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Patients present with an acute onset of swelling, pain, erythema, prominent tenderness, warmness and limited range of motion in both ankles. [1] [2] Lower legs and heels may also be involved, however the distal parts of feet and toes are usually spared. Patients may also experience high-graded fever, pitting edema and hypotension.
Lymphedema, also known as lymphoedema and lymphatic edema, is a condition of localized swelling caused by a compromised lymphatic system. [2] The lymphatic system functions as a critical portion of the body's immune system and returns interstitial fluid to the bloodstream.
Axial spondyloarthritis is predominantly marked by inflammatory pain and/or stiffness affecting the lower back, hips and/or buttocks. [11] [12] The side affected may alternate. [11] Some may also experience symptoms in the eyes, rib cage, shoulders or cervical spine or neck as well.
The concept of a spine care clinician or practitioner was first presented by neurologist Scott Haldeman in an editorial in The Spine Journal in 2001. [5] The PSP role may include all clinical specialties that treat patients with spinal disease. This was emphasized at the American Back Society Annual Convention in San Francisco in November 2005. [6]
AS can occur in any part of the spine or the entire spine, often with pain localized to either buttock or the back of the thigh from the sacroiliac joint. Arthritis in the hips and shoulders may also occur. When the condition presents before the age of 18, AS is more likely to cause pain and swelling of large lower limb joints, such as the ...
The predominant symptom is low back pain, which may radiate to the lower rib cage, flank, groin, buttock, and thigh. [2] Individuals may also experience intermittent aches along with a 'grating sensation' in the hip. [3] The pain may be aggravated by moving, twisting, bending, or by changing positions. [4]
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