Treatment FAQ

what is the treatment for osteophytes on the lumbar spine

by Florian Cole Published 2 years ago Updated 2 years ago
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  • Physical therapy
  • Pain medication (over-the-counter and/or prescription)
  • Chiropractic care
  • Exercise and weight loss
  • Massage therapy
  • Yoga and stretching

Large osteophytes can press against the spinal cord. Either of these situations can lead to pain, loss of motion, numbness, weakness, and even loss of bowel and bladder function. Early treatment for symptoms due to bone spurs includes medication and Physical Therapy. Surgery may be required for some people.

Full Answer

How do you treat osteophytes in the spine?

What you can do

  • List your symptoms and how long you've had them.
  • Write down key medical information, including other conditions you have, all medications and supplements you take, and family history of bone or joint disease.
  • Note recent injuries that affected a joint.
  • Write down questions to ask your doctor.

Do osteophytes require surgery?

There's usually no need to remove an osteophyte, unless it's irritating a nerve in the spine or restricting a joint's range of movement. If you do need surgery to remove an osteophyte, your surgeon will explain the procedure's risks and benefits.

How to dissolve bone spurs naturally?

How to dissolve bone spurs naturally

  • 1 – Stretching. Stretching your toes, feet, and ankles can alleviate pressure and strain whether you experience a toe bone spur or a heel bone spur.
  • 5 – Massage therapy. Massages are useful for relieving and managing pain. ...
  • Connect with Arizona Foot Doctors, today. ...

What is the recovery time for a bone spur?

The Removal of Bone Spurs in the Foot

  • Types of Surgery. Bone spur removal may be open, meaning the surgeon cuts through the skin to access the spur, or arthroscopic, where the surgeon makes small incisions to insert ...
  • Complications. ...
  • Anesthesia. ...
  • Recovery. ...

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How do you treat lumbar osteophytes?

Nonsurgical treatments include:Medications. Medication, such as nonsteroidal anti-inflammatory medications (NSAIDs) and muscle relaxants may be recommended. ... Short periods of rest. ... Physical therapy and exercise. ... Spinal manipulation. ... Weight loss. ... Injections. ... Bone spur removal. ... Laminectomy.More items...

Is lumbar osteophytes serious?

The lumbar spine has the highest prevalence of vertebral osteophytes [2]. In some cases, osteophytes on the lumbar spine can cause severe effects, on the abdominal aorta or inferior vena cava [3]. If severe, osteophytes can be a life-threatening condition that requires surgery [9].

What is the best treatment for osteophytes?

Bone spurs, or osteophytes, are smooth, bony growths, usually near joints....How are bone spurs treated?Ice to reduce swelling.Over-the-counter pain relievers, such as acetaminophen or NSAIDS like ibuprofen.Rest.Supportive shoes or shoe inserts.Weight loss to decrease joint and bone stress.

Should osteophytes be removed?

When an osteophyte compresses a spinal nerve, your spine surgeon may recommend a laminectomy. During a laminectomy, the bone spur and other tissues pressing on the spinal nerve are removed to create sufficient space for the spinal nerve. Decompression is another name for laminectomy.

What causes bone spurs in lumbar spine?

Spinal bone spurs often form as a result of chronic inflammation, which can develop within areas where cartilage has worn away due to spinal arthritis. This condition breaks down the cartilage that cushions the ends of bone. As your body attempts to repair this loss, it can create bone spurs near the damaged area.

Do osteophytes mean arthritis?

Osteophytes often develop in joints that show signs of degeneration. They are associated with the most common type of arthritis, osteoarthritis. 1 Their presence can serve to distinguish osteoarthritis from other types of arthritis.

What are the symptoms of osteophytes?

For example, osteophytes in the: spine can cause pain and stiffness in the back. neck can pinch a nearby nerve and cause pain, pins and needles, numbness or weakness in the arms. shoulder can limit the space available for tendons and ligaments, and may be linked to tendonitis or a rotator cuff tear.

When do bone spurs require surgery?

In some cases, surgery is necessary. In some cases, bone spurs that are directly pressing on nerves cause significant pain, weakness and loss of movement. If pain and symptoms can't be treated with conservative treatment options, then surgery may be necessary.

How serious are bone spurs on the spine?

The development of bone spurs can cause narrowing of the neural foramina, where the nerve roots exit the spinal column. With less space, the nerve roots may become compressed. Nerve root compression can cause paresthesia (tingling) if they become compressed. If the nerve root becomes inflamed, pain may occur.

How fast do osteophytes grow?

Osteophytes can be rapidly induced In murine models of OA the first signs of osteophyte formation can be seen within 2–3 days.

What kind of doctor removes bone spurs?

An orthopaedic surgeon, a doctor who corrects congenital or functional abnormalities of the bones with surgery, casting, and bracing in cases of bone spurs. Podiatrists also treat bone spurs and other injuries to the foot and ankle.

What vitamin is good for bone spurs?

Vitamin C and Arthritis A study at Duke University found that high levels of vitamin C activated a protein that causes bone spurs, which in turn actually accelerates joint damage and pain in patients with osteoarthritis.

What is the best treatment for lumbar spine spurs?

Epidural Steroid Injections – These injections are helpful because they work to reduce swelling and inflammation in the lumbar spine, leading to decreased pain levels. Laminectomy – This surgical operation will permanently remove the spurs and alleviate any nerve compression.

What are the symptoms of lumbar bone spurs?

Although these are the common symptoms associated with bone spur development, the symptoms are similar to other spinal conditions, like a pinched nerve, arthritis, bulging discs or nerve problems, so it’s important to head to a doctor’s office to get to the bottom of your spine pain. Treating lumbar bone spurs starts with an accurate diagnosis.

Why do bone spurs develop?

The lumbar spine is a common place for bone spurs to develop because the discs in your lower spine act as stress absorbers, and they eventually start to wear down ...

How to remove bone spurs?

If you’ve been diagnosed with bone spurs, that doesn’t necessarily mean that you’ll need to undergo surgery to remove them. Odds are you’ll begin with some conservative treatments, and progress to surgery if those methods fail. Here’s a look at some treatment options: 1 Anti-Inflammatory Medications – Bone spurs can cause inflammation, so while anti-inflammatories don’t do much to treat the root cause, they can help provide relief from bone spurs. 2 Physical Therapy/Exercise – Physical therapy and exercise work by increasing flexibility and strength in the area to protect against further bone spur development and to free nerves that may be irritated by the spurs. 3 Epidural Steroid Injections – These injections are helpful because they work to reduce swelling and inflammation in the lumbar spine, leading to decreased pain levels. 4 Laminectomy – This surgical operation will permanently remove the spurs and alleviate any nerve compression. This procedure has a high success rate, but is typically only pursued if conservative options don’t provide relief.

How do you know if you have bone spurs in your lumbar spine?

Here are some symptoms that may signal you’re suffering from bone spurs in your lumbar spine: Regionalized pain. Weakness in the arms or legs. Shooting pain with movement. Loss of range of motion in the lower spine. Bladder or bowel incontinence.

How to treat lumbar bone spurs?

Treating lumbar bone spurs starts with an accurate diagnosis. The spine specialist will do this by conducting a physical exam, checking your medical history and asking about your symptoms . If the doctor believes that bone spurs or another spinal condition are the source of your pain, they’ll seek to confirm the diagnosis with the assistance ...

What can I do to help with bone spurs?

Here’s a look at some treatment options: Anti-Inflammatory Medications – Bone spurs can cause inflammation, so while anti-inflammatories don’t do much to treat the root cause, they can help provide relief from bone spurs.

Formation of lumbar osteophytes

Lumbar osteophytes or bone spurs often form as the discs or facet joints in the spine break down due to age and constant wear and tear.

Symptoms

Typically, these small nubs near the facet joints do not cause any pain or symptoms. However, as the bone spurs grow, they can compress a nerve in the spine and cause debilitating pain. Symptoms of lumbar osteophytes can include:

Treatment for lumbar osteophytes

Generally, lumbar osteophytes can be treated with several months of nonsurgical treatments, guided by your doctor or spine care specialist.

Osteophyte prevention

An osteophyte is a condition that can affect the spine where a small, round nub of bone forms near the vertebrae. Osteophytes, also called bone spurs, usually develop as the layer of cartilage on the facet joints — the joints that connect the vertebrae in the spine — wears down and allows the bones to rub against each other.

Osteophyte treatment options

While these osteophyte prevention tips can help increase your overall spine health, they do not guarantee that you will not develop the condition. If you begin to experience the symptoms of bone spurs, schedule an appointment with your physician.

What is OA in the body?

OA is a breakdown of cartilage — the firm, flexible tissue that cushions bones and allows joints to move more easily. OA develops as we age or after damage (like a sports injury). As the body tries to repair cartilage, it creates new bone material. These new bony growths are osteophytes.

How do you know if you have spurs on your spine?

Rub against other bones or tissues. When that happens, you may feel some: Knobby or bumpy areas, especially in the fingers or toes. Numbness and weakness, especially in the legs if the spine has spurs.

How to relieve pain from bone spurs?

You can relieve pain and stiffness from bone spurs with rest, ice and over-the counter-medications. Properly fitting shoes and weight loss also reduce joint stress. If symptoms become severe or unmanageable, call your healthcare provider.

What is bone spur?

Bone spurs, or osteophytes, are smooth, bony growths, usually near joints. They develop over time in patients with arthritis or joint damage. The feet, hands, knees and spine often develop bone spurs. A healthy lifestyle can delay symptoms like pain, stiffness and limited motion.

How to get rid of bone spurs?

Even with bone spurs, try to stay active and healthy. Avoid activities and movements that hurt. Choose low-impact activities, like walking instead of running. When you exercise, take steps to minimize joint damage: Make sure you have good footwear, concentrate on proper techniques, and always warm up and stretch.

How to reduce pain in the joints?

Weight loss to decrease joint and bone stress. If those methods aren’t enough, your healthcare provider can prescribe: Physical therapy: Exercises and stretches can reduce pain, improve range of motion and strengthen muscles around joints.

Can bone spurs cause no symptoms?

Bone spurs may cause no symptoms at all or may drastically affect your day-to-day life. Home remedies and lifestyle choices can help you delay or ease symptoms. If you can’t control your pain or other symptoms on your own, ask your healthcare provider about additional strategies.

What is lumbar osteophyte?

Lumbar osteophytes, or bone spurs, are growths that form on the joints in the lower back as a result of degenerative changes to the spine. As disc material or cartilage in between the bones of the spine breaks down, extra movement occurs in the joints of the spine. In order to compensate for this extra movement, ...

What is the pain of a bone spur?

When a bone spur is impinging on a nerve in the lumbar spine, it can cause symptoms of radiating pain, weakness, tingling, or numbness in the legs and feet.

How do you know if you have a bone spur?

Other symptoms of bone spurs include stiffness and lack of movement in the back, and pain that worsens with activity and improves with rest. Bone spurs have similar symptoms to other conditions, so it is important to get an accurate diagnosis from a medical professional.

Why do you need surgery for bone spurs?

Surgery for bone spurs involves removing tissue to relieve pressure on the spinal cord and/or nerves roots . For example:

What is the purpose of manipulating the spine?

The goal is to increase range of motion, reduce nerve irritability, and improve function. Spinal manipulation is not appropriate for everyone. A careful medical history, physical examination, ...

What is the best treatment for bone spurs?

Physical therapy, exercise, and manipulation (performed by chiropractors [DC], osteopaths [DO], and physical therapists [PT]), may alleviate back pain associated with bone spurs. These rehabilitation therapies attempt to restore flexibility and strength to the spine, improve posture and decrease nerve root compression.

What is the purpose of laminectomy?

Laminectomy. A laminectomy is designed to relieve pressure on the spinal cord caused by central spinal stenosis. During surgery, a portion of the affected vertebra, called the lamina and spinous process at the back of the spine, is removed.

What is contrast enhanced spinal injection?

Fluoroscopically guided, contrast enhanced spinal injection procedures that target the presumptive source of spinal pain can help decease pain and inflammation. In addition, depending on whether local anesthetic is used as part of the injection into the spine, the procedure can help an astute clinician identify or narrow down the source of a patient’s pain.

How to reduce back pain?

Weight loss. Losing excess weight can take pressure off the spine, reducing friction between the vertebrae’s facet joints and decreasing the likelihood of pain. Achieving an appropriate weight is especially effective in taking pressure off the lower back. See Weight Loss for Back Pain Relief.

Can bone spurs be treated without surgery?

Most patients with mild or moderate nerve compression and irritation from bone spurs can manage their symptoms effectively without surgery. The goal of nonsurgical treatment is to stop the cycle of inflammation and pain.

Where do osteophytes form?

In the spine, osteophytes are often found where vertebral bones meet to form a joint (facet joints). Enthesophytes are bone spurs that develop where ligaments and tendons attach to bone (a point called the enthesis). A chronic strain, injury, or disease causes a ligament or tendon to become damaged and inflamed.

Why do osteophytes and enthesophytes produce excess tissue?

Both osteophytes and enthesophytes are projections on a bone where excess bone tissue has grown, usually as a reaction to an ongoing arthritic process. (Though hard, bones are constantly renewing, like fingernails and hair.) The bone produces excess tissue as a way to try and normalize an imbalance of forces across a joint.

What is it called when you have a bone spur?

advertisement. When bone spurs cause a space in the spine to narrow, it is called stenosis. People who experience a compressed nerve root or spinal stenosis due to bone spurs are typically in their 60s and 70s.

Why does bone produce excess tissue?

The bone produces excess tissue as a way to try and normalize an imbalance of forces across a joint. Both osteophytes and enthesophytes are considered to be a bone’s reaction to stress: Osteophytes are typically the result of excess friction.

Can osteophytes be called osteophytes?

People do not always make the distinction between osteophytes and enthesophytes, and enthesophytes may sometimes be called osteophytes. Even when looking at detailed medical imaging, it can be difficult for a doctor to tell the difference between an osteophyte and enthesophyte. This is okay, because the treatments for both types of bone spurs start out the same, and will be individualized by the treating physician based on the location of the bone spurs and the amount of nerve compression they may be causing.

What is bone spur?

Overview. Bone spurs are bony projections that develop along bone edges. Bone spurs (osteophytes) often form where bones meet each other — in your joints. They can also form on the bones of your spine. The main cause of bone spurs is the joint damage associated with osteoarthritis. Most bone spurs cause no symptoms and can go undetected for years.

What are some examples of bone spurs?

Examples include: Knee. Bone spurs in your knee can make it painful to extend and bend your leg. Spine. On your vertebrae, bone spurs can narrow the space that contains your spinal cord. These bone spurs can pinch the spinal cord or its nerve roots and can cause weakness or numbness in your arms or legs. Hip.

Where do bone spurs form?

Bone spurs (osteophytes) often form where bones meet each other — in your joints. They can also form on the bones of your spine.

Can bone spurs cause herniated discs?

Bone spurs on spine. As your spine ages, it's more likely to experience bone spurs or herniated disks. These problems can reduce the amount of space available for your spinal cord and the nerves that branch off it. Most bone spurs cause no signs or symptoms.

Can bone spurs go undetected?

Most bone spurs cause no symptoms and can go undetected for years. They might not require treatment. If treatment is needed, it depends on where spurs are located and how they affect your health.

Is the hip joint on the left side normal?

The hip joint shown on the left side of the image is normal, but the hip joint shown on the right side of the image shows deterioration of cartilage and the formation of bone spurs due to osteoarthritis.

What type of surgery is needed for cervical nerve root compression?

For a cervical nerve root compression, a likely surgical option could be anterior cervical discectomy and fusion (ACDF). If instead the spinal cord is being compressed, then some type of spinal cord decompression surgery will be performed, such as anterior cervical corpectomy or posterior cervical laminectomy.

How to treat bone spurs in neck?

Treatment options for symptomatic bone spurs in the neck could include: Activity modification. Perhaps a day or two of rest, or limiting strenuous activities, could help. Other possibilities might include using better posture. For example, hunching over a desk 8 hours a day could be exacerbating the problem, so sitting up straighter—and taking more ...

What is manual manipulation?

Manual manipulation. A chiropractor, osteopathic physician, or other qualified health professional can manually adjust the cervical spine in an effort to reduce pain and/or improve mobility. Sometimes manual manipulation is part of a physical therapy program. See Chiropractic Manipulation for the Cervical Spine.

Do bone spurs require surgery?

Bone Spurs Rarely Require Neck Surgery. If symptoms of cervical radiculopathy (nerve root compression in the neck) or cervical myelopathy (spinal cord compression in the neck) continue to progress despite non-surgical treatments, then surgery may be considered to preserve nerve and/or spinal cord health. See Cervical Myelopathy Treatment.

How to treat neck pain?

Most treatment programs for neck pain require some type of physical therapy or home exercises. Ice and/or heat therapy. Cooling or warming the neck area, such as with an ice pack or heated gel pack , may help reduce pain for some people.

Can surgery help with bone spurs on neck?

Surgery for Neck Pain Save. Although there are several initial non-surgical treatment options for symptomatic bone spurs, if symptoms persist, surgical treatments may be considered. See Surgery for Neck Pain. In rare cases when non-surgical treatments are not working or symptoms are getting worse, then surgery might be considered as a last resort.

Can cervical osteophytes be treated?

Cervical Osteophytes: Treatment Options. Most cervical osteophytes, or bone spurs in the neck, have no symptoms and thus require no treatment. However, if bone spurs become symptomatic, numerous treatment options are available. Typically, non-surgical treatment options will be tried first. Although there are several initial non-surgical treatment ...

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