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Arthritis of the back
مقاله تخصصی

Arthritis of the back

3 months ago
201 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

What is back arthritis? Arthritis of the back, also known as arthritis of the spine, is a degenerative disease that affects the joints and discs of the back. Arthritis of the back is usually caused by the breakdown of cartilage and eventually leads to inflammation, pain, stiffness, reduced mobility of the joints and even fractures of the back. Arthritis of the back, also known as arthritis of the lumbar spine or arthritis of the spine, specifically refers to a degenerative disease that affects the joints and discs of the lower back of the spine. The most common type of back arthritis is osteoarthritis of the back and spine, which occurs due to the normal wear and tear of aging. It leads to friction between the bones. be... The back is a part of the spine.. Arthritis can occur in any part of the spine from the neck to the waist and is not limited to the waist.. Arthritis can even be seen in the bones of the hands and feet, and with the loss of cartilage, the joints of the hands and feet are damaged. Back and hip arthritis Arthritis can also occur in the hip bones. In this case, the part of the hip bones that connect to the back and thighs wear away. Hip arthritis causes back and hip pain and is a degenerative joint disease that affects the hip and hip joints. It goes to the hip joint.. Gradual breakdown of articular cartilage that covers the end of the hip bone...As the cartilage wears away, the underlying bones may begin to rub against each other, leading to pain in the hip joint....Hip arthritis usually occurs due to aging and the normal wear and tear of the hip joint over time....but factors such as genetics, previous hip injuries, obesity, repeated stress on the hip joint, and certain jobs that involve heavy physical activity or long periods of stress on the lumbar disc can play a role. There are two different diseases that can affect the back and cause similar symptoms. However, the underlying reasons for their occurrence are not the same.. We have mentioned the differences between lumbar disc and lumbar arthritis: ### The nature of diseases and their causes Lumbar disc or degenerative disc disease refers to the gradual destruction of the intervertebral discs, which is usually caused by aging, repeated pressure, injury, or genetic factors. These discs play the role of shock absorbers between the vertebrae and make the spine flexible. Nerve roots, on the other hand, lumbar arthritis is a type of arthritis that affects the facet joints in the lumbar region. These small joints are placed between the vertebrae. The task of stabilizing and controlling column movements They are responsible for the vertebrae.. In lumbar arthritis, over time and due to factors such as aging, repetitive movements, inflammation or chronic injuries, these joints can cause dryness and dryness of the joints, dryness, dryness and chronic injuries.. and limitation of movement in the lumbar region.... Lumbar disc symptoms usually include pain in the lower back, numbness or tingling in the legs, weakness of the back and lower limb muscles, and a decrease in the range of motion of the spine... This pain is often aggravated when performing movements such as bending, turning, or lifting objects. One of the characteristic symptoms of lumbar disc is its direct relationship with radiating pain in the legs, while these pains are not usually seen in lumbar arthritis. On the other hand, lumbar arthritis is often accompanied by back pain that is stiff. It is accompanied by joints and muscles and usually worsens during movement.. Muscle spasm is another common symptom in patients with lumbar arthritis.. Unlike the lumbar disc, the pain caused by arthritis usually improves with rest and reduction of pressure and changes with the intensity and change of daily position. X-rays are used, but for a more accurate assessment and to observe changes in the intervertebral discs, an MRI of the lumbar disc or in some cases a CT scan is recommended. Then, imaging such as X-rays or MRI is used to confirm the diagnosis and check the degree of destruction of the facet joints... Unlike the lumbar disc, which usually involves the soft tissue and intervertebral disc, arthritis is more related to the degeneration of bone joints, and for this reason, bone images are more important.... ### Treatment There are various methods to treat lumbar disc and lumbar arthritis... In the case of lumbar disc, methods such as water therapy, physiotherapy and in severe cases disc surgery or spinal surgery are used. Also, by avoiding activities that are harmful to the disc, the intensity of pain and its symptoms can be reduced. Anti Inflammatory and in some cases surgery is among the common measures in the management of this disease.. What are the symptoms of lumbar arthritis?.. Lumbar arthritis is one of the most common causes of chronic pain in the lower back, which is usually caused by aging and gradual erosion of the intervertebral facet joints. - back pain; Persistent back pain is one of the common symptoms of back arthritis.... This pain may be chronic, acute or sharp.... Its intensity varies according to the conditions of each patient and may worsen with movement, sitting or standing for a long time.... - Stiffness; People with osteoarthritis of the back often experience stiffness in the lower back. Stiffness may be more noticeable in the morning and after waking up and improve with movement throughout the day. - Limited range of motion: Arthritis can affect and reduce the flexibility and range of motion of the back. Bending through the back may become difficult and challenging. The rotation of the back may also be limited. The muscles around the affected joints may spasm in response to pain. These spasms can cause more pain and stiffness in the back.. - Numbness or tingling.. Chronic arthritis of the back can weaken the muscles of the back and legs. This weakness may appear in the form of difficulty standing up from a sitting position, walking long distances, or doing activities that require back strength. Exercise plays an important role in managing back arthritis symptoms and can help patients by strengthening muscles, improving flexibility, and reducing pain. Regular physical activity not only reduces joint stiffness and improves daily function, but also reduces pressure on the vertebrae by strengthening the muscles around the spine. Avoiding possible injury. Below are the types of exercise suitable for back arthritis: 1 .... Aerobic exercises; such as walking and swimming that strengthen the back muscles.... 2... exercises to strengthen the central muscles; Strong central muscles can provide better support to the spine.... Exercises such as abdominal and bridge exercises.... 3.... Stretching movements; Stretching exercises can help improve flexibility and reduce muscle tension. Exercises such as knee-to-chest stretching and cat-camel stretching are beneficial for the back. 4... gentle yoga or pilates; These exercises can help improve flexibility, strengthen the body's core, and increase relaxation... > "Regular and purposeful exercise can play a major role in reducing pain and increasing the performance of patients with back arthritis. Exercises that strengthen the central muscles of the body help stabilize the spine and reduce joint stiffness." Treatment of back arthritis The treatment of back arthritis usually starts gradually and with non-surgical methods.. Taking anti-inflammatory drugs and pain relievers such as ibuprofen can be effective in reducing pain and inflammation.. In some cases, corticosteroid injections are used directly into the affected joints for temporary pain relief.. Also, special exercise programs designed by a physiotherapist help to reduce muscle strength.. Such as heat and cold therapy can greatly reduce the symptoms of arthritis.. Heat causes loosening The muscles become and the cold helps to reduce swelling and inflammation.... Along with medical treatments, lifestyle modification is one of the main pillars in the long-term management of back arthritis. Maintaining a healthy weight, avoiding bad postures and regular low-stress exercises can reduce the pressure on the spine....The use of some assistive devices such as spinal stabilization is also beneficial for people.. Complementary treatments... such as acupuncture, massage or chiropractic care can be used to relieve pain, although these methods should be done in consultation with a doctor....Finally, if all conservative methods are ineffective and the pain and disability If it continues, surgery may be considered as the last treatment option. According to a study recognized in February 2024 in *The Spine Journalor Spine. TLIF is... Economic analysis showed that the cost-effectiveness index of this method is 9637.37**$* per quality life year (QALY) and shows that this method is a net financial benefit in a period of 2-23 years.. The TOPS™ system is not only effective in reducing pain and improving the performance of patients, but it is also considered a superior option from an economic point of view... ### Home treatment of back arthritis can help reduce pain and improve the patient's mobility, especially when it is done regularly and purposefully. Doing stretching exercises and light exercises like yoga can help strengthen the muscles around the spine and reduce pressure on the back vertebrae. Also, water therapy is one of the effective methods for controlling back pain and reducing muscle tension due to creating weightlessness and reducing muscle tension. Back massage with correct techniques can reduce muscle tension and improve blood circulation in the affected area... ### Pills for back arthritis In general, there is no pill that can completely cure back arthritis. Arthritis is caused by the destruction of the vertebrae and the rubbing of the bones against each other, and these cases cannot be treated with pills.. Pills such as acetaminophen, naproxen, ibuprofen and stronger pain relievers such as gelophene do not reduce back pain codes.. Arbitrarily and consult your doctor about their use.
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