If someone has back pain that started before the age of 40 and has the characteristics of inflammatory back pain, it is important to talk to their primary care provider about a referral to a rheumatologist. Also, if someone is being treated for inflammatory bowel disease and uveitis (which is inflammation of the eye) or psoriasis and developed back pain, it is important to see a rheumatologist. These conditions are associated with a higher risk of non-radiographic axial spondyloarthritis.
The most important thing to ask your primary care provider is do you think this could be sacroiliac joint pain (a joint in your pelvis) which could represent a rheumatic disease?
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