Spinal enthesopathy, multiple sites in spine
ICD-10 M46.09 is a billable code used to indicate a diagnosis of spinal enthesopathy, multiple sites in spine.
Spinal enthesopathy refers to a condition characterized by inflammation at the sites where tendons and ligaments attach to the vertebrae. This condition can manifest in various forms, often associated with spondylopathies, including ankylosing spondylitis, which is a type of inflammatory arthritis primarily affecting the spine and the sacroiliac joints. Patients may experience chronic pain, stiffness, and reduced mobility due to inflammation and subsequent structural changes in the spine. Spinal stenosis, a narrowing of the spinal canal, can also complicate the clinical picture, leading to nerve compression and additional symptoms such as radiculopathy. Inflammatory spine conditions, including enthesitis, can lead to significant morbidity if not properly diagnosed and managed. The diagnosis of spinal enthesopathy requires a thorough clinical evaluation, including imaging studies and possibly laboratory tests to rule out other inflammatory or degenerative conditions. Treatment typically involves anti-inflammatory medications, physical therapy, and in some cases, disease-modifying antirheumatic drugs (DMARDs) or biologics.
Detailed clinical notes including symptom duration, severity, and response to treatment.
Patients presenting with chronic back pain, stiffness, and a family history of inflammatory arthritis.
Consideration of comorbid conditions such as psoriasis or inflammatory bowel disease.
Imaging results, physical examination findings, and treatment plans.
Patients with mechanical back pain who may also have inflammatory components.
Differentiating between mechanical and inflammatory causes of back pain.
Used when a patient with spinal enthesopathy requires injection for pain relief.
Document the joint or bursa involved, the procedure performed, and the patient's response.
Rheumatologists may perform this procedure for therapeutic purposes.
Spinal enthesopathy involves inflammation at the attachment points of tendons and ligaments to the spine, while degenerative disc disease refers to the wear and tear of the intervertebral discs, leading to pain and potential nerve compression.
