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What should you ask your primary care provider about nr-axSpA?

Updated on April 01, 2020

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?

Dr. Hillary Norton is Medical Director of Santa Fe Rheumatology, a private practice in Santa Fe, New Mexico. Dr. Norton completed her internal medicine and rheumatology training at the University of New Mexico, and in addition to seeing patients, she is the Principal Investigator for numerous clinical trials. Dr. Norton’s passion is raising awareness for spondylitis as evidenced by her extensive media work related to this topic, and her partnership with the Spondylitis Association of America. She is an active contributor to the education and advocacy organization Creaky Joints. She is also an active member of the Spondylitis Research and Treatment Network. Dr. Norton has lectured worldwide on the topics of rheumatoid arthritis, AxSpa, and psoriatic arthritis.

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