They should go to the regular hospital outpatient clinic and improve the nature of the relevant examination and imaging examination to clear the nature of the disease in order to perform targeted treatment.

Supply: He Xiaohong Peng Zhongying

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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