Spine Surgeons conducting a Cervical spine procedure

OSTEOARTHRITIS

Spinal osteoarthritis, also known as spondylosis, refers to a degenerative joint disease affecting the spine. Consequently, it results in the gradual breakdown of cartilage between the vertebrae, leading to bone-on-bone contact, inflammation, and pain. Furthermore, the condition typically manifests in the neck, lower back, or upper back, causing symptoms like stiffness, aching pain, and decreased mobility. 

Scoliosis Quiz on the Herniated Disc page
Pain Quiz on the herniated disc page

3 percent of individuals with progressive curvature may eventually experience severe problems that can include scoliosis and back pain, spinal problems, and nerve compression causing numbness, weakness, and leg pain.

Managing Osteoarthritis of the Vertebrae:

Osteoarthritis of the vertebrae, also known as spondylosis, refers to a degenerative condition affecting the joints and discs of the spine. Briefly, it is characterized by the breakdown of cartilage, leading to bone-on-bone contact, inflammation, and pain. While age is a primary risk factor, genetics, repetitive strain, and past injuries can also contribute.

Osteoarthritis (OA) itself isn’t categorized into distinct “types,” but it can be classified based on the presence of a known cause:

Primary Osteoarthritis: This is the most common form, characterized by absence of a clearly identifiable cause. It’s generally attributed to the natural wear and tear of joints over time, often affecting individuals above 50.

Secondary Osteoarthritis: This type arises due to underlying conditions that damage the joints, accelerating cartilage breakdown.

Several factors can contribute to secondary OA, including:

  • Previous injuries: Fractures, ligament tears, or dislocations can damage the joint structure, leading to future OA.
  • Overuse: Repetitive stress on specific joints in certain occupations or sports can increase the risk.
  • Congenital deformities: Bone abnormalities present at birth can cause abnormal stress distribution in the joints, promoting OA.
  • Metabolic diseases: Conditions like gout, which cause crystal deposition in joints, can contribute to OA.
  • Inflammatory diseases: Rheumatoid arthritis, an autoimmune disease that attacks the joints, can eventually lead to features of OA.

While there’s no distinct sub-classification within each category, primary OA can sometimes be further characterized based on the affected area.  For instance, Lumbar Osteoarthritis, which affects the lower back:

  • Generalized: Affecting multiple joints throughout the body, commonly including hands, knees, and hips.
  • Nodal: Primarily involving the small joints of the fingers and toes.

Questions and Answers

What is Osteoarthritis of the Spine, and what causes it?

Osteoarthritis of the spine, also known as degenerative joint disease or spondylosis, is a condition characterized by the breakdown of the cartilage in the joints and discs of the spine. Specifically, the common causes include:

  • Aging: Wear and tear on the spine over time.
  • Genetics: Hereditary may be responsible for osteoarthritis.
  • Joint overuse or misuse: Repetitive stress on the spine from certain activities or poor posture.
What are the symptoms of Osteoarthritis of the Spine, and how is it diagnosed?

Symptoms may include:

  • Chronic back pain and stiffness, particularly in the morning.
  • Limited range of motion and flexibility.
  • Numbness or tingling in the extremities if nerves are affected. In brief, diagnosis involves a physical examination, medical history review, and imaging studies such as X-rays or MRI scans to assess the extent of joint degeneration and rule out other potential causes of symptoms.
What are the treatment options for Osteoarthritis of the Spine?
 

Treatment aims to manage symptoms, improve function, and slow the progression of the disease. Common options include:

  • Medications: Pain relievers, anti-inflammatory drugs, and in some cases, joint injections with corticosteroids.
  • Physical Therapy: Targeted exercises to improve strength, flexibility, and posture.
  • Lifestyle Modifications: Weight management, ergonomic adjustments, and avoiding prolonged sitting or repetitive movements.
  • Supportive Measures: Occassionally, doctors may recommend bracing or assistive devices.
  • Surgery: In severe cases, when conservative measures fail, surgical options like spinal fusion or joint replacement may be considered.

It’s essential for patients to have open communication with their healthcare providers to discuss individualized treatment plans and address any concerns or questions about managing osteoarthritis of the spine.

 

 
 
 
 
 
 
 
 
 
 

It’s important to note that this categorization helps healthcare professionals understand the potential cause and tailor treatment accordingly.

Remember, consulting a healthcare professional is essential for proper diagnosis and a personalized treatment plan to manage OA effectively.

Causes:

While the precise cause of osteoarthritis remains multifactorial, several risk factors contribute to its development:

  • Age: Although, osteoarthritis is more common in older individuals — due to the natural wear and tear of joints over time — younger people also get osteoarthritis of the spine.
  • Genetics: Additionally, there is a hereditary component, and thus, with a family history of osteoarthritis, there is an increased risk.
  • Joint Injury: Also, previous spinal injuries, including fractures or ligament tears, can predispose individuals to osteoarthritis.
  • Obesity: Of course, excess weight places additional stress on weight-bearing joints, accelerating cartilage degeneration.
  • Gender: In comparison, women are more prone to osteoarthritis due possibly to hormonal factors.

Understanding the Symptoms:

  • Pain: Typically localized to the affected area, ranging from a dull ache to sharp twinges. Pain can worsen with movement or specific activities.
  • Stiffness: Difficulty bending, turning, or flexing, hindering daily activities like walking or housework.
  • Numbness or Weakness: Nerve compression can lead to tingling, numbness, or weakness in the arms or legs, depending on the location of the spondylosis.
  • Headaches or Difficulty Breathing: In severe cases affecting the upper spine, these secondary symptoms may occur.

Diagnosis:

A comprehensive assessment is crucial for diagnosis:

  • Medical History: Understanding your overall health and potential risk factors.
  • Physical Examination: Evaluating spinal alignment, range of motion, and areas of tenderness.
  • Imaging Tests: X-rays, MRI scans, and CT scans reveal the extent of disc degeneration and potential bone spurs.

Non-Surgical Treatment:

  • Pain Management: Medication, heat/ice therapy, and muscle relaxants can alleviate pain and inflammation.
  • Physical Therapy: Targeted exercises strengthen core muscles, improve posture, and enhance spinal flexibility.
  • Injections: Steroid or hyaluronic acid injections offer temporary pain relief.
  • Lifestyle Modifications: Maintaining a healthy weight, practicing good posture, and engaging in low-impact exercises can significantly improve spinal health.

Surgical Intervention:

In specific cases with severe pain, nerve compression, or significant functional limitations, our doctors may suggest surgery. However, minimally invasive techniques like spinal fusion or decompression surgery are often preferred to maximize recovery and minimize scarring.

Rehabilitation and Recovery:

Following treatment, whether surgical or non-surgical, rehabilitation is essential for maximizing outcomes and preventing future complications. For instance, physical therapists design personalized programs to regain strength, flexibility, and optimal spinal function. Therefore, recovery time varies depending on the severity of the condition and treatment approach, typically ranging from several weeks to several months

Living with Osteoarthritis of the Vertebrae:

Spinal OsteoarthritisWhile spondylosis is a chronic condition, it doesn’t have to define your life. Importantly, early diagnosis, appropriate treatment, and proactive lifestyle modifications can significantly improve your symptoms and help you maintain an active and fulfilling life. By choosing the right healthcare partner like the Southwest Scoliosis and Spine Institute, you can navigate this journey with confidence and reclaim control over your well-being.

In conclusion, osteoarthritis, a prevalent form of arthritis, is a degenerative joint disease that will continue to get worse overtime.  We invite those with this disease to contact us and make an appointment as new scientific research is being found to combat this disease almost every day.  We have offices in Dallas, Plano, and Frisco, Texas.

Why Choose the Southwest Scoliosis and Spine Institute:

  • Multidisciplinary Team: Combining expertise from spine surgeons, pain management specialists, and physical therapists for comprehensive care.
  • Minimally Invasive Techniques: Prioritizing advanced surgical methods for faster recovery and reduced scarring.
  • Personalized Treatment Plans: Tailoring interventions to each patient’s unique needs and goals.
  • Patient-Centered Approach: Providing compassionate care and support throughout the journey.
  • Track Record of Success: Helping individuals achieve functional improvement and improve quality of life.

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WebMD: Spinal Osteoarthritis

 

 

We’re here to help STOP THE PAIN
If you are an adult living with scoliosis or have a child with this condition and need a doctor who specializes in orthopedic surgery,
call the Southwest Scoliosis and Spine Institute at 214-556-0555 to make an appointment today.