You have been diagnosed with lumbar flattening or herniated disc. may have inflammatory rheumatism of the lower back. Acıbadem Ankara Hospital Physical Therapy and Rehabilitation Specialist Assoc. Dr. Yeşim Çimen “Well, in which situations should we suspect low back rheumatism?” It answers the question…
“Low pain caused by low back flattening, low back calcification and herniated disc is called mechanical type low back pain,” said Assoc. Dr. Yeşim Çimen said: “Mechanical type of low back pain increases after long-term walking and activities, and decreases with rest. Mostly, there is no pain at night. “
More common in men
Lumbar rheumatism is an umbrella term called ‘spondyloarthritis’ and includes many diseases such as ankylosing spondylitis, psoriasis rheumatism, reactive arthritis, bowel disease-associated arthritis. Stating that this disease is an inflammatory type of rheumatism that occurs before the age of 45 and affects the spine and sacroiliac joints (the joint between the spine and the pelvis), Yeşim Çimen said, “The sacroiliac joint is mostly affected first. With the progression of the disease over time, the entire spine may be involved. In advancing age, ossification of the spine and limitation in bending forward and waist-neck movements occur. It is 2-3 times more common in men than in women. Although it is closely related to the HLA-B 27 gene, the presence of this gene alone does not indicate a disease. Since the disease is not seen very often, it can be confused with herniated disc and calcification, causing delay in diagnosis.
Beware of low back pain that lasts longer than three months!
“The most important symptom is low back pain that lasts longer than three months, increases at rest and decreases with movement. Typically, the patient wakes up in the morning with stiffness in the lower back. Morning stiffness lasts for at least an hour until noon and decreases during the day. Yeşim Çim “Besides low back pain, neck pain, shoulder pain, joint swelling, heel pain, pain in the rib cage can be seen. It may be accompanied by redness and pain in the eye, inflammatory bowel diseases, and cardiac involvement. In the early period, bone resorption may develop due to the disease. It may be associated with Behçet’s disease and familial Mediterranean fever.
Different applications are made in the treatment
-Since lumbar rheumatism, ie spondyloarthritis, is a progressive and life-long disease, it requires regular doctor control and medication use. In resistant patients, ‘biological treatment’ is applied if your doctor deems it necessary, and the response to biological treatment is usually very good.
It is important not to smoke and to do breathing exercises, as the rib cage may be affected and the respiratory capacity may decrease.
It is recommended to lie face down for 15 minutes a day and take a warm shower in the morning.
– Regular waist and neck exercises and posture exercises should be done to prevent the spine from bending forward. In cases recommended by the doctor (when the disease is not active), physical therapy applications are beneficial.
Source: (BYZHA) – Beyaz News Agency
