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Arthritis is a condition
where the slippery joint surfaces of two
bone ends are lost. This can be due to previous
injury, age or other musculoskeletal issues.
The spine is composed of 24 bones known
as vertebrae . Between the vertebrae are
discs. Each vertebra forms 3 joints with
the vertebra above it and 3 joints with
the vertebra below it. Any or all of these
joints can lose their articular cartilage
lining and develop arthritis.
Symptoms
Symptoms of spinal arthritis include pain
usually located anywhere in the back, flank
or buttocks. The pain may radiate down an
arm or leg.
Diagnosis
Diagnosis can be made with a plain X-ray
but may include an MRI (magnetic resonance
image) or myelogram. A myelogram is an injection
of contrast material (dye) into the cerebral
spinal fluid (CSF) which occurs in the sac
surrounding the spinal cord. These exams
can tell us if spinal cords are under pressure
or if nerve roots have become entrapped.
Treatment
Treatment may include spinal stabilization,
an exercise program to strengthen the back
muscles and stabilize the spine. A medical
doctor may try a course of anti-inflammatories
or steroids may be injected into the spinal
fluid to decrease pain and inflammation.
Sometimes braces, abdominal binders or girdles
are used in conjunction with the previously
mentioned treatments. End-stage arthritic
disease may require surgery to decompress
the spinal cord and nerve roots and to stabilize
the spine.
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