It is quite common to have back pain in the middle of the night in people's daily life. This situation has a great impact on people's lives, especially sleep. If it continues for a long time, it will ruin the human body. Therefore, people need to understand the causes in detail and then take some effective measures to regulate and treat it. So let’s take a detailed look at what causes back pain in the middle of the night? This situation is mostly ankylosing spondylitis, but it can also be soft tissue pain caused by rheumatoid arthritis or excessive fatigue. It needs to be diagnosed in combination with corresponding examinations. You can do a rheumatism series test and a CT scan of the spine to see if the above conditions exist. First make a clear diagnosis. If it is caused by rheumatoid arthritis, anti-rheumatic treatment is needed, and slow-acting drugs should be used to inhibit joint deformation. Ankylosing spondylitis is common in young people aged 16 to 30, more common in men. It is rare for the first onset after the age of 40, accounting for about 3.3%. The disease has an insidious onset, slow progression, and mild systemic symptoms. In the early stages, lower back pain and morning stiffness are common, which are relieved after activity, and may be accompanied by low fever, fatigue, loss of appetite, weight loss and other symptoms. The pain is intermittent at first, and becomes continuous after several months or years. Later, the inflammatory pain disappears and the spine becomes partially or completely stiff from bottom to top. A symptom of ankylosing spondylitis is often a hunchback deformity. Peripheral joint involvement is more common in female patients, with slower progression and less severe spinal deformity. Suggestions: It is recommended to conduct systematic examinations in the rheumatology and immunology department or a specialized hospital to block the progression of the disease. At the same time, patients should be careful not to sleep on the floor, use air conditioning, take cold showers, overwork, get angry, etc. Otherwise, it will aggravate the condition and affect recovery. treat: The first thing is to make a clear diagnosis. We can check the HLAB27 gene locus. 90% of ankylosing spondylosis patients are positive for this gene. The second is regular medication. Commonly used drugs are mainly non-carrier anti-inflammatory and analgesic drugs for the acute phase, such as meloxicam and diclofenac sodium, and they are also used to prevent joint destruction and deformity, as well as fusion of lumbar joints. This drug representative may include sulfasalazine. Currently, biological agents have the best efficacy and the least side effects. For example, in the treatment of ankylosing spondylitis with biological agents such as Creatin, Sapien, and Septum, in addition to drug treatment, it is necessary to encourage more activity through certain exercises, among which swimming is one of the best forms of exercise. |
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