Widespread Back Stiffness

 

Symptoms of Widespread Back Stiffness

  • Gradual stiffness emerging in the neck & spreading down the back and involving the sacro-iliac angle (often mis-attributed to the sacro-iliac joint)
  • Stiffness affecting the cervical or lumbar spine
  • Stiffness of the spine & associated with muscle pain & spasm particularly paravertebral
Presentation Diagnosis  Options 
Neck / back stiff in the morning & other joints may be swollen stiff & sore Ankylosing Spondylitis

Blood tests and Chest excursion
 

Non Steroidal Anti-Inflammatory therapy & Muscle Balance Physiotherapy and mobilisation & treatment modulated by a Rheumatologist
Stiffness in the morning & during the day with local back pain Enentheses

Rheumatoid Arthritis, Collagen diseases
 

Non Steroidal Anti-Inflammatory therapy & Muscle Balance Physiotherapy and mobilisation & treatment modulated by a Rheumatologist or Chronic Pain Management & facet joint injections or nerve root ablation.
Morning stiffness extending through the day Polymyalgia Muscle Balance Physiotherapy but where symptoms are lumbar located Endoscopic Lumbar Decompression & Foraminoplasty may expose mis-diagnosis as to the diagnosis.