How can you prevent spinal arthritis. What are the most effective nondrug therapies for back pain. Which lifestyle changes can ease arthritis symptoms in the spine. How does obesity affect back arthritis. What role does physical activity play in managing spinal arthritis.

Understanding Spinal Arthritis: Causes and Types

Spinal arthritis is a common condition that affects the joints in the spine, causing pain, stiffness, and reduced mobility. To better understand this condition, it’s essential to explore its causes and the different types that can affect the spine.

What is Spinal Arthritis?

Spinal arthritis occurs when the cartilage in the joints of the spine breaks down, leading to inflammation and pain. This condition can affect various parts of the spine, including the lower back (lumbar spine) and neck (cervical spine).

Types of Spinal Arthritis

The two most common types of arthritis that affect the spine are:

• Osteoarthritis: This is the most prevalent form of spinal arthritis, characterized by the gradual wear and tear of cartilage in the joints.
• Rheumatoid Arthritis: An autoimmune disorder where the body’s immune system mistakenly attacks the joints, causing inflammation and erosion of bones and joints.

Why does arthritis commonly affect the spine? The spine is particularly susceptible to arthritis due to its constant motion and weight-bearing responsibilities. The lumbar spine, which carries most of the body’s weight, is especially prone to osteoarthritis.

Risk Factors for Developing Spinal Arthritis

Understanding the risk factors associated with spinal arthritis can help individuals take proactive steps to prevent or manage the condition. These factors can be categorized into two groups: non-modifiable and modifiable.

Non-Modifiable Risk Factors

Certain risk factors for spinal arthritis cannot be changed:

• Age: The risk of developing arthritis increases as we get older.
• Genetics: Some people may have a genetic predisposition to arthritis.
• Gender: Certain types of arthritis are more common in specific genders.
• Ethnicity: Some ethnic groups may have a higher risk of developing certain types of arthritis.

Modifiable Risk Factors

Fortunately, there are several risk factors that individuals can control:

• Obesity: Excess weight puts additional stress on weight-bearing joints, including the spine.
• Metabolic Syndrome: This cluster of conditions can increase the risk of developing arthritis.
• Previous Injury: Joint injuries can increase the likelihood of developing arthritis in that area.
• Occupation: Jobs that involve repetitive motions or heavy lifting can contribute to joint wear and tear.
• Diet: Certain dietary choices may influence inflammation and joint health.
• Physical Activity: Both lack of activity and overexertion can impact joint health.

Can lifestyle changes really make a difference in preventing spinal arthritis? Absolutely. By addressing modifiable risk factors, individuals can significantly reduce their risk of developing or exacerbating spinal arthritis.

Preventive Measures for Spinal Arthritis

Taking proactive steps to prevent spinal arthritis can significantly improve your overall spine health and quality of life. Here are some effective preventive measures:

Stay Active

Regular physical activity is crucial for maintaining joint health and preventing arthritis. How does staying active help? It strengthens the muscles supporting the spine, improves flexibility, and helps maintain a healthy weight. Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week.

Maintain a Healthy Weight

Excess weight puts additional stress on your spine, accelerating wear and tear. By maintaining a healthy body weight, you can reduce the load on your spinal joints and lower the risk of developing arthritis. A balanced diet and regular exercise are key to achieving and maintaining a healthy weight.

Avoid Tobacco Use

Smoking not only affects lung health but also accelerates cartilage loss in joints and aggravates back pain. If you smoke, quitting can significantly improve your overall health and reduce your risk of developing spinal arthritis.

Practice Good Posture

Maintaining proper posture throughout the day can help reduce stress on your spine. When sitting, keep your back straight and shoulders relaxed. When standing, distribute your weight evenly on both feet.

Use Proper Lifting Techniques

When lifting heavy objects, bend your knees and use your leg muscles instead of your back. This technique helps prevent unnecessary strain on your spine.

Nondrug Therapies for Managing Spinal Arthritis

While medication can be effective in managing spinal arthritis symptoms, many nondrug therapies can provide significant relief. These approaches focus on improving mobility, reducing pain, and enhancing overall quality of life.

Physical Therapy

Physical therapy plays a crucial role in managing spinal arthritis. A trained physical therapist can design a personalized exercise program to strengthen the muscles supporting your spine, improve flexibility, and enhance your range of motion. These exercises may include:

• Stretching exercises to improve flexibility
• Strengthening exercises for the core and back muscles
• Low-impact aerobic activities like swimming or cycling
• Posture correction exercises

Chiropractic Care

Chiropractic manipulation can help alleviate pain and improve spinal function in some individuals with spinal arthritis. A chiropractor may use various techniques, including spinal adjustments, to reduce pain and improve mobility.

Massage Therapy

Massage can help relax tense muscles, improve circulation, and reduce pain associated with spinal arthritis. Regular massage sessions may help manage chronic pain and improve overall well-being.

Acupuncture

Some individuals find relief from spinal arthritis symptoms through acupuncture. This traditional Chinese medicine technique involves inserting thin needles into specific points on the body to alleviate pain and promote healing.

Heat and Cold Therapy

Alternating between heat and cold treatments can help manage pain and inflammation associated with spinal arthritis. Heat therapy can relax muscles and increase blood flow, while cold therapy can reduce inflammation and numb pain.

Lifestyle Changes to Ease Back Pain

In addition to nondrug therapies, making certain lifestyle changes can significantly improve the quality of life for individuals with spinal arthritis. These changes can help manage symptoms and slow the progression of the condition.

Exercise Regularly

Regular exercise is crucial for managing spinal arthritis. It helps maintain joint flexibility, strengthens supporting muscles, and improves overall fitness. Low-impact activities such as swimming, walking, or cycling are excellent options for individuals with spinal arthritis.

Maintain a Healthy Diet

A balanced diet rich in anti-inflammatory foods can help manage arthritis symptoms. Foods that may help reduce inflammation include:

• Fatty fish (salmon, mackerel, sardines)
• Leafy green vegetables
• Nuts and seeds
• Berries
• Olive oil

Conversely, it’s advisable to limit or avoid foods that may increase inflammation, such as processed foods, sugary drinks, and excessive red meat.

Improve Sleep Habits

Quality sleep is essential for managing pain and promoting overall health. Establish a consistent sleep schedule, create a comfortable sleep environment, and consider using supportive pillows or mattresses designed for individuals with back pain.

Manage Stress

Chronic stress can exacerbate arthritis symptoms. Incorporate stress-management techniques into your daily routine, such as:

• Meditation or mindfulness practices
• Deep breathing exercises
• Yoga
• Engaging in hobbies or activities you enjoy

Ergonomic Adjustments

Make ergonomic adjustments to your home and workplace to reduce stress on your spine. This may include:

• Using a supportive chair with proper lumbar support
• Adjusting your computer monitor to eye level
• Using a standing desk or taking regular breaks to stand and stretch

The Role of Physical Activity in Managing Spinal Arthritis

Physical activity plays a crucial role in managing spinal arthritis. Regular exercise can help reduce pain, improve flexibility, and strengthen the muscles supporting the spine. However, it’s essential to choose appropriate activities and exercise within your limits to avoid exacerbating symptoms.

Benefits of Exercise for Spinal Arthritis

Regular physical activity offers numerous benefits for individuals with spinal arthritis:

• Improved joint flexibility and range of motion
• Strengthened muscles supporting the spine
• Enhanced balance and coordination
• Better weight management
• Reduced pain and stiffness
• Improved overall cardiovascular health

Recommended Exercises for Spinal Arthritis

The following types of exercises can be beneficial for individuals with spinal arthritis:

1. Low-impact aerobic activities: Swimming, walking, or using an elliptical machine can provide cardiovascular benefits without putting excessive stress on the spine.
2. Strength training: Exercises that target the core, back, and leg muscles can help support the spine and improve overall stability.
3. Flexibility exercises: Gentle stretching can help maintain and improve range of motion in the spine and surrounding muscles.
4. Water-based exercises: Aquatic therapy or water aerobics can provide resistance training while reducing the impact on joints.
5. Yoga or Tai Chi: These practices combine gentle movements with mindfulness, promoting flexibility, balance, and stress reduction.

How often should you exercise with spinal arthritis? Aim for at least 30 minutes of moderate exercise most days of the week. However, it’s essential to listen to your body and adjust your activity level based on your symptoms and overall health.

The Impact of Obesity on Back Arthritis

Obesity is a significant risk factor for developing and exacerbating spinal arthritis. Excess weight puts additional stress on weight-bearing joints, including those in the spine, accelerating wear and tear and increasing the likelihood of developing arthritis.

How Obesity Affects Spinal Arthritis

Obesity impacts spinal arthritis in several ways:

• Increased mechanical stress: Extra weight puts more pressure on the spine, leading to faster degeneration of cartilage and joints.
• Systemic inflammation: Excess fat tissue produces inflammatory substances that can contribute to joint inflammation and pain.
• Metabolic factors: Obesity is often associated with metabolic syndrome, which can increase the risk of developing osteoarthritis.
• Reduced physical activity: Obesity can lead to a sedentary lifestyle, which further contributes to joint stiffness and muscle weakness.

Weight Loss Strategies for Individuals with Spinal Arthritis

For individuals with spinal arthritis who are overweight or obese, losing weight can significantly improve symptoms and slow disease progression. Here are some strategies for healthy weight loss:

1. Consult with a healthcare professional: Before starting any weight loss program, consult with your doctor or a registered dietitian to develop a safe and effective plan.
2. Focus on a balanced diet: Emphasize whole foods, including fruits, vegetables, lean proteins, and whole grains. Limit processed foods, sugary drinks, and excessive portions.
3. Incorporate regular physical activity: Choose low-impact exercises that are gentle on your joints, such as swimming, cycling, or walking.
4. Set realistic goals: Aim for gradual, sustainable weight loss rather than rapid, extreme changes.
5. Monitor portion sizes: Use smaller plates, measure servings, and be mindful of portion sizes to avoid overeating.
6. Stay hydrated: Drink plenty of water throughout the day to support overall health and aid in weight loss.
7. Consider behavioral strategies: Work with a therapist or counselor to address emotional eating or other behaviors that may contribute to weight gain.

How much weight loss is necessary to see improvements in spinal arthritis symptoms? Even modest weight loss can make a significant difference. Losing just 5-10% of your body weight can reduce pain and improve function in individuals with osteoarthritis.

Advanced Treatment Options for Spinal Arthritis

While conservative treatments and lifestyle changes are often effective in managing spinal arthritis, some individuals may require more advanced interventions. These options are typically considered when conservative measures fail to provide adequate relief or when arthritis causes severe symptoms or complications.

Medications

When over-the-counter pain relievers are insufficient, healthcare providers may recommend prescription medications to manage pain and inflammation associated with spinal arthritis. These may include:

• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• Corticosteroids
• Disease-modifying antirheumatic drugs (DMARDs) for rheumatoid arthritis
• Biologic response modifiers for severe cases of rheumatoid arthritis

Injections

Corticosteroid injections directly into the affected joints can provide temporary relief from pain and inflammation. These injections are typically administered by a specialist and may be repeated a few times a year.

Radiofrequency Ablation

This minimally invasive procedure uses heat to destroy nerve fibers that carry pain signals from the affected joints. It can provide longer-lasting pain relief for some individuals with spinal arthritis.

Surgical Options

In severe cases where conservative treatments and minimally invasive procedures haven’t provided adequate relief, surgical intervention may be considered. Surgical options for spinal arthritis may include:

1. Laminectomy: Removal of the lamina (part of the vertebra) to relieve pressure on nerves
2. Spinal fusion: Joining two or more vertebrae to stabilize the spine and reduce pain
3. Artificial disc replacement: Replacing a damaged disc with an artificial one to maintain motion and reduce pain

When is surgery considered for spinal arthritis? Surgery is typically considered a last resort when other treatments have failed to provide relief and the arthritis is causing significant pain, disability, or neurological symptoms.

Regenerative Medicine

Emerging treatments in regenerative medicine, such as stem cell therapy and platelet-rich plasma (PRP) injections, are being studied for their potential in treating spinal arthritis. While these treatments show promise, more research is needed to establish their long-term effectiveness and safety.

It’s important to note that the choice of treatment depends on various factors, including the severity of arthritis, the individual’s overall health, and their response to previous treatments. A comprehensive evaluation by a healthcare provider specializing in spinal conditions is crucial for determining the most appropriate treatment plan.

Pain in the back: Preventing and treating spinal arthritis

• By

  Dan Lea

  March 14, 2023

EAU CLAIRE, Wis. — Many types of arthritis can affect your musculoskeletal system. Joints are physical points of connection between two bones, and cartilage is the tissue that covers the surface of the bone at the joint. A membrane, called the synovial membrane, lines the joint and is filled with fluid known as synovial fluid. All these components work together to make movement easy.  

“Over time, the cartilage in joints can break down and cause swelling and tenderness,” says Gazanfar Rahmathulla, M.B.B.S., M.D., a neurosurgeon at Mayo Clinic Health System in Eau Claire. “It’s common in the joints used daily, such as the hands and knees. The spine comprises 33 bones stacked one over the other like Lego blocks, connected by three different joints. Arthritis can affect various joints in the body that are load-bearing and where movement occurs, including the spine. ”   

Arthritis in the spine 

The most common types of arthritis are osteoarthritis and rheumatoid arthritis. Osteoarthritis occurs when the cartilage that caps your bones wears away. Degenerative changes can happen over time in joints used daily for motion. Osteoarthritis is the most common type of arthritis.  

Rheumatoid arthritis is caused when your body’s immune system mistakenly attacks your joints. You may experience pain and swelling, and your bones and joints slowly erode and deform. You can get this type of arthritis at any age, but it is usually more common in adults 40 or older. 

The spine is susceptible to osteoarthritis because of the motion between the vertebrae. It’s most common in the lower back, or lumbar spine, because these joints carry most of the body weight. When a person stands upright, the lumber spine experiences additional strain and wears out faster than nonmobile levels, such as the middle of the spine.  

The neck also is susceptible to arthritis. This is because of the millions of flexions, extensions and rotary movements made by the joints in the neck. Over time, the disc cartilages and facet joints tend to wear out.  

Preventing spinal arthritis 

There are several factors that can increase the risk of osteoarthritis. We can modify some of these risk factors, but the others are inherent and not modifiable. The factors that cannot be changed include a person’s age, genetics, gender and ethnicity. 

For risk factors that can be changed, the saying “an ounce of prevention is better than a pound of cure” applies to spinal arthritis. The modifiable risk factors include obesity, metabolic syndrome, previous injury, occupation, diet and physical activity. There are things that you can do to lower your risk of arthritis developing and causing painful symptoms, such as:   

• Remain active.  
  The more sedentary people are, the more likely they will have issues with arthritis pain. Strenuous physical activity isn’t necessary. Simple exercises, like walking, help keep you mobile and your joints healthy.  
• Maintain a healthy weight.  
  Carrying extra weight is hard on the joints in your back. Aim for a healthy body weight to keep your joints happy.  
• Don’t use tobacco.  
  People may understand that smoking affects lung health, but it also speeds up cartilage loss in joints and aggravates back pain. Don’t start smoking, and if you do smoke, quit.  

Treating spinal arthritis 

Many people have some degree of degenerative changes in their spines due to arthritis. But not everybody who has arthritis on diagnostic imaging has symptoms. Treatment is only considered if a person is experiencing symptoms that don’t go away with exercise or weight loss, and arthritis is present on images, such as an X-ray.  

“It can be difficult to find the exact source of pain due to multiple joints, levels or nerves in the spine,” Dr. Rahmathulla says. “Images, like an MRI scan or X-ray, help the health care team identify where the pain is coming from.”  

To develop an individualized treatment plan, the health care team will match the image results with the patient’s reported symptoms. Any surgical procedure carries risk, so the goal is to medically manage arthritis symptoms without surgery in most cases. Conservative medical options for treating symptomatic spinal arthritis include physical therapy, chiropractic manipulation, exercise, massage, medications and weight loss. For most patients, these options lessen back pain and improve mobility.  

Additional treatments may be necessary if symptoms aren’t improving or the arthritis is causing compression of the nerves, leading to weakness or loss of mobility. Surgical options range from a laminectomy to a spinal fusion.  

It’s important to remember that nearly everyone will experience back pain at some time in their lives. Members of the health care team, including pain management, physical medicine and rehabilitation, primary care, physical therapy, and finally, the spine surgeon, carefully evaluate each patient and identify who may be a candidate for surgical intervention versus those who may not benefit from surgery and need to continue medical treatment options.   

“It is essential that you talk with your health care team if you are struggling with ongoing back pain or pain and weakness that radiates down your legs or arms,” Dr. Rahmathulla says.  

###

About Mayo Clinic Health System

Mayo Clinic Health System has a physical presence in 44 communities and consists of 53 clinics, 16 hospitals and other facilities that serve the health care needs of people in Iowa, Minnesota and Wisconsin. The community-based health care professionals, paired with the resources and expertise of Mayo Clinic, enable patients in the region to receive the highest-quality physical and virtual health care close to home.

Media contact:

• Dan Lea, Mayo Clinic Health System Communications, 715-838-6405, [email protected]

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6 exercises for arthritis in the lower back to relieve pain

6 exercises for arthritis in the lower back to relieve pain

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Medically reviewed by Angela M. Bell, MD, FACP — By Zia Sherrell, MPH on November 28, 2022

People with lower back arthritis often find relief with exercises that stretch and strengthen the muscles around the joints, such as side stretches and knee rolls. These exercises may help reduce pain, improve range of motion, and increase back stability.

Arthritis in the lower back can cause significant pain and discomfort. A person may have pain in the spine and buttocks, making physical activity more difficult.

However, safe and appropriate exercises can also be part of arthritis treatment, helping to relieve symptoms. It can also reduce the risk of other health conditions.

This article explores exercises for arthritis in the lower back.

There is no single type of exercise that will benefit everyone with lower back arthritis. The best type of exercise for a person depends on their:

• symptoms
• pain level
• arthritis severity
• overall fitness level

Exercise in general may benefit people with osteoarthritis because it can:

• improve stability
• reduce muscle strain
• ease inflammation

Any exercise a person can manage may help. However, research highlights a few forms of exercise that may be especially suitable for people with arthritis, including:

• low impact aerobic exercise
• water-based exercise, such as swimming
• muscle-strengthening exercises
• balance training

For best results, a person can combine aerobic and strengthening exercises with active range-of-motion and stretching exercises.

Experts suggest that people with severe arthritis avoid high intensity exercise. It is also advisable to avoid activities that strain or jar the back, such as long-distance running or downhill skiing.

People who enjoy these activities may be able to adapt to them. For example, using a cross-trainer for running or skiing cross-country may take some strain off the joints.

It is important to speak with a doctor about when it is safe to start exercising, particularly if a person has not exercised in a while or has severe arthritis. Certain types of exercises may not be appropriate.

A doctor can refer a person to a physical therapist who can create a safe exercise plan. If a person is new to exercise, experts usually recommend that they start slowly and gradually increase the intensity of their workouts. It is also important to warm up before exercise and cool down afterward.

Here are some exercises that may help maintain strength and flexibility in the back. If any of these exercises cause pain, stop and consult a doctor or physical therapist about whether it is safe.

Side stretches

1. Stand up or sit tall and reach the arms overhead.
2. Interlace the fingers and turn the palms toward the ceiling.
3. Gently pull the interlaced hands to the right, feeling a stretch along the left side of the body. Hold for 30 seconds, then repeat on the other side.

Trunk rotation

1. Stand or sit upright in a chair and cross the arms so that each hand rests on the opposite shoulder. Alternatively, a person can hold an object, such as a ball.
2. Keeping the buttocks in the same place, twist the spine gently to the left.
3. Return to the center, then repeat the twist on the right side.
4. Repeat the twist 10 times on each side.

Cat-Cow Pose

1. Start on all fours with the hands beneath the shoulders and the knees beneath the hips.
2. While exhaling, round the spine toward the ceiling and tuck the chin to the chest.
3. Allow the head and shoulders to drop toward the floor.
4. Hold for a breath, then return to the neutral position.
5. While inhaling, arch the spine and look up toward the ceiling.
6. Repeat 10–20 times.

Pelvic tilt

1. Start by lying on the back with the knees bent and feet flat on the floor.
2. Tighten the stomach muscles and press the lower back into the floor.
3. While exhaling, tilt the hips and pelvic area upward.
4. Hold for 5 breaths, then slowly lower back to the starting position.

Knee rolls

1. Start by lying on the back with the knees bent and feet flat on the floor.
2. Allow both knees to fall to one side, keeping the shoulders and upper back pressed into the floor.
3. Hold for 30 seconds, then repeat on the other side.

Bridge Pose

1. Start by lying on the back with the knees bent and feet flat on the floor.
2. Press the feet into the floor and lift the hips toward the ceiling, keeping the shoulders and upper back pressed into the floor.
3. Hold for 5 breaths, then slowly lower back to the starting position.

People with arthritis can use the following tips to help make exercise easier:

• Check with a doctor before starting an exercise program.
• Start slowly and gradually increase the intensity, especially if someone is new to physical activity.
• Invest in comfortable, supportive sports shoes and clothing.
• Warm up and stretch before exercising to ensure muscles are loose.
• Break exercises up into smaller chunks, if necessary.
• Choose enjoyable exercises and vary the routine.
• Find an exercise buddy or join an exercise group for motivation.
• Listen to music or audiobooks while exercising.
• Cool down after exercising to help prevent stiffness.
• Listen to the body and rest as needed.

Exercise may help maintain muscle strength, flexibility, and stability in people with lower back arthritis. It may even reduce inflammation and pain.

However, it is advisable for people with arthritis to check with their doctor before starting any new exercise plan. A doctor or physiotherapist can recommend suitable exercises tailored to the individual.

When beginning a new exercise program, experts suggest that people start slowly and gradually increase the intensity to avoid straining the joints and risking injury.

Last medically reviewed on November 28, 2022

• Back Pain
• Body Aches
• Osteoarthritis
• Rheumatology
• Bones / Orthopedics
• Sports Medicine / Fitness

How we reviewed this article:

Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Exercise and arthritis. (2020).
  https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Living-Well-with-Rheumatic-Disease/Exercise-and-Arthritis
• Kong, H., et al. (2022). Exercise for osteoarthritis: A literature review of pathology and mechanism.
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9110817/
• Neck & back exercises. (n.d.).
  https://www.arthritis.org/health-wellness/healthy-living/physical-activity/getting-started/your-exercise-solution/upper-body-exercises-(1)/neck-and-back

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Medically reviewed by Angela M. Bell, MD, FACP — By Zia Sherrell, MPH on November 28, 2022

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Arthrosis of the spine – symptoms, causes, treatment

This disease is treated by a neurologist.

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Arthrosis of the joints of the spine is a chronic disease in which degenerative-dystrophic processes lead to the destruction of cartilage tissue in the intervertebral discs and articular joints of the vertebrae.

CMRT specialist tells

Bulatsky S.O.

Orthopedist • Traumatologist • experience 16 years

Publication date: May 17, 2021

Verification date: January 10, 2023

All facts have been verified by a physician.

Contents of the article

Causes of arthrosis of the spine

Factors provoking the development of arthrosis

• Injuries of the spine
• Congenital malformations of the spine
• Hereditary predisposition
• Autoimmune diseases: Bechterew’s disease, rheumatoid arthritis
• Pathological posture: scoliosis and other deformities of the spinal column
• Osteochondrosis, spondylitis, spondylolisthesis
• Long-term static load on the spine
• Heavy physical labor, intense sports loads
• Endocrine pathologies : hypothyroidism, diabetes, obesity
• Vitamin deficiency, macro – and trace elements
• Physical inactivity
• Specific (tuberculosis, syphilis) and purulent infections

Arthrosis of the intervertebral joints in the early stages of development is asymptomatic.

As the pathological process progresses, the symptoms that testify to arthrosis of the spine also increase.

Cervical osteoarthritis is characterized by:

• Restrictions in head movements
• Pain in the neck
• Appearance of a crunch, clicking when turning, tilting the head
• Visual impairment, hearing loss

9002 8 Tinnitus, incoordination

• Disorder of skin sensitivity of the upper limbs

Symptoms of arthrosis of the thoracic spine:

• Stiffness, soreness in the chest
• If the disease worsens, respiratory distress may appear, the pain increases with respiratory movements

Signs of lumbar spondyloarthrosis:

• Feeling of heaviness in the lumbar region
• Different in nature and intensity of pain in the lumbosacral spine, aggravated by body movements.
• Stiffness in the area of ​​the affected joint: inability to sit or stand up independently.
• Sometimes paresthesias of the lower extremities develop: numbness, pain, weakness in the legs.

Stages of development of arthrosis of the spine

According to the degree of development of degenerative changes, arthrosis of the intervertebral joints is divided into stages:

• I stage. In the cartilaginous tissue, initial metabolic disorders begin to appear, which, most often, are asymptomatic. There are no signs of osteoarthritis on x-ray. The patient is sometimes worried about discomfort in the back after exercise.
• Stage II is characterized by the appearance of stiffness in the back in the morning or after a long stay in one position, as well as moderate pain, especially after sudden movements of the body: tilts, turns. On the radiograph – thinning of the cartilaginous plate of the articular surfaces, marginal bone growths (osteophytes).
• Stage III. With progressive cartilage destruction, the ligamentous-muscular apparatus of the spine suffers, which ensures the correct anatomical position of the vertebrae and the stability of the spinal column. On the X-ray – narrowing of the interarticular gap, massive growth of osteophytes. The pain is constant both at rest and during movement. There is stiffness in the damaged segment of the spine.
• Stage IV. On the radiograph, the cartilage is completely destroyed, the joint space is absent. The slightest movement causes excruciating pain.

How to diagnose

The diagnosis is made on the basis of the patient’s complaints, anamnesis, clinical examination, examination data, which includes laboratory tests and instrumental methods.

Radiography – reveals the state of bone tissue and articular cartilage.

Magnetic resonance imaging detects changes in the intervertebral discs, ligaments, nerve plexuses, blood vessels, spinal cord.

For the purpose of differential diagnosis to exclude or confirm other diseases, tests are performed:

• Complete blood count
• Biochemical blood test with rheumatological tests

Rehabilitation of the spine: material of the specialists of the RC “Laboratory of Movement”

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Which doctor to contact

How to treat arthrosis of the spine

Rehabilitation after arthrosis of the spine

Consequences

Prevention

Treatment and rehabilitation after arthrosis of the spine in CMRT clinics

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Arthrosis – treatment methods, symptoms and causes of pain

Free consultation
and diagnostics

Relief of pain
in 1-2 sessions

Author’s method
of treatment

Internships in the USA,
Israel, Germany

and its functionality and severe excruciating pains. Often accompanied by inflammation of varying severity. The disease is familiar to every fifth person in the world, and by the age of 75-80 years, the pathology of the musculoskeletal system in one form or another is present in everyone. Properly selected timely treatment of arthrosis can stop the development of the disease, relieve pain and mobility disorders, and self-medication leads to early disability.

Causes of arthrosis

Arthrosis develops gradually, under the influence of many cumulative factors. Congenital features of the organism may predispose to a more severe or rapid course of pathology. In addition, injuries and microtraumas, an unhealthy lifestyle, past diseases, especially those of an infectious nature, have a negative impact.

The main causes of arthrosis:

• Hereditary vulnerability to diseases of the musculoskeletal system;
• Hormonal or endocrine disorders causing disturbances in metabolic functions and circulation;
• High sport or professional physical activity;
• Overweight;
• Passive lifestyle;
• Venous insufficiency;
• Bad habits: smoking, drinking alcohol.

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Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI images.

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No side effects

The methods used in our clinic are safe and have no side effects.

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Long-term effect

The treatment helps to improve microcirculation and metabolic processes in the joints.

Mechanism of progression of arthrosis

The articular surfaces of bones are covered with elastic cartilage, which reacts to any damage, even microtrauma. The cartilage tissue becomes thinner, coarsens, begins to crack. The bone surface is exposed, which, when the joints move, begins to mutually collapse in the joint. Dying cells of the articular capsule produce cytokines that cause inflammation. Simultaneous destruction of cartilage, bone tissue, inflammation, further activates the progress of the disease.

Destructive phenomena proceed slowly, they may not manifest themselves for a considerable time. Painful sensations in the joint appear when the process is irreversible and quite neglected. With concomitant inflammation, the pain is clearer and it is possible to detect pathology at an early stage. Age-related changes in the joints also last for years and decades without severe complications, but the accompanying pain and changes in mobility are not so aggressive.

Symptoms of arthrosis

Symptoms of arthrosis begin with small pain manifestations in the extremities after physical exertion. After a long rest or a night’s sleep, there is stiffness of movement and mild soreness. At the beginning of the movement, all negative sensations gradually disappear. It is this property of arthrotic pain that is the reason why patients do not consult a doctor in a timely manner, triggering the optimal timing of the start of treatment.

Most often, patients come to specialists with the following set of complaints:

• constant soreness that does not go away at rest, aggravated by exertion or weather changes;
• aching muscle pains;
• rapid fatigue when walking;
• joint stiffness, limited ability to bend or turn;
• unsteady gait;
• crunch in the joint when it is bent.

Arthrosis of the lower extremities starts faster in athletes, people of specific professions, as well as those with excess body weight. Arthrosis of the upper extremities manifests itself against the background of injuries or chronic inflammatory arthritis.

Dangerous symptoms of the disease that require immediate consultation with a specialist and urgent treatment include:

• swelling and pain of the affected limb, a sign of an obvious inflammatory process;
• visually noticeable articular deformity;
• muscle pain;
• change in gait;
• persistent pain in the joints, not relieved by medication.

Arthrosis stages

The following classification of disease stages is accepted in the medical community:

• Zero. Slight discomfort with movement. There are no changes on the radiograph;
• Initial. Moderate manifestations of pain during high physical exertion, long walking. Small crunches at the time of joint flexion. X-ray fixes a slight decrease in the joint space, marginal defects of the bone tissue;
• Light. The appearance of morning stiffness, soreness. The pain is aggravated by movement. X-ray reveals a sharp decrease in the joint space, the appearance of osteophytes at the edges of bone deformities;
• Moderately degenerative. Bones and muscles ache at rest, disrupt night sleep. X-ray informs about the almost complete disappearance of the gap in the joint bag, the appearance of many osteophytes, an increase in the density of bone material;
• Heavy. Constant severe pain. Rough crackling sounds when moving. Joint deformity. Atrophic phenomena in the muscles. The gap is missing.

Possible complications and consequences of the disease

Disability in the development of arthrosis is a rather rare but probable phenomenon. The most common danger is inflammation associated with the disease, as well as a chronic ongoing inflammatory process. Depending on the course of the degenerative-dystrophic or inflammatory process in the organ, osteoarthritis or osteoarthritis is distinguished, which leads to severe impairment of the functionality of the limbs. Complications will be constant pain, deformation of the organ, complete or partial immobility, loss of working capacity.

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• Chiropractor
• Vertebrologist
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• Neurologist

During the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

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We will perform functional diagnostics of the spine

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Let’s perform a manipulation that significantly relieves pain

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Classification of arthrosis

One of the most popular classifications of the disease:

Item No.	Type of classification	Description	Description
1	Due to the causes of the development of the disease	Primary	The exact causes of occurrence have not been established
		Secondary	Develops as a result of disease or injury
2	According to clinical forms	Polyosteoarthritis (nodular/nodular)	Simultaneous involvement of multiple joints
		Oligoosteoarthritis	No more than two abnormal joints
		Monoosteoarthritis	One diseased joint
		Combined	Disease associated with spinal problems: osteochondrosis or osteoarthritis
3	By localization	Interphalangeal	Widespread lesion of the hands
		Hip	Pathology of the most loaded joints of the body
		Knee	Arthrosis of the joints of the lower extremities
		Others	Less common types of disease

Locations and clinical forms

The disease can develop in absolutely any joint of the body, both in the most loaded and injured. The process has similarities and differences in places of localization:

• Arthrosis of the lower extremities: hip, knee, ankle or heel. The onset is asymptomatic, pain develops from mild to moderate. For the hip region in a serious stage, arthroplasty is indicated, which gives a good recovery result;
• Arthrosis of the upper limbs: shoulder, elbow joints, hand, fingers. Causes: microtrauma, the specifics of professions or sports. Often accompanied by inflammation, deformity, but joint replacement is practically not practiced;
• Arthrosis of the spine: cervical, thoracic, lumbar, sacrococcygeal. It is typical for age-related patients, injured, develops against the background of chronic arthritis. Pain is strong, radiating to many parts of the body. Gives complications on the heart, respiratory organs. Reduces hearing, vision, provokes jumps in blood pressure. Recovery and treatment is the longest;
• Arthrosis of the temporomandibular joint. A consequence of chronic arthritis, anatomy disorders. Leads to severe asymmetry and constant pain.

Diagnosis of arthrosis

Diagnosis of arthrosis is well established. After listening to the patient’s complaints about the state of health, the initial examination, the following measures are taken by the specialist doctor:

• laboratory blood tests to detect inflammatory processes, metabolic disorders or autoimmune pathologies. According to the indications, intra-articular synovial fluid is taken, it is examined for infectious lesions;
• radiography or CT showing destruction in bone tissue, the main method of evidence base for arthrosis, the study is available in any polyclinic in the country;
• Ultrasound or MRI – examination of soft, cartilaginous tissues for pathology;
• arthroscopy – an additional study conducted with reasonable suspicion of the presence of an inflammatory process.

Treatment of arthrosis

The diagnosis is the basis for the appointment of an individually adapted treatment that affects all aspects of medicine, as well as the patient’s life. Strict adherence to the doctor’s recommendations, taking medications, maintaining a healthy lifestyle, and following a special diet can alleviate the patient’s condition.

Drug therapy

The main tasks of drug therapy for arthrosis are the removal of pain manifestations, as well as the restoration of the mobility of the affected organ. For these purposes, the following are used:

• painkillers (NSAIDs) – are taken orally in tablet form, as injections directly into the area of ​​​​maximum pain (blockade), as well as topically in the form of gels or ointments;
• muscle relaxants – drugs that suppress muscle spasm;
• B vitamins – neurotrophic, reducing pain;
• chondroprotectors – drugs that promote the regeneration of the cartilaginous component of the joint;
• hyaluronic acid preparations, for working with synovial fluid.

Traditional medicine in the treatment of arthrosis

The most popular folk remedies with scientific substantiation and pronounced effectiveness in treatment are:

• inclusion of gelatin-containing foods in the patient’s diet to restore bone tissue;
• warming procedures or compresses on the area of ​​the affected joint.

Non-drug methods of therapy

Classical non-drug technologies of patient care show high efficiency:

• exercise therapy. Reasonably planned physical activity under the supervision of a doctor or medical instructor, carried out daily for at least half an hour, can significantly improve the patient’s condition, restore lost functionality to the pathological organ, and relieve pain. Not recommended in the stage of acute exacerbation;
• Massage or self-massage. Restores tissue blood circulation, metabolic processes in the pathology zone, enhances regenerative activity. The tissues of the joint warm up, swelling, spasm disappears, soreness decreases. It is carried out only in the absence of inflammation;
• Physiotherapy. The course is selected depending on the cause of arthrosis, as well as the degree of its severity. For each condition, you can choose a gentle treatment option: electrophoresis, paraffin treatment, darsonval, different-frequency currents, magnetotherapy or other techniques;
• Treatment with leeches, hirudotherapy. Activates metabolic processes, cleanses the articular cavity from necrotic tissues;
• Wearing devices that fix the joint: orthoses, knee pads, taping, use of additional support devices in the form of crutches or canes.

Surgery

Surgery is indicated for patients with the most severe disease. If the disease progresses rapidly, the joints have largely lost their functionality, pain becomes unbearable or is not relieved by medications, conservative treatment is unproductive or does not help to improve the patient’s condition at all, then endoprosthesis replacement is used. This is a surgical replacement of a completely degraded joint with an artificially created prosthesis.

Intervention under general anesthesia has a long recovery and rehabilitation period with medication, physiotherapy and exercise therapy. Subsequently, the artificial joint will last up to 15-20 years.

Recommendations, prevention and prognosis for arthrosis

In order to get rid of joint pain, prevent the development of arthrosis or the manifestation of recurrence of the disease, experienced doctors recommend:

• normalize body weight;
• adhere to a low-calorie diet, exclude alcohol and smoking;
• engage in special gymnastics for the joints, as well as the creation of a muscular corset;
• minimize the risk of dangerous injury during sports or exercise therapy;
• use special devices to protect the disturbed biomechanics of the musculoskeletal system;
• preventive courses to take dietary supplements, chondroprotectors, vitamin-mineral complexes of drugs;
• regularly attend scheduled medical examinations, clinical examinations, in case of ailments and pain in the joints, urgently visit a specialized specialist.

With a careful attitude to one’s own body, following the rules of life prescribed by doctors, one can significantly stop the progression of the pathology, as well as completely get rid of exhausting pain in the joints. Unfortunately, it is impossible to restore organs to a prearthrotic state. But it is in your power to achieve a long-term stable remission, to restore the lost quality of life.

Treatment of arthrosis in the clinic of Dr. Length

A well-known clinic in Moscow has been a leader in effective prevention, rehabilitation treatment and rehabilitation of joint diseases for many years, including such a common pathology as arthrosis. A full course of individually selected therapy includes: medical examination, complex diagnostics, identification of the causes of painful manifestations, diagnosis, multifaceted drug and non-drug treatment until the discomfort is completely eliminated, and the usual full-fledged standard of living is returned. The doctors of the clinic, who provide highly professional assistance, have completed training in the world’s leading medical centers – specialized in the treatment of articular problems, have a huge successful experience in the field.

The clinic offers:

• effective international treatment using innovative technologies;
• use of modern diagnostic and medical equipment and the latest medicines;
• services of leading specialists in the prevention of arthrosis;
• elimination of pain manifestations from the first sessions of therapy;
• attentive staff and comfortable environment.

We are waiting for you for a free initial appointment!

Frequently Asked Questions

Do children and teenagers get arthrosis?

Contrary to popular belief, children are also diagnosed with this disease. Its occurrence at an early age is due to an infectious lesion of the joints, as well as injury.

Which doctor should I contact in case of arthrosis?

If you have symptoms of arthrosis, make an appointment with your GP. A preliminary examination and diagnosis can be carried out by a general practitioner, and based on the results of the diagnosis, he will already refer you to a specialized specialist: a rheumatologist, traumatologist or orthopedist.

Does arthrosis exempt from conscription?

An illness without dysfunction of one or more joints is not grounds for obtaining a deferment or complete exemption from military service. When passing the draft medical commission, the recruit is examined in depth and the degree of pathology is established, on the basis of which a legitimate decision will be made.

Is it possible to visit a sauna, bath, steam room with arthrosis?

Warming up the joints in arthrosis is beneficial and relieves soreness. But with concomitant inflammation, arthritis, taking water procedures is contraindicated. Please consult your doctor before taking a bath.

What is the difference between arthritis and arthrosis?

Arthrosis is a gradually increasing degenerative-dystrophic process in the joint. Arthritis is an acute inflammatory condition. Chronic inflammation of the joint capsule leads to progressive arthrosis.

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Material verified by an expert

Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Video testimonials from patients

Joint block in the neck

Hernia in the lower back and neck

I came to Dr. Length’s clinic with spinal problems. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. In 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared…

Hernia of the lumbosacral region

“After the first time, my back stopped hurting. I felt relieved. Now 7 sessions have already passed and the back really does not hurt. I began to forget about it. And at first it hurt a lot.”

Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain was almost gone.

Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that I was put on my feet in the truest sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

“I applied 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles were very cramped. It was impossible to work. Before that, I went to other doctors, but this did not solve my problem. For 2 months I have a fairly positive dynamics. Every week it gets better and better.”

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

“I came in with problems in my back, cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made it much easier for me. I’m already turning my head. I have no pain.”

Shoulder shoulder periarthrosis

I went to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Arthrosis of the knee joint, 2nd degree

She came in with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I went through a course of treatment at the Clinic and now I am going 100%.

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

“At the 5th-6th session there was an improvement. I felt much better. The pain is gone. Improvement progressed more and more each time. Lesson 10 today. I feel great.”

Pain in the lumbar and cervical region

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical region. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The condition as a whole has improved.”

Pain in the back

“At the beginning of the path of treatment, my back hurt very badly. I could no longer walk. I take 5 steps and stop. My entire journey consisted of such stops. In the very first procedure, I left the office with no pain in my spine.”

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I went to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“I have had back pain since I was young. When they became unbearable, I went to Dr. Length’s clinic.