Types Of Arthritis That Affect The Back
If you have arthritis in your back, its important to understand the type of arthritis that might be causing it. Different types of arthritis have specific medications and treatments. Here are some of the more common types of arthritis that affect the back.
It is common for people with back pain to have more than one cause, which could include arthritis as well as other causes .
What Does Low Back Strain Feel Like
Symptoms of low back strain include:
- Pain and stiffness in the back.
- Pain in the buttocks and the legs, often in the back of the thigh.
- Pain that worsens when bending, stretching, coughing, or sneezing.
Since some symptoms of low back strain are similar to those of more serious conditions, itâs important to get checked out by a doctor. Any numbness and weakness in your legs, or bowel and bladder problems, can be a sign of nerve damageâ and that needs immediate medical attention.
To diagnose low back strain, your doctor will give you a thorough exam. You may also need X-rays, MRIs , and CT scans. These extra tests may only be needed if your pain doesnât go away on its own or with conservative treatment.
Important Considerations For People With Arthritis Of The Hip
There is no cure for arthritis. Typically, it starts gradually and worsens over time. Eventually, all forms of arthritis of the hip may permanently damage the hip joint. While osteoarthritis is more common in older people, there are forms of arthritis that affect younger people.
Fortunately, there are things that can be done to help minimize the effect of arthritis, and we are glad to discuss these option.
- 22% of the U.S. population in 2010 reported some form of arthritis
- Among adults over 65, 50% have some form of arthritis
- The most common form of arthritis is osteoarthritis
- Weight loss of just 11 pounds can reduce a womans risk of developing knee arthritis by 50%
- Of working age people , one-third of those who had arthritis reported it limited their ability to work
*Centers for Disease Control and Prevention
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How Arthritis In The Back Is Diagnosed
Diagnosing arthritis in the back begins with taking your medical history and doing a physical exam of your back and legs to assess your mobility/flexibility and make sure your nerves are working properly. The doctor will ask questions about:
- Where the pain is occurring
- How long the pain has lasted
- What the pain feels like/how severe it is
- What situations/activities make the pain feel better or worse
- How the pain is affecting/limiting your daily function
Imaging tests are usually needed to help confirm a diagnosis of arthritis. X-rays are typically the first imaging test ordered. They can joint damage/bone spurs, but cannot show damage to soft tissues such as muscles, ligaments, or bulging discs. Other tests may be ordered to look for changes or damage that is not visible on X-rays. These may include MRI, CT, ultrasound, bone scans, or other tests as needed. The gold standard to diagnose arthritis in the back is actually an injection called a medial branch block, but its not often necessary, says Dr. Kirschner.
If your doctor suspects you could have a type of inflammatory arthritis, they may order blood tests to look for signs of inflammation, such as C-reactive protein or erythrocyte sedimentation rate.
Other blood tests may look for genetic markers associated with axial spondyloarthritis, such as HLA-B27, or antibodies associated with rheumatoid arthritis .
Exceptional Multidisciplinary Care For Spinal Arthritis
The UH team of spine specialists have the expertise and experience to provide patients with the highest level of care for spinal arthritis. In fact, our spine program is one of only 20 programs in the country to be designated a Center of Excellence by the National Spine Institute.
We draw upon the expertise of a wide variety of clinical specialists to devise personalized treatment plans for each patient who comes to us for care. Your team may include:
- Orthopedic surgeons
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How Is Ankylosing Spondylitis Diagnosed
There isnt a test that definitively diagnoses ankylosing spondylitis. After reviewing your symptoms and family history, your healthcare provider will perform a physical exam. Your provider may order one or more of these tests to help guide diagnosis:
- Imaging scans:Magnetic resonance imaging scans can detect spine problems earlier than traditional X-rays. Still, your provider may order spine X-rays to check for arthritis or rule out other problems.
- Blood tests: Blood tests can check for the presence of the HLA-B27 gene. About 8% of people of European descent have this gene, but only a quarter of them develop ankylosing spondylitis.
Weight Loss Exercise And Diet
Think about the extra pounds people carry every day due to their being overweight. This puts added pressure and strain on the back and stomach muscles, causing those muscles to stretch and weaken. Weak back and stomach muscles cannot support the back properly. Poor posture can shift your body out of balance. This forces only a few muscles and joints to do all the work. Without proper exercise, muscles become weak and tire easily. Exercise is necessary to keep the back strong and limber. A good conditioning exercise program led by a trained instructor can be particularly helpful. An effective program includes a warm-up period about 30 minutes of aerobic activity isolated muscle group work and a cool-down period. Over a period of time, the rewards of regular aerobic workouts can include a slimmer waistline and healthier back.
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What Is Sacroiliac Joint Dysfunction
Sacroiliac dysfunction is a common cause of back pain. In most instances, the discomfort that comes with it can be managed through conservative treatment however, some cases may require back surgery.
The sacroiliac joint is located in the lower back between the spine and hip joint, and normally does not move much. Inflammatory arthritis , degeneration of the sacroiliac joint, or misalignment of this joint can cause pain associated with sacroiliac dysfunction.
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Are There Any Complications
Some people who have osteoarthritis in their neck might have problems swallowing or when they speak, but this is not very common. This can be caused by bony spurs affecting blood supply to the spinal cord.
If you have osteoarthritis of the spine, you may have other problems that may need treating. Let your doctor know urgently if you:
- have trouble going for a wee, or feel like you need a wee when you dont
- lose control of your bladder or bowel the organs that control wee and poo
- have feelings of numbness or tingling around your genitals or bottom
- lose power in your legs
- feel unwell like having a fever or sweating.
Spinal stenosis is a condition that happens when the spinal canal, which contains the spinal cord, gets narrower. The most common symptoms are pain and weakness or numbness in the area linked to the affected part of the spine such as the legs, arms, neck, back or shoulders.
Spinal stenosis is often caused by osteoarthritis, as the bony spurs that form on the edge of the vertebrae can irritate the nerves in your spine. It can usually be treated with exercise, over-the-counter drugs and steroid injections.
Sometimes surgery will be needed to remove the spurs and make space in the vertebral column.
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Current Conservative Treatment Options
Furthermore, there are few secondary prevention intervention techniques specifically aimed at treating symptomatic spine degeneration. Injection therapy has been a popular treatment technique targeting spine features for LBP, and Karppinen et al. have recently summarized evidence on this therapy. Facet joint injection therapy to treat LBP has increased dramatic in recent years. Among Medicare beneficiaries, intervention for facet joint pain has increased substantially with annual growth of 60 % from 1997 to 2006 . However, there is little evidence to support the use of this therapy, with recent practice guidelines recommending against the use of facet joint steroid injections .
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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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What Can I Do For Low Back Pain At Home
If your lower back pain has just started, the best thing you can do is start a log. Record your symptoms, times, dates and which activities trigger the pain or make it worse or better. Take this information to your family physician if the pain doesnt resolve on its own. It will make diagnosing the cause much easier.
Once you know which motion or position causes your lower back pain, try to avoid it and see if you get better. Icing the painful spot can also help. And so can over-the-counter pain relievers that help reduce inflammation. Just remember that pain killers treat only the symptom pain and not its cause.
Nondrug Therapies And Lifestyle Changes To Ease Back Pain
Learn how assistive devices, mind-body therapies and healthy choices can provide back pain relief.
An estimated 50 percent to 80 percent of American adults will experience back pain. Whether because of a traumatic accident, a simple injury or osteoarthritis, there are ways to find relief. If you have a type of inflammatory arthritis such as ankylosing spondylitis or non-radiographic axial spondylarthritis, you also need to seek care from a rheumatologist to manage the inflammation that is driving your back pain. But these self-care tips can help to ease back pain.
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How Will Osteoarthritis Of The Spine Affect Me
The first sign of osteoarthritis of the spine is usually pain and stiffness in your back or neck.
The condition can be difficult to diagnose, as it can be hard to tell which symptoms are linked to osteoarthritis. It can even be hard to spot back and neck problems on x-rays of the spine, as changes caused by osteoarthritis dont always cause pain.
Symptoms of osteoarthritis of the spine will vary from person to person. The most common symptoms are:
- pain in your back or neck
- stiffness, especially first thing in the morning or after resting
- crunching or grinding noises when moving your back or neck.
People who have osteoarthritis in their neck might also have headaches or feel pain in their shoulders and arms.
Its normal for the cartilage in our joints to get thinner, especially as we get older. But in people with osteoarthritis, its the bodys normal process of repairing damage to joints that can cause pain and stiffness.
When the body starts to repair damage to cartilage, the whole joint can be affected including the bone, tendons and ligaments.
During the repair process, the edges of the bones in the spine can grow outwards, forming bony spurs. These are known as osteophytes . The discs between the vertebrae in the spine can also become thinner.
Related Conditions That Cause Tingling Numbness Or Weakness
Osteoarthritis can stimulate muscle spasms, the growth of bone spurs, or other degenerative changes that cause the spinal cord or its nerve roots to become compressed. When the spinal cord or a nerve root is squeezed, the entire area it travels to can be affected.
Osteoarthritic-related conditions that affect the spinal nerve roots include:
- Lumbar spinal stenosis, which occurs when the size of the bony opening for a spinal nerve root in the lower back is reduced. Lumbar spinal stenosis causes the affected nerve root to become irritated or compressed as it exits the spine. A person may experience tingling, weakness, or numbness that radiates from the lower back into the buttocks, thighs, leg, and/or foot. When nerve roots between L4 to S3 in the lumbar spine are affected, the symptoms and signs are often referred to as sciatica.
Read When to See a Surgeon for Spinal Stenosis on Spine-health.com
In most but not all cases, the symptoms of spinal osteoarthritis come and go, becoming worse and more frequent over months or years. If back pain comes on suddenly, it is more likely to be caused by a strained muscle or other trauma or condition, and not by spine osteoarthritis.
Early recognition of symptoms and appropriate treatment can dramatically slow or eliminate the progression of osteoarthritis symptoms.
Read more about Osteoarthritis Symptoms and Signs
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What Can You Do If You Have Spinal Osteoarthritis
There are plenty of treatments for spinal arthritis. One of the best and most underutilized treatments for spinal osteoarthritis is doing back-strengthening exercises. Other treatments you can try on your own include using a warming pad or ice pack , using a topical pain reliever, losing excess weight, and taking a break from activities that aggravate pain.
What Are The Symptoms Of Spinal Arthritis
Symptoms of spinal arthritis may differ from person to person. In general, they may include:
Back and neck pain, especially in the lower back
Stiffness and loss of flexibility in the spine, such as being unable to straighten your back or turn your neck
Swelling and tenderness over the affected vertebrae
Feeling of grinding when moving the spine
Pain, swelling and stiffness in other areas of the body
Whole-body weakness and fatigue
Pain and numbness in your arms or legs if the nerves are affected
Although back pain is a common symptom, not all people have it, even those with advanced spinal arthritis. On the other hand, some may experience pain even before arthritis can be seen on an X-ray.
In certain types of spondyloarthritis, eye inflammation may occur, causing pain, watery eyes and blurred vision.
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Coping With Low Mood And Sleep Problems
Living with pain can affect your mood and sleep, and its normal to feel low from time to time. If this is something that affects you, try going along to a pain clinic, where you can learn how to manage your pain. Theyll usually take place at outpatient clinics, and you can be referred to them by whoever is treating you.
Pain can be affected by different things, including feeling low or stressed. There are a number of talking therapies and techniques you can learn, which can help you manage your pain, support your emotional wellbeing, and deal with any low feelings you might have. Mindfulness and cognitive behavioural therapy can help with osteoarthritis.
Learning to relax your muscles can also help, particularly if you have neck pain and are feeling stressed, as this can cause your muscles to become more tense.
A pillow thats too firm or thick can make neck pain worse. Try to sleep with your head level to the rest of your body. Its important to have a mattress that gives your head and spine proper support.
Try having a hot bath, reading a book, or listening to the radio or a relaxation CD to wind down before bed. If pain is waking you during the night, try taking paracetamol or another painkiller before bed. Talk to your doctor or a sleep expert for more advice.
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.
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Arthritis In Lower Back
Osteoarthritis is the most commonly known type of arthritis and this occurs when the cartilage in the joints break down. The loss of cushioning in between the bones may lead to stiffness, loss of joint motion and pain. According to experts, almost 27 million of all Americans suffer from this condition. osteoarthritis usually affect certain joints more frequently than the rest of it and the lower back is the most susceptible to this condition. Since arthritis conditions do not disappear, it is necessary to find pain relief measures for arthritis in lower back. Continue reading
What Is Ankylosing Spondylitis
Ankylosing spondylitis is a form of arthritis that causes chronic spine inflammation. Ankylosing spondylitis inflames the sacroiliac joints located between the base of the spine and pelvis. This inflammation, called sacroiliitis, is one of the first signs of AS. Inflammation often spreads to joints between the vertebrae, the bones that make up the spinal column. This condition is known as spondylitis.
Some people with AS experience severe, persistent back and hip pain and stiffness. Others have milder symptoms that come and go. Over time, new bone formations may fuse vertebrae sections together, making the spine rigid. This condition is called ankylosis.
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