What is arthritis of the spine?
The term arthritis comes from the Greek “arthros,” which means “a joint and its attachments,” and “-itis” a suffix used in pathological terms to denote inflammation. Arthritis, therefore, is a term that describes a variety of diseases causing pain, tenderness, stiffness and swelling in the joints, as well as abnormalities in various soft tissues of the body. It is estimated that nearly 50 million Americans experience various forms of arthritis. Arthritis is also a contributing factor to the majority of all physical disabilities.
In the United States, approximately 90 percent of people 55 years of age and older deal with some form of arthritis, and it is estimated that by the year 2020, more than 60 million people will have some form of arthritis.
Types of arthritis: Osteoarthritis
There are many types of arthritis, but the most common, most painful and most frequently limiting type of arthritis is osteoarthritis.
“Osteo-” means “bone,” and this type of arthritis mostly affects the weight-bearing joints, such as the hips and knees, as well as joints in the hands, feet and spine. There are several types of joints in the body. The most common is the hinge joint. Another is the sliding joint, which is the type of joint seen in between the individual vertebrae of the spine. The articular surface of a joint is the contact area of the joint. Articular surfaces are covered by cartilage and lubricated by thick synovial fluid. Normally, joints move easily with very little friction, but natural degeneration of the joint can cause the cartilage to become rough and worn out. This can result in raw joint halves rubbing against one another, causing inflammation, the formation of bone spurs, stiffness and pain. Furthermore, the lubricating synovial fluid of the joint can become thinned, and the joint’s synovial lining can become inflamed.
Approximately 30 million Americans have been diagnosed with osteoarthritis, mostly women and typically those more than 45 years old. This condition appears to affect all races equally.
Spinal osteoarthritis may also be associated with degenerative disc disease (DDD), a gradual deterioration of the shock-absorbing discs between the vertebrae of the spine, and is even confused with DDD in some cases. This is because osteoarthritis and degenerated discs are often found together. However, these are two separate conditions.
Type of arthritis: Spinal arthritis
Arthritis can affect any joint in the body, including the joints in the spine. Generally speaking, spinal arthritis occurs in the facet joints (also called vertebral joints). These joints connect vertebrae together and are located in the posterior (rear) portion of the spine. Facet joints facilitate movement in the spine such as bending, twisting and stretching, but these joints often thicken and harden with age, which can lead to osteoarthritis of the spine. Typically, when a person has been diagnosed with degenerative arthritis of the spine it means that cartilage breakdown has occurred on his or her facet joints. Arthritis of the facet joints can cause slight to severe pain. This pain could potentially radiate along affected nerves to other areas of the body such as the buttocks or upper thighs. As time passes, progressive joint degeneration creates even more frictional pain. The resulting back pain and stiffness decreases back motion and flexibility, particularly when standing, sitting and walking.
The arthritis / bone spur connection
When bone is stressed, it responds by creating more bone in an effort to repair itself. However, the new bone could have different architecture than the originally stressed bone. Over the years, bone spurs (small, irregular bone growths also called osteophytes) can form on the facet joints and even around the spinal vertebrae. Bone spurs typically grow in response to bone-on-bone friction in the spine. How does this friction occur? As arthritis develops and cartilage wears away, the bony ends of facet joints between vertebrae become exposed. The exposed bones rub directly against one another, and bone spurs form. Bone spurs also can develop as the soft discs located between the vertebrae become thin and collapse with age. Space between the vertebrae narrows, and, eventually, adjacent vertebrae can come in contact with one another, causing bone spurs to form along the edges of the vertebrae.
Bone spurs are a natural response to joint instability – essentially, they are the body’s attempt to help stabilize a deteriorating joint. Yet, while bone spurs might be intended to improve joint stability, this enlargement of the normal bony structure actually indicates degeneration of the spine..
Bone spurs are a normal part of the aging process and do not necessarily cause pain. However, they can become so large that they cause the irritation or compression of nerves passing through spinal structures. This narrowing of nerve passageways in the spinal column is a condition known as spinal stenosis.
What to do next…
Please review our arthritis symptoms page page if you suspect your chronic neck or back pain is the result of spinal arthritis. This page has detailed information provided by Laser Spine Institute’s staff.
Knowing what causes back problems is one of the best ways to avoid them. Educating yourself about the causes of arthritis of the spine can help you limit activities that might result in back pain and ensure your spine stays healthy and strong for years to come.
Has your physician already diagnosed you with arthritis of the spine? Have conservative treatment methods failed to bring you pain relief? Are you frustrated that you cannot live a normal, active lifestyle because of the restrictions neck or back pain places on you? If so, visit our page dedicated to arthritis of the spine treatment. There, you can find out how our minimally invasive procedures can help you find relief from your neck and back pain.
Please visit our arthritis of the spine FAQ page to learn more. On this page, we have answered many of the most common questions our patients ask us.