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Understanding Inflammatory Back Pain: Insights and Treatments

Today, I want to delve deeper into the world of inflammatory back pain, inspired by a recent encounter with a patient who has been battling back pain for an extended period. This individual's situation resonated deeply with me, sparking the need to shed more light on the distinction between inflammatory and mechanical back pain.

Consider a scenario—a young individual, say around 35, has been grappling with back pain since the age of 18. While this isn't an exact patient case, it's a common scenario. The pain intensifies in the morning or the dead of night and is accompanied by morning stiffness, a persistent need to move. Gradually, peripheral pains emerge—hand, finger, ankle, or foot discomfort. What's alarming is the lack of awareness about inflammatory back pain in the general community.

Someone in their 30s enduring back pain since adolescence is a signal to seek consultation with a rheumatologist. Early intervention is key; there's no reason for young individuals to endure prolonged back pain. Seeking a specialist ensures prompt assessment for potential inflammatory back pain.

The beauty lies in the simplicity of the initial treatment—anti-inflammatories. These medications serve a dual purpose: not only do they alleviate symptoms, but they also aid in diagnosing inflammatory back pain. The response to these medications is often indicative of the condition itself.

What's intriguing in rheumatology is the diagnostic process. It's an art that involves scrutinizing symptoms, looking beyond the obvious, and connecting seemingly unrelated dots. Eye inflammation, psoriasis, reactive arthritis post-infection, or inflammatory bowel disease can all be linked to inflammatory back pain. It's akin to deciphering a family tree, tracing clusters of conditions associated with this pain.

However, diagnosing isn't solely reliant on blood work or specific markers. Symptom presentation, patient history, and how the symptoms fit together are crucial. Diagnostic aids like HLAB 27 or imaging studies like MRI help reinforce a diagnosis.

The treatment journey often commences with non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or diclofenac. Witnessing patients respond positively to these medications is heartening; it's a turning point in their discomfort. Should NSAIDs prove ineffective, advanced treatments like TNF inhibitors come into play, drastically altering lives.

Here's an essential takeaway: if you're under 40 and experiencing back pain, seek evaluation from a rheumatologist. Early intervention can prevent unnecessary suffering. The treatment landscape in rheumatology is robust and effective. Even the age-old ibuprofen has a profound impact on inflammatory back pain, reshaping the way bones and spines deteriorate.

Ultimately, my advice is this: maintain hope. Rheumatology boasts remarkable treatments that are well-tolerated and efficacious. Don't hesitate to seek help—there's immense potential for relief and a path towards improved well-being.


Inflammatory back pain affects young individuals and warrants early evaluation by a rheumatologist. Treatment often begins with NSAIDs and progresses to advanced therapies if needed. Diagnosing relies on symptoms, patient history, and diagnostic aids like HLAB 27 and imaging studies.


The landscape of inflammatory back pain treatment is promising. With early intervention and accurate diagnosis, individuals can find relief and improved quality of life. Seek consultation with a rheumatologist for timely intervention and access to effective treatments.

Are you, or someone you love, looking for a rheumatologist? Are you looking for a highly skilled and trusted physician who can finally help you find what you have whether autoimmune or inflammatory? Maybe you queried Google for the “best rheumatologist in Denver” and felt that no other arthritis clinic in Denver really seemed personable. Or maybe you are simply looking for a doctor who will listen to you and work with you to achieve disease remission? We think that UnabridgedMD has the best rheumatologist in Denver and the best rheumatology practice in Colorado and we would love to work with you.

You can schedule your first appointment at or schedule a free 15-minute discovery call with Dr. Amigues herself so that we can make sure we are the right fit for you, here is the LINK to do so. Link Here

We cannot wait to welcome you to the UnabridgedMD family!

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