This session will explore: The types and pathophysiology of SpA  Key clinical features, diagnostic challenges, and tools like the SPADE assessment for early detection. Referral pathways and criteria. Evidence-based guidelines ,pathways and management strategies in primary care. Real-life case studies demonstrating the importance of early intervention and multidisciplinary care. Attendees will leave with a clear understanding of how to identify, diagnose, and manage inflammatory back pain in their practice, enhancing patient outcomes and reducing delays in treatment.