What Is The Prognosis For People Who Have Ankylosing Spondylitis
Ankylosing spondylitis symptoms may gradually worsen as you age. The condition is rarely disabling or life-threatening. Still, symptoms like joint pain may interfere with your ability to do the things you love. Early interventions can ease inflammation and pain. A combination of physical activity and medications can help.
How Does Shoulder Arthritis Develop
Shoulder arthritis usually results from gradual wear and tear of the cartilage. Cartilage is present in every joint in the body it covers the surface of the bones inside the joints similar to Teflon on a ball bearing. Cartilage is a living tissue 2 millimeters to 3 millimeters thick about the thickness of one or two layers of cardboard. This makes the contact between bones softer. If the cartilage is intact, it can take multiple rotations with no wear of the surface because its smooth.
Shoulder arthritis typically develops in stages. First the cartilage gets soft , then it develops cracks in the surface , then it begins to fibrillate , and finally it wears away to expose the surface of the bone . As a result, it loses its ability to act as a smooth, gliding surface.
The cartilage doesnt wear away all at once over the entire surface of the bone in a joint. Instead, it wears at different rates in different parts. So if you consider the surface of a ball bearing that was covered with Teflon, this type of wear would be as if the Teflon had pits and the surface would now be irregular .
Once the surface becomes irregular, the cartilage may undergo further damage. It may begin to thin out, eventually leading to the bones of the shoulder rubbing against each other . Many people think that arthritis is bone-on-bone traction in the joint, but in reality arthritis is the process that can lead to the bone-on-bone traction.
Typical Symptoms Of Spinal Osteoarthritis
The full range of symptoms that typically occur with spinal arthritis includes some combination of the following:
- The back and/or neck stiffness and pain tend to be worse in the morning , often called “first movement pain.”
- The pain will usually subside to a more tolerable level over the course of the day as the person carries on his or her activities.
- Pain and stiffness tend to get worse again in the evening.
- Pain that disrupts sleep is often an indicator of osteoarthritis.
- Swelling and warmth in one or more joints, particularly during weather changes .
- Localized tenderness when the joint or affected area of the spine is pressed.
- Steady or intermittent pain in a joint, which is often described as an aching type of pain. The pain may be aggravated by motion.
- Loss of flexibility of a joint, such as inability to bend and pick something off the floor.
- A crunching feeling or sound of bone rubbing on bone when the joint is moved , particularly notable in the neck.
- A sensation of pinching, tingling, or numbness in a nerve or the spinal cord, which can occur when bone spurs form at the edge of the joints of the spine and irritate the nerves.
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Other Body Parts Hurt Too
When arthritis of the spine advances, wear and tear on the vertebrae can cause a pinching or compressing of the spinal cord and nerves. Since the nerves running down your back connect to different areas of your body, you could end up feeling pain, numbness, tingling, or weakness in your hips, butt, legs, and feet. Those nerves go down the muscles of your legs, so that can cause weakness, Dr. Jayabalan adds.
Exercise For Arthritis In The Neck
If youre experiencing neck pain due to arthritis, your doctor may recommend physical therapy. Physical therapy for neck arthritis entails doing specific exercises to help strengthen and stretch weak or strained muscles. Physical therapy can improve range of motion. Sessions and programs vary in length and frequency and are tailored to your condition.
The foundation of what were trying to do in physical therapy for the neck is often to help improve posture and the way people move, says Dr. Milani. Exercises in physical therapy tend to be focused on strengthening muscles of the back and neck, which puts less strain on structures of the cervical spine.
Youll do exercises during physical therapy and get instructions on ones to do at home.
Regular Physical Activity at Home
You may feel like you dont want to move when your neck hurts. But being inactive may increase stiffness, which can cause you to lose even more mobility. Aches and pains tend to respond better to continued movement than rest, says Dr. Milani. Exercise is often the foundation of treatment.
Exercises that involve stretching, strengthening, and improving range of motion can help reduce pain and keep your neck limber. You want to move gently and smoothly when doing neck exercises, not jerk your neck or make sudden movements. You may feel discomfort at first. Stop if any exercise increases your neck pain.
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Prescription Medication And Surgery
If OTC medications arent easing your symptoms, your doctor may recommend corticosteroids or muscle relaxants. Corticosteroids are used to control inflammation, and muscle relaxants are used to minimize muscle spasms.
Your doctor will only recommend surgery as a last resort. Its typically only needed in cases where the bones have fused together or where the pain is so extreme that it prevents any range of motion.
Symptoms Of Arthritis In Lower Back And Hips
When we think of arthritis, we think of joint issues in senior people. While senior citizens do suffer the most from arthritis, it isnt exclusive to any age group, nor is it a single condition describing a specific type of joint related issue. There are several different types of arthritis that affect different age groups.
If you are someone who experiences chronic joint pain, you should be aware of arthritis. In this article, well try to give you a detailed description of arthritis, and its symptoms in lower back and hips.
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Heat And Cold Therapy
Scientists have proven that applying heat or cold continuously or in frequent intervals can considerably reduce even chronic back pain and offer great relief.
Heat can be either moist or dry. Heating lamps, pads, and wearable heat packs are some of the dry heat sources. A warm bath and warm clothes that are soaked in warm water can be the moist sources.
*All individuals are unique. Your results can and will vary.
Cold compressor filled with ice, cold therapy are also beneficial. However, it should be noted that ice should never be applied directly to the skin as it can cause sudden sensation in the nerves and joints around the area.
Also, keeping ice for too long can result in joint stiffness and may even increase the pain. A period of 20-25 minutes is considered as ideal and it can be done 2-3 times a day for best results.
How Does It Feel
Symptoms of OA of the spine vary from person to person and can range from mild to disabling. You may not have symptoms even though the condition is present. Its onset and progression can be quite slow.
With early or mild disease, symptoms may be intermittent. You might feel stiffness or aching after sitting a long time, on waking in the morning, or after vigorous activity. You or your family may notice changes in your posture. Some people will bend forward or shift to the side. With more advanced OA of the spine, symptoms will become more constant and tend to interfere more with your daily activities, especially with walking and standing.
Common symptoms of OA of the spine include:
- Pain in the back or neck.
- Pain that is worse after prolonged inactivity, on getting up in the morning, or after physical activity.
- Pain that worsens with standing and walking, and gets better with sitting or lying down.
- Stiffness after prolonged inactivity, on getting up in the morning, or with movement of the involved area of the spine.
- With a more advanced condition, symptoms that do not improve with rest and that interfere with sleep.
- Pain, burning, or tingling sensations that spread to the shoulder or arm, or to the buttocks or leg.
- Difficulty performing normal daily activities, such as dressing and bathing, as well as walking and standing, as the condition progresses.
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Rheumatoid Arthritis Of The Spine
Rheumatoid arthritis is an autoimmune disorder, meaning that the immune system turns on itself. It attacks synovium the lining of the joints. Although rheumatoid arthritis is more common in other joints, it can also affect the spine, specifically the cervical region . Rheumatoid arthritis of the spine is not caused by wear and tear, so its considered an inflammatory arthritis. It may cause back pain even when these joints are not in use. It tends to affect women more than men.
Lifestyle Changes And Alternative Treatments
Certain lifestyle changes can help relieve the pressure on your spine and improve your overall outlook.
- eating foods that reduce inflammation
- quitting smoking
- reducing alcohol consumption
You may also benefit from working with a physical therapist. They can help you perform specific exercises that may restore lost range of motion in your lower back.
Pain from lumbar arthritis can also be treated by alternative or complementary medicine, especially in early stages. Acupuncture and chiropractic care felt in the lower back, but they arent long-term solutions.
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How Will I Know If I Have Lumbar Arthritis
If youre experiencing lumbar arthritis, you may have already been diagnosed with psoriatic arthritis. In most cases of psoriatic arthritis, a diagnosis of psoriasis will precede any arthritis symptoms that occur.
If youre experiencing stiffness, creaking, and lost range of motion in your lower back and have never been diagnosed by a doctor with arthritis, see your doctor. They will perform a physical exam to check for inflammation and swelling at the site of your pain.
If your doctor suspects that you have arthritis, you will probably need to have an X-ray. X-rays can show any issues with bone density, cartilage loss, and bone spurs that may be causing your pain.
X-rays can also be useful in tracking your arthritis and assessing whether your recommended treatment is preventing further damage to your joints.
Your doctor will also order a blood test to determine what kind of arthritis you have.
You may be referred to a rheumatologist, a doctor who specializes in joint pain, for further testing.
Who Gets Osteoarthritis Of The Spine
In general, osteoarthritis happens as people get older. Younger people may get it from one of several different causes:
- injury or trauma to a joint
- a genetic defect involving cartilage
For people younger than age 45, osteoarthritis is more common among men. After age 45, osteoarthritis is more common among women. Osteoarthritis occurs more often among people who are overweight. It also occurs more frequently in those who have jobs or do sports that put repetitive stress on certain joints.
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Techniques For Good Posture:
- Sit in a firm chair with armrests to relieve pressure in your back and shoulders.
- Keep your upper back straight and shoulders relaxed. Keep stomach muscles pulled in, and maintain the proper curve in your lower back. You can do this by tightening your stomach and buttocks. Some people are more comfortable sitting with the back of the chair at a 15- to 20-degree angle. A small cushion behind the lower back to maintain the natural curve of the back also can be quite helpful.
- Keep your knees slightly higher than your hips.
- Use a footstool or book under your feet if necessary.
- Keep your feet flat on the floor or other surface.
- Don’t sit for a long period of time. Stand up every now and then to stretch tight muscles and give them a chance to relax.
- Stand with weight equal on both feet.
- Avoid locking your knees.
- Ease tension in your back by placing one foot on a footstool.
- If you stand for long periods of time, wear flat or low-heeled shoes.
- Keep your back straight by tightening your stomach muscles and buttocks.
- When sleeping,
Lie on your side with your knees bent.
- If more comfortable, place a pillow between your knees while sleeping on your side.
- If you sleep on your back, ask your doctor or physical therapist if placing pillows under your knees would help your lower back pain or make it worse.
- Use a firm mattress.
Osteoarthritis Of The Spine
Osteoarthritis is the most common form of spinal arthritis. It usually affects the lower back and develops through wear and tear. As the cartilage between the joints slowly breaks down, it leads to inflammation and pain. Because the pain is from mechanical damage, it is typically more noticeable when you bend or twist your back. Past back injuries may also contribute to the development of degenerative arthritis of the spine.
Osteoarthritis of the spine usually affects the facet joints between the vertebrae. It is also known as facet joint arthritis, facet joint syndrome and facet disease. In some cases, degeneration of the spinal discs may contribute to facet joint arthritis. As discs between the vertebrae become thinner, more pressure is transferred to the facet joints. This leads to more friction and more damage to the cartilage.
When these degenerative changes occur in the neck, this condition is called cervical spondylosis. Arthritis in the neck doesnt always cause pain, and many people have no noticeable symptoms.
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What Can Be Done For Arthritis In The Back
Conventional approaches to ease arthritis back pain may include:
- Alternative treatments such as acupuncture or chiropractic manipulation.
- Medications to reduce inflammation and relieve pain.
- Physical therapy to strengthen the muscles that support the back.
- Regular exercise and weight loss, which can increase the flexibility and strength of back muscles.
- Surgical treatment to relieve pressure on the spinal nerves or spine.
The Pain Disrupts Your Zs
Back pain that keeps you up at night is a vicious cycle: Pain can worsen if you dont get enough sleep, but if your pain is already keeping you up at night, theres no way for it to subside. If the pain is so significant that its impacting your sleep and quality of life, its time to see a physician, Dr. Jayabalan says. Still tossing and turning? Try these 13 insomnia tips from a sleep doctor to finally catch some Zs.
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How Does Spinal Arthritis Cause Pain
When a vertebral facet joint moves, healthy cartilage ensures the facets glide against one another. Spinal osteoarthritis begins with facet cartilage degeneration. This cartilage degeneration doesnt necessarily cause back pain, but it can lead to joint changes that cause pain:
- When facet cartilage is damaged or missing, the vertebral facets rub or grate against one another, resulting in excess friction and more joint damage.
- The joint damage and friction lead to inflammation, which may cause pain and stiffness.
- Pain signals travel through the affected facet joint.
- These signals can cause the back muscles to go into spasm.
- The combination of facet joint inflammation and muscle spasm can cause pain and stiffness.
Most cases of spinal osteoarthritis develop gradually. Pain can range from dull to severe and is often accompanied by stiffness.
Spinal arthritis in the low back If you have osteoarthritis in your low back, you may first notice achy low back pain after exercising or doing physical work. You may also feel pain in areas surrounding your groin, buttocks, or back of your thighs.
Spinal arthritis in the neck If you have osteoarthritis in your neck, you may notice pain and stiffness in the neck. Pain may also be felt in the shoulders, and upper and middle back. You may experience frequent headaches.
Shoulder Arthritis Due To Avascular Necrosis
Avascular necrosis refers to the disrupted blood supply to an area of the body, which results in that area dying . In the shoulder, the humeral head may lose blood supply due to disease, traumatic injuries, and other causes. Without a blood supply, the bone will slowly collapse, becoming uneven and causing arthritis.
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Spinal Arthritis May Contribute To Other Issues In The Spine
Spinal arthritis may cause bone spurs overgrowths on the edges of the bones. In the spine, bone spurs particularly affect facet joints, making them grow larger. This condition is called facet joint hypertrophy. Although bone spurs on their own are not harmful, they may narrow the passages for the spinal cord and the nerves exiting the spine. This may lead to two painful conditions:
Spinal stenosis compression of the spinal cord inside the spinal canal
Radiculopathy pinching of the peripheral nerves as they exit the spine
Ankylosing spondylitis may also cause additional problems such as:
Stress fractures in places where new bone has formed
A spinal deformity called kyphosis
Early Signs Of Arthritis In The Back
- Wear and tear
- Professions involving lifting heavy machines or loads
Some of the early signs of arthritis in the back include
Some of the late signs of arthritis in the back include
- Pain that radiates to the arms and legs
- Muscle weakness
- Loss of bowel or bladder function
- Loss of coordination or changes in the ability to walk
- Severe back spasm
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