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The European Spondyloarthropathy Study Group (ESSG) Classification for Spondyloarthropathy (SpA)

According to the ESSG criteria, for a patient to be classified as having SpA, he or she has to satisfy one of two entry criteria: Inflammatory spinal pain OR synovitis that is either asymmetric or predominantly in the lower limbs.

  • Inflammatory back pain: Back pain is common among the general population. However, “inflammatory” back pain is much less common. Back pain is considered inflammatory if four of the following five criteria are found:

    1. Onset of back discomfort before the age of 40 years

    2. Insidious onset

    3. Persistence for at least three months

    4. Associated with morning stiffness

    5. Improvement with exercise

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