What Are Treatment Options For Bone Spurs
Bone spurs are treated only if they are causing symptoms. Initial treatment is directed toward decreasing inflammation and avoiding reinjury when possible. Local cold application can help when the location of the bone spur is accessible. Anti-inflammatory medications, administered both orally and by local steroid injection , are commonly used, depending on the location of the spur. Local mechanical measures, such as orthotics, or shoe inserts, and local bone spur pads might be considered, depending on the location of the bone spur. Bone spurs that are causing irritation of nerves, tendons or ligaments and that are resistant to conservative measures can require surgical operations for treatment.
What Are Bone Spurs And What Causes Them
A bone spur, also known as an osteophyte, is a smooth, hard bump of extra bone that slowly forms on the ends of bones. Their formation is much more common after age 60, but younger adults can also experience them in some cases.
Bone spurs most commonly occur at joints, where two bones meet. They are most often caused by inflammation to that area. For example, due to osteoarthritis or tendonitis.
Chronic inflammation at the joint stimulates osteoblasts, the cells that form new bone tissue, to deposit bone tissue in that area, eventually leading to a bony projection, or bone spur.
In rare cases, they can occur due to congenital conditions that youre born with. For example, an osteochondroma.
Bone Spur Treatment Options
The approach to treatment for bone spurs will depend on the severity of the spur, the severity of the symptoms, and the affected joint.
Conservative treatment options such as physical therapy, anti-inflammatory medications, and injections can help alleviate the pain and loss of mobility associated with bone spurs, and also decrease the underlying inflammation.
In severe cases, spurs can be removed through surgical procedures. This treatment option is more invasive, so is most commonly for severe cases where other treatment options havent been effective.
If you are experiencing pain or stiffness that you think could be caused by a bone spur today, contact us to schedule an appointment with Dr. Bhatti at Atlanta Spine. Our team will identify the root cause of your pain and develop a treatment plan to improve your quality of life.
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Enthesitis In Psoriatic Arthritis
Psoriatic arthritis is a form of spondyloarthritis that affects roughly one-third of all people with psoriasis. Enthesitis is a relatively common symptom of psoriatic arthritis. In fact, it is one of the four main signs of psoriatic arthritis. The others include:
- Peripheral arthritis, which affects large and small joints in the hips, knees, wrists, elbows, feet, ankles
- Spondylitis, which stems from inflammation of the spinal or sacroiliac joints, or those connecting the sacrum and pelvis
- Dactylitis, also known as sausage digits, which can cause swelling so severe that the joint can no longer be independently recognized within a finger or toe
All of these manifestations define how and where people experience symptoms of psoriatic arthritis. They also overlap to a certain degree. For example, although doctors refer to dactylitis as a distinct condition associated with PsA, enthesitis in connective tissue usually contributes to the overall swelling. That said, all have distinctive symptoms.
Connect With Arizona Foot Doctors Today
Knowing how to relieve pain and dissolve bone spurs conservatively, you can minimize your chances of surgery. Our podiatrists at Arizona Foot Doctors always consider non-invasive, conservative, and effective bone spur treatments first. Even if you do consider surgery, our podiatrists are there to advise you along the way. Speak with us today to evaluate your toe bone spur or heel bone spur. Together, we will create a bone spur treatment plan that fits your lifestyle and unique needs.
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Does Psoriatic Arthritis Cause Enthesitis
Enthesitis is a well-established sign of psoriatic arthritis that affects over a third of people with the condition. However, PsA is not the sole cause of enthesitis.
People who dont have psoriatic arthritis can also develop enthesitis, typically after they have experienced an injury or repetitive trauma. Tennis elbow , for example, is a common enthesitis-related complaint that occurs after a person overuses their elbow with repetitive movements.
The main difference between enthesitis caused by mechanical problems and PsA-related enthesis is in how they each heal. Generally speaking, enthesitis related to overuse will fade if a person cares for their injury and avoids the repetitive movement that caused their inflammation. But for a person with PsA, enthesitis is often a chronic problem.
For reasons doctors dont yet fully understand, people with psoriatic arthritis tend to have a lower threshold for enthesitis development. Mechanical stress, injury, or infection can all trigger long-term inflammation and ultimately lead to full-blown enthesitis. Experts believe enthesitis is better described as an early indicator of psoriatic arthritis, rather than a direct result of the disease.
There are several risk factors associated with PsA-related enthesitis. Those who have enthesitis in PsA tend to be young, have severe cases of psoriatic arthritis, or have a high body mass index .
Symptoms Of Bone Spurs
You might not realize you have a bone spur until you get an X-ray to look for another condition. They only cause problems when they press on nerves, tendons, or other structures in your body. Then, you might feel any of the following:
- Pain in the affected joint
- Pain or stiffness when you try to bend or move the affected joint
- Weakness, numbness, or tingling in your arms or legs if the bone spur presses on nerves in your spine
- Muscle spasms, cramps, or weakness
- Bumps under your skin, seen mainly in the hands and fingers
- Trouble controlling your bladder or bowels if the bone spur presses on certain nerves in your spine
Your symptoms might get worse when you exercise or try to move the affected joint.
A bone spur can break off and get stuck in the lining of the joint. This is called a “loose body.” It can lock up the joint and make it hard to move.
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Causes Of Bone Spurs In The Knee
The most common cause of loss of cartilage in the knee joint that can lead to the development of bone spurs is knee osteoarthritis, which affects more than 45% of Americans at some point in their lives.
Cartilage loss in the knee joint can also result from injury to the knee, including anterior cruciate ligament ruptures, meniscus tears, and patellar dislocations that increase the risk of cartilage damage and knee osteoarthritis in the future. Anyone who overuses their joints, including athletes, military personnel, and those with physically demanding jobs, may be at an increased risk of developing osteoarthritis.
Bone spurs occur in osteoarthritis due to the increased pressure in the joints that results from damaged cartilage. Rheumatoid arthritis is an autoimmune condition that causes joint damage as a result of the body attacking its own joints, resulting in widespread systemic inflammation. Because of this, bone spurs do not typically develop in patients with rheumatoid arthritis as commonly as they do in patients with osteoarthritis.
Get Help For Bone Spurs Today
Bone spurs can cause pain and discomfort in the hands if left untreated. These spurs could be a sign of arthritis. If protrusions or small knobs appear on the hands, seek advice from a doctor immediately. From there, the doctor can assess and recommend the best treatment options available.
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Symptoms Of Bone Spur In Hand Wrist And Fingers
The symptoms that people with bone spurs in the hand experience include pain, tenderness, and swelling. Those who have osteoarthritis will most likely have reduced joint mobility. The bony projections can also make a persons fingers look disfigured.
Here are some symptoms associated with a bone spur in the finger base:
- Bony mass under the skin of the affected finger
- Extreme pain in the finger
- Numbness, tingling, or weakness in the finger
- Restricted range of motion of the finger
Here is some bone spur in the wrist symptoms:
- Bony mass that appears under the skin of the wrist
- Extreme pain in the wrist
- Numbness or weakness around the wrist
- A tingling sensation in the wrist when surrounding areas are pinched
- Limited range of motion of the wrist
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 doesnât always cause pain, and many people have no noticeable symptoms.
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Other Reasons For Spurs
Age-related arthritis is not the only cause of extra growth. A past injury or surgical procedure can cause trauma or early arthritis. Spurs will grow to compensate in the hands. Joints can also form spurs from overuse, for example, in a job that uses repetitive hand movements. Other reasons include genetics, obesity, and diabetes.
Diagnosing Enthesitis In Psoriatic Arthritis
If you have psoriasis on your skin and start to feel pain in your feet, elbows, or hands, you should talk to your doctor immediately about the possibility of PsA. Delaying the diagnosis and treatment of PsA by even six months could lead to permanent joint damage and a substantially lower quality of life.
Diagnosing enthesitis is relatively straightforward most of the time. Your doctor will likely consider your medical history and symptoms. If you have psoriasis, see nail pitting, and are experiencing pain in a telltale location such as your Achilles tendon your doctor might be able to make a baseline diagnosis without further testing.
That said, there are some situations where your condition might not be as easy to define. For example, fibromyalgia can cause pain similar to enthesitis pain. To make a differential diagnosis, your doctor might conduct a few physical tests, such as moving your affected limb, or they may order an ultrasound to check for signs of enthesitis.
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Osteoarthritis And Bone Spurs
When you have OA, one complication that you could see is bone spurs. Not many people realize how serious these can be, and the pain they cause can be difficult to deal with when you dont get the treatment you need.
By learning more about how bone spurs occur, what treatment is offered, and pain management techniques, you can better manage this issue should it occur.
Psoriatic Arthritis Vs Osteoarthritis: Us Prevalence
The number of people in the United States who suffer from osteoarthritis is quite astonishing. Research suggests that 70 percent of adults between 55 and 78 years old have OA. Hip osteoarthritis is the most common complaint in North America. Knee is also rather prevalent. Data on osteoarthritis is largely based on self-reports and radiographic data. How does this compare to psoriatic arthritis? The exact number of people in the U.S suffering from PsA is not known, but some estimate it affects around one percent of the population. While it can develop at any time in a persons life, it seems that most often it occurs between the ages of 30 and 50. While osteoarthritis appears to attack more women than men, psoriatic arthritis attacks men at the same or at a slightly higher rate, compared to women. It is believed that between 18 and 42 percent of people who have psoriasis also have psoriatic arthritis.
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What Are Bone Spurs Anyway
Joints connect several bones in the body. These joints should be stable and make a smooth, natural movement. Joints become unstable and move out of place. The body reacts, growing bits of bone along the edges of the joint to compensate. These protrusions of bone are called bone spurs or osteophytes. Bone spurs can happen at any joint in the body, including the spine. Bone spurs in the hand appear as bumps on the joints of the hand. Most spurs are harmless. However, some can press on nerves or restrict joint movement. In these cases, persons with bone spurs need some medical intervention.
Tips For Identifying Psoriatic Arthritis And Osteoarthritis
The best way to identify psoriatic arthritis vs. osteoarthritis is to take a close look at unique characteristics or key symptoms. In the case of PsA, increased swelling in the hands and feet can often lead to deformities. Severe foot pain is another common element to watch for. This is due to the arthritis targeting the area in joints where tendons and ligaments attach to the bone. This tends to happen a lot in the Achilles tendons and soles of the feet. People with PsA can also develop a painful swelling in the spinal joints at a point where the spine meets the pelvis. This condition is known as spondylitis.
Keep in mind that psoriatic arthritis can impact just about any joint. It also attacks in a cycle, with the symptoms growing worse for a period of time and then becoming less severe.
With osteoarthritis, the joints in your body that move the most are more likely to be involved. This includes joints in your hands, knees, feet, and spine. Unlike PsA, it does not cycle. The symptoms grow worse over time and as the disease progresses.
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When To See A Healthcare Provider
If you have been experiencing severe swelling, redness, warmth, drainage , or generalized fever or malaise, these may be signs of a more serious medical condition such as infection or an inflammatory type of arthritis like psoriatic or rheumatoid arthritis. Consult with your healthcare provider to address your symptoms to determine an appropriate diagnosis and treatment.
Types Of Bone Spur By Portion Of The Spine Affected
- Disc Osteophyte Complex : this term is used to describe an ambiguous pathology, when it is unclear based in an MR imaging whether a patient is suffering from endplate osteophytes, a protruding disc, thickened ligaments, or multiple conditions.
- Bridging osteophytes: The formation of a bony bridge between two vertebrae with bone spurs.
- Anterior osteophytes: Bone spurs that develop at the front of the spine.
- Posterior osteophytes: Bone spurs that develop at the back of the spine.
- Endplate osteophytes: Bone spurs that develop at the top or bottom edges of the vertebrae where they interact with the disc.
- Multilevel endplate osteophytes: Bone spurs that develop at both the top and bottom endplates, thereby affecting more than one vertebra or vertebral disc.
- Foraminal disc osteophyte complex: Bone spurs that develop in the foramen the hollow archways on both sides of two adjacent vertebra, through which the spinal nerve roots run.
- Facet Joint Osteophytes: Bone spurs that develop surrounding the facet joints, which help connect two adjacent vertebrae together. There are two facet joints between each vertebrae which provide motion, spinal stability, and prevent certain harmful motions.
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Surgery For Spinal Arthritis
Surgery may be recommended for spinal arthritis if other treatments donât sufficiently relieve pain. The goals of the surgery may include:
Stabilizing the spine by fusing several segments together in a procedure called spinal fusion
These surgeries can be performed as open procedures or with a minimally invasive approach. There are pros and cons to each method. The surgeon will review and discuss the options before the operation.
Difference Between Osteoarthritis And Psoriatic Arthritis Causes
There is a difference between osteoarthritis and psoriatic arthritis causes. There are certain factors that will put you at a higher risk of getting OA. You do, though, have control over some of these factors.
Heres a look at some features that influence the cause of osteoarthritis.
- Weight people who have excess weight are putting added stress on their weight-bearing joints. As well, the fat tissue produces proteins that can cause harmful inflammation around the joints.
- Age nothing lasts forever, and as we age our joints simply wear out.
- Joint injuries if you have experienced a sports injury, you can potentially expose your joints to the kind of stress that leads to OA.
- Repetitive activity certain jobs or activities that put repeat stress on specific joints can cause joint deterioration.
- Genetics some people just inherit a tendency to develop OA.
- Deformities some people are born with defective cartilage or bone deformities that increase their risk of osteoarthritis.
Heres a look at the factors that can cause psoriatic arthritis:
- Genetics many people with PsA have a family history of either psoriasis or psoriatic arthritis.
- Physical trauma this could include a viral or bacterial infection in people with an inherited tendency.
- Stress anxiety can cause flare-ups or trigger psoriasis.
- Medications certain medications are known to trigger PsA, including Lithium, antimalarials, high blood pressure medications, and the heart drug Quinidine.
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