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Treatments for Spinal Arthritis

Treatment List for Spinal Arthritis

The list of treatments mentioned in various sources for Spinal Arthritis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Maintenance of correct spinal posture with postural techniques and gentle exercise
  • Restriction of neck movement with cervical collar
  • Heat and massage therapy
  • Pain relief - NSAIDs, paracetamol
  • Physiotherapy
  • Gentle exercise
  • Surgery - spinal fusion
  • Surgery - operative decompression
  • Varies depending on the cause
  • Treatment for spinal arthritis depends on the specific type of arthritis, the severity of the symptoms, and the patients' age, general health and other medical conditions. Treatment is aimed at symptom control and modification of disease progression. Treatments include:
    • Explanation - Education plays an important role in arthritis management
    • Rest - during bouts of active inflammation
    • Exercise - graduated exercise program recommended to maintain good joint function, especially in osteoarthritis
    • Heat - may provide relief in non-inflammatory arthritis such as osteoarthritis
    • Weight loss - will assist with symptom control in patients who are overweight, and have arthritis in weight bearing joints
    • Physiotherapy - can assist with regaining and maintaining joint function
    • Occupational therapy - can assist with management at home and mobility aids
    • Simple analgesics (used regularly) - can be effective in control of pain either alone or in combination with other agents. Regular paracetamol is an effective first line agent
    • NSAIDs, aspirin and COX-2's - used for more persistent pain or where there is evidence of an inflammatory component. Need to be wary of gastrointestinal and cardiovascular side effects
    • Stronger analgesics - tramadol, buprenorphine, opioid analgesics, used when pain is not adequately controlled with other measures, but not first line
    • Intra-articular steroids - not routinely recommended but can be effective for acute flare ups of arthritis
    • Intra-articular hylans - for osteoarthritis of the knee
    • Glucosamine - found in some studies to be as effective as NSAIDs in osteoarthritis
    • Surgery - Spinal fusion may be an option with severe symptoms and end stage disease
    • Oral steroids - used in treatment of inflammatory arthritis such as rheumatoid arthritis, ideally for short periods of time only
    • Disease Modifying Antirheumatic Agents (DMARDS) - used in treatment of inflammatory arthritis such as rheumatoid arthritis and arthritis associated with connective tissue disorders
      • Immunosuppressants - Azathioprine, Cyclosporin, Leflunomide, Methotrexate
      • Other agents - Gold Salts, Hydroxychloroquine, Penicillamine, Sulfasalazine
    • Cytokine blockers - Adalimumab, Anakinra, Entanercept, Infliximab for inflammatory arthropathies
    • Colchicine and allopurinol for gout
    • Antibiotics - for septic arthritis

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