Spinal enthesopathy, thoracolumbar region
ICD-10 M46.05 is a billable code used to indicate a diagnosis of spinal enthesopathy, thoracolumbar region.
Spinal enthesopathy refers to a condition characterized by inflammation at the sites where tendons and ligaments attach to the vertebrae in the thoracolumbar region of the spine. This condition can be associated with various inflammatory spine diseases, including ankylosing spondylitis, which is a type of spondyloarthritis that primarily affects the spine and the sacroiliac joints. Patients may present with chronic back pain, stiffness, and reduced mobility, particularly in the morning or after periods of inactivity. The thoracolumbar region is particularly susceptible to enthesopathy due to the mechanical stress placed on the spine during daily activities. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as MRI or X-rays, and laboratory tests to rule out other conditions. Treatment may include physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and in some cases, disease-modifying antirheumatic drugs (DMARDs) or biologics. Understanding the underlying inflammatory processes and the patient's overall clinical picture is crucial for effective management.
Detailed patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic back pain, stiffness, and a family history of autoimmune diseases.
Ensure that inflammatory markers and imaging studies are documented to support the diagnosis.
Comprehensive assessment of spinal alignment, mobility tests, and imaging studies.
Patients with mechanical back pain versus inflammatory back pain requiring differentiation.
Document any surgical interventions or referrals to rheumatology for comprehensive care.
Used for follow-up visits for patients with spinal enthesopathy.
Document the patient's history, examination findings, and treatment plan.
Rheumatologists should ensure that inflammatory markers are included in the documentation.
Spinal enthesopathy is an inflammatory condition affecting the attachment points of tendons and ligaments to the vertebrae, often associated with spondyloarthritis.
Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to rule out other conditions.
Treatment may include physical therapy, NSAIDs, and in some cases, DMARDs or biologics, depending on the severity of the condition.
