Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science




Dr. Tom Colletti, DHSc, PA-C, DFAAPA


Purpose: The purpose of this article is to improve patient care by educating the reader about how to evaluate patients for axial spondyloarthritis who are presenting with back pain so a referral to a rheumatologist is made for appropriate treatment.

Method: A PubMed search was conducted with search terms axial spondyloarthritis, ankylosing spondylitis, and non-radiographic axial spondyloarthritis.

Results: Axial spondyloarthritis patients have delayed diagnosis and treatment in the United States due to lack of recognition and referral to rheumatology. Biological medications are available for treatment. These patients are also at a high risk for comorbidities.

Conclusion: Patients with axial spondyloarthritis have improved disease burden and improved quality of life with appropriate treatment so early recognition and medical intervention is needed.


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