It goes by many names, most of them pretty scary - spondylosis, arthritis, degenerative joint disease, osteo-arthritis or just plain wear and tear. They are all the same. It surprises most people to learn that almost everyone gets it.

It has always been around; even Egyptian mummies have these changes. Most of the time it is painless and most people are completely unaware of it. The earliest signs are decreased range of movement, sometimes with a feeling of stiffness, especially in the mornings. Sometimes it can become painful though. If severe, it may cause pressure on nerves with subsequent pain, pins and needles or numbness in the limbs.

Causes of osteo-arthritis

Osteo-arthritis is thought to be caused by mechanical problems with the joints and surrounding muscles. Rather like a car with faulty suspension, the frame gets shaken about too much. All the usual suspects such as being overweight, having a poor diet and inadequate exercise play a part. Previous injury, like whiplash or previous low back strains may also make matters worse.

The first sign of arthritis in the spine is often seen in the discs. They crack, lose fluid and collapse putting more pressure on the back joints which then also wear out. The slippery lining of the back joint breaks down rather like the coating of an old non-stick pan. Inflammation sets in and pain soon follows.

When the space between two adjacent vertebrae narrows, compression of a nerve root emerging from the spinal cord may result in radiculopathy (sensory and muscle system disturbances, such as severe pain in the neck, shoulder, arm, back or leg, accompanied by muscle weakness). Less commonly, direct pressure on the spinal cord (typically in the cervical spine) may result in widespread weakness, problems walking, loss of balance, and loss of bowel and/or bladder control. If vertebrae of the neck are involved it is called cervical spondylosis and lumbar spondylosis in the low back.

Effective Treatment

Although there is no cure, the pain and stiffness of arthritis can respond well. Treatment is usually non-steroidal anti-inflammatory drugs (NSAIDs) from your GP, chiropractic and physio, and lifestyle modifications. Surgery is rarely necessary. If you think you may have arthritis in the spine and would like a check-up then get in touch. We have x-ray facilities to help with the diagnosis and a range of professionals to help.