spondyloarthropathy

Third one, now this was an interesting study that I found, which was post 9-11, they saw that there were specific autoimmune conditions that were being triggered in the workers that were cleaning up for 9-11.

So the autoimmune conditions associated with post 9-11 was RA, back at RA, spondyloarthritis, inflammatory myositis, lupus, and scleroderma.

So what was in the cleanup? That's the question to ask.

And how does that pertain to you? Because you might be watching this and thinking, well, I wasn't at the cleanup of post 9-11, but these are toxins that we see a lot when people remodel their home.

And we'll dive into the difference a little bit later.

In day-to-day practice, what symptom patterns in back pain should now specifically raise suspicions for axial spondyloarthritis rather than mechanical back pain?

Yeah, so unfortunately, the incidence of mechanical back pain is rising in our society.

So what that means is if you're a primary care physician, you probably see a lot of back pain.

But when it comes to mechanical back pain, it should get better with rest and worse with exercise.

Axial spondyloarthritis is the exact opposite.

So patients will tell you that when they exercise and they take anti-inflammatories, they feel so much better.

Conversely, when they've just woken up in the morning, they're extremely stiff.