Inflammatory back pain (IBP), due to an underlying inflammatory disease such as inflammatory arthritis, results in chronic back pain lasting 3 months.
IBP is a symptom complex rather than a condition, and often indicates inflammation of the vertebrae, joints of the spine and entheses – the sites of tendon and ligament attachment to bone
For IBP in in patients with spondyloarthritis: should get physical therapy and do joint-directed exercises to promote spinal extension and mobility. First-line medications for symptom relief are nonsteroidal anti-inflammatory drugs (NSAIDs). Biologic medications including TNF-alpha and IL-17 blockers may treat spinal or peripheral symptoms.
The Assessment of Spondyloarthritis International Society (ASAS) expert criteria, is a simple and useful tool which you can use to assess your back pain. The criteria comprises the following questions:
If yes, then:
The criteria are fulfilled if at least four out of five parameters are present.
In this case, please consult with a rheumatologist for further investigation as the pain could be due to a form of inflammatory arthritis.