Spotting Axial Spondyloarthritis in Chiropractic Settings: Is AxSpA Behind Your Patient’s Back Pain?


Released On
November 29, 2021

Expires On
November 29, 2022

Media Type

Completion Time
45-60 minutes

Occupational Medicine, Other, Pain Management, Rheumatology

Arthritis, IBD, Inflammatory bowel disease, Pain, Pediatrics, Rehabilitation, Rheumatoid Arthritis

Scroll to the Bottom of this Information to Begin this Course

Activity Provider/Grant Support by the Spondylitis Association of America.

Credit Available

  • DC Continuing Education — 1 CE hour

All other healthcare professionals completing this course will be issued a statement of participation.

Target Audience

This activity is designed to meet the educational needs of DC and DC students.

Program Overview

This activity will help increase knowledge and awareness of axial spondyloarthritis (axSpA) among Chiropractors, giving them tools to appropriately suspect, and refer axSpA patients to rheumatology, with the ultimate goal of improving patient outcomes.

Learning Objectives

Upon completion of this activity, participants should be better able to:

  • Recognize patients who may have axial spondyloarthritis among those presenting with chronic back pain.
  • Distinguish between inflammatory back pain and mechanical back pain.
  • Recognize spinal and extra-spinal feature of axial spondyloarthritis.
  • Identify steps involved in the work up of a patient with suspected axial spondyloarthritis and know when to refer the patient to rheumatology.
  • Identify radiographic (x-ray) features of axial spondyloarthritis.



Dr. Sonam Kiwalkar

Associate Program Director:
Didactic Education
Curriculum, Evidence-based Medicine

Dr. Kiwalkar earned her medical degree at Dr. D. Y. Patil Medical College in Pune, India. She completed her residency and chief residency in internal medicine at Rochester General Hospital in Rochester, New York. She completed her rheumatology fellowship at Oregon Health & Science University in Portland, Oregon. She is board certified in internal medicine and rheumatology. In addition to practicing rheumatology at the Vancouver Clinic, she is pursuing a Masters in Education for Health Professionals at the Johns Hopkins University.


Abhijeet Danve MD MHS FACP (Editor)

Assistant Professor of Medicine
Director, Yale Spondyloarthritis Program
Yale School of Medicine

Dr. Danve completed his medical school and residency from Seth G S Medical College, Mumbai, India. He did his clinical rheumatology fellowship at Oregon Health & Science University, Portland and research fellowship at University of Nebraska Medical Center. Dr. Danve is conducting clinical research focused on improving the early diagnosis of axial spondyloarthritis, and is deeply involved in increasing awareness and education among non-rheumatology clinicians via invited lectures and CMEs.

Accreditation Statement

DC Continuing Education for 1 CE hour. If acquiring CE credits for this course, please make sure you indicate this in the registration process. NUHS will send formal documentation electronically to the email you registered with.

DC Students and all other health care professionals completing this course will be issued a statement of participation.

Credit Designation

This course is valid for continuing education credit in the following states, so long as it falls within the scope of practice as outlined by the corresponding state board: Please refer to the chart here for specific details about your state.

Please note that online continuing education is not recognized in the following states:FL, IN, KY, LA, MS, OK, WI, WY

Please check with your state board(s) to ensure you are up-to-date on the rules and regulations concerning online learning. Your board's website will confirm the number of distance learning hours a licensee is able to obtain during a given renewal period.

If you do not see your state listed on the approval database, or if you have questions about your state's approval, please contact National University of Health Sciences Postgraduate department at

Contributors and Disclosures of Conflicts of Interest

Sonam Kiwalkar, MD (Author) has no conflicts of interest to disclose.

Abhijeet Danve, MD, FACP (Editor)

  • Advisory Board: Abbvie, Janssen
  • Research Grant & Speaker: Novartis

Advisory Team:
David Panzer, DC, DABCO: Research Grant: Lily
Shireesh Bhalerao, DC, MCR Research Grant: Lily

Spondylitis Association of America Team:
Kristine Callender, MPH, CHES, has nothing to disclose
Elin Aslanyan, has nothing to disclose

Instructions for Participation and Credit

There are no fees for participating and receiving CME credit for this enduring activity. To receive CME credit participants must:

  1. Read the CME/CE information and faculty disclosures.
  2. To ensure CE credits are reported to PACE, please provide ALL relevant information during registration. The Spondylitis Association of America will cover all expenses for obtaining credit through PACE.
  3. Participate in the online activity.
  4. Complete the Pre-Test, Post-Test and Post Survey forms. Please note that a 60-day post survey will be sent out to all participants who complete the activity. Completion is voluntary, but highly encouraged.

Course Viewing Requirements

Supported Browsers:
Internet Explorer 8.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above

Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above

Disclosure of Unlabeled Use

FDA requires that faculty participating in any CME activity disclose to the audience when discussing any unlabeled or investigational use of any commercial product or device not yet approved for use in the United States.


This activity is designed for educational purposes. Participants have a responsibility to utilize this information to enhance their professional development to improve patient outcomes. Conclusions drawn by the participants should be derived from careful consideration of all available scientific information. The participant should use his/her clinical judgment, knowledge, experience, and diagnostic decision-making before applying any information, whether provided here or by others, for any professional use.

Contact Information

For questions regarding the activity please contact:
Kristine Callender, Senior Manager of Programs at the Spondylitis Association of America; (818) 465-4298

For CME questions please contact: National University of Health Sciences Postgraduate department at