Treatment FAQ

what kind of pt is done for spinal arthritis treatment

by Natalie Casper MD Published 3 years ago Updated 2 years ago

Passive physical therapy, which involves treatments being applied without effort from the patient. Numerous treatment methods are available, such as applying ice packs, heat therapy, massage therapy, ultrasound, electrotherapy, and others. The goal of passive physical therapy is to help reduce pain and swelling.

Your physical therapist may use gentle hands-on techniques (manual therapy) to help improve your spinal flexibility and ease stiffness. Balance and walking training. Exercises and instruction may be used to safely improve your balance and reduce your risk of falls. Specialized braces or taping.

Full Answer

What are the treatment options for arthritis in the spine?

Physical Therapy for Arthritis. A physical therapist can develop a movement plan to help keep you active. Physical therapy (PT) can help you get moving safely and effectively. Physical therapists are licensed professionals with graduate degrees and clinical experience who examine, diagnose and treat or help prevent conditions that limit the body's ability to move and function in daily …

What is physical therapy for arthritis?

Oct 06, 2016 · Ice and Heat Therapy. Some people with spinal arthritis find relief with the help of hot and cold therapy. Heat can help reduce inflammation and improve blood circulation around painful areas of your spine, while cold therapy can help numb pain and soreness. The key is to find what works for you.

How can physical therapy help with osteoarthritis of the spine?

Feb 21, 2017 · Regular exercise is one of the most effective methods for treating the symptoms of spinal arthritis in the long-term. A physical therapist can help develop an exercise routine that will help deter the effects of arthritis in your situation. In severe cases (especially when spinal nerves are in danger), spine surgery may be required.

How can physical therapy help my spine?

Aug 09, 2021 · Aquatic physical therapy can help spinal stenosis by relieving pressure exerted on the spine. The buoyancy of the water can relieve pressure and pain, and movement in water helps increase blood flow to surrounding muscles and joints to …

Does physical therapy help spinal arthritis?

Exercise and Physical Therapy for Spinal Arthritis

Many people with arthritis have found substantial relief from their symptoms through physical therapy and exercise. In fact, exercise is thought to be the most effective non-drug treatment for reducing pain and improving movement for people with osteoarthritis.

What can be done for arthritis in the spine?

How is spinal arthritis treated?
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids (pills or injections) to reduce pain and swelling.
  • Other medications targeting specific symptoms or triggers of inflammatory arthritis.
  • Physical therapy to improve back muscle strength and range of motion in the spine.

What type of physical therapy is good for arthritis?

“I usually recommend low-impact exercise such as the elliptical machine or swimming, as they are more gentle on your joints,” Sharma explains. “These types of movements are less likely to cause further injury and will maintain or even improve your mobility.”Apr 12, 2019

Is walking good for arthritis in back?

Despite all the workouts available, walking remains a tried-and-true form of exercise. Not only is it low-impact for achy joints, it also provides cardiovascular benefits. When considering back pain from arthritis, follow some simple rules to get the most out of your walk: Wear comfortable walking shoes.

Is walking good for spinal arthritis?

People with cervical spine osteoarthritis should avoid putting extra pressure on the head and neck, such as doing as headstands in yoga classes. Prolonged sitting at a desk or in a car can aggravate pain and stiffness in the back and neck. Frequent, short breaks to stand, stretch, and walk can be helpful.

Can PT make arthritis worse?

Interestingly, while it means that physical therapy can lead to a traumatic experience, the reverse is true indeed. You are much more likely to worsen injuries and prolong the discomfort and pain you are already feeling by avoiding care at a physical therapy facility.

Can physical therapy help spinal stenosis?

Summary. Physical therapy is an essential part of the treatment plan for spinal stenosis. Exercises performed during physical therapy can help strengthen your lower back muscles and restore mobility.Aug 9, 2021

Does PT hurt?

Will It Hurt? Physical therapy shouldn't hurt, and it will be safe. But because you'll use parts of your body that are injured or have chronic pain, physical therapy can be challenging, even hard. For example, you may feel sore after stretching or deep tissue massage.Dec 1, 2020

What is physical therapy?

Physical therapy focuses on the body’s ability to engage in movement. Movement can be anything from getting in and out of chairs to climbing stairs, walking in your neighborhood, playing a sport or doing recreational activities.

How to improve physical function?

To start, an individualized plan of exercises is developed. These exercises are designed to improve flexibility, strength, coordination and balance to achieve optimal physical function. Physical therapists: 1 Teach you proper posture and body mechanics for common daily activities to relieve pain and improve function. 2 Show you how to properly use assistive devices such as walkers and canes. 3 Recommend different treatment options, such as braces and splints to support joints, shoe inserts to relieve stress on the lower extremities, and hot and cold therapy to ease joint pain and stiffness. 4 Suggest modifications to your environment, such as ergonomic chairs or a cushioned mat in your kitchen, to relieve pain and improve function.

What is the best treatment for spinal arthritis?

Pain Medications. Pain medications and anti-inflammatories are another treatment option for spinal arthritis, but if you choose to pursue medication, it should not be your only option. Pain medication is a passive treatment, which while it can provide temporary relief, isn’t doing anything to address your problems long term.

How to treat spinal arthritis?

Exercise. Exercise is one of the best treatment options for spinal arthritis. By strengthening muscles and other structures in the area, you can help take some of the painful stress off the arthritic areas of your body.

Is there a cure for arthritis in the spine?

Arthritis, be it in the spine or the knees, is a degenerative condition with no known cure. However, just because there isn’t a cure doesn’t mean that there aren’t treatment options available to help alleviate symptoms and prevent the condition from worsening.

How to help arthritis pain?

Ice and Heat Therapy . Some people with spinal arthritis find relief with the help of hot and cold therapy. Heat can help reduce inflammation and improve blood circulation around painful areas of your spine, while cold therapy can help numb pain and soreness. The key is to find what works for you.

How to help a person with arthritis?

The key is to find what works for you. Try taking a warm shower or putting an ice pack on your spine when pain flares up to see if either technique provides relief.

How to manage spinal arthritis?

Although spinal arthritis is chronic, it can be managed through a combination of medication, lifestyle changes, and complementary therapies. With the right treatment plan, individuals with spinal arthritis can live healthy and active lifestyles. Speak with your doctor to determine the best course of treatment for you.

What is the best medicine for arthritis in the back?

Over-the-counter (OTC) medications are generally the first-line treatment for arthritis in the back. Tylenol (acetaminophen) and NSAIDs like ibuprofen and naproxen can help temporarily relieve pain and inflammation in the joints.

What is the most common form of back arthritis?

Osteoarthritis (OA): The most common form of back arthritis, osteoarthritis is a degenerative joint disease that causes the cartilage cushioning at the end of joints to gradually wear away, causing pain and stiffness in the back.

What is the best way to relieve arthritis pain?

Several over-the-counter topical treatments are available, including creams, gels, and sprays that help temporarily relieve arthritis pain.

Does surgery help with arthritis?

The type of surgical procedure depends on the region of the back affected and the type of arthritis diagnosed. Depending on the procedure performed, surgery may help decompress the spinal cord, helping relieve pressure on nerve roots caused by inflammation.

How to help back pain from arthritis?

Exercise may be the last thing on your mind when your back is hurting, but it is a critical part of managing spinal arthritis. 10 Gentle exercises, such as yoga and Pilates, can help increase mobility and reduce pain.

Does smoking cause arthritis?

Smoking affects more than your lungs—it affects all tissues in the body and reduces the body’s ability to heal, making arthritis more resistant to treatment. Smoking is associated with lower back pain and intervertebral disc disease, and smokers report high levels of pain compared to nonsmokers. 12

What is Spinal Osteoarthritis

Osteoarthritis of the spine is a condition in which the facet joints in the spine swell and inflame, causing pain and other issues. Here are some of the potential symptoms of spinal osteoarthritis:

How Physical Therapy Can Help

Unfortunately, there is no cure for spinal arthritis, but there are methods to reduce symptoms and slow its progression. Regular exercise is one of the most effective methods for treating the symptoms of spinal arthritis in the long-term.

Minneapolis Physical Therapy

The physical therapists at OrthRehab Specialists have been providing rehabilitation care for patients throughout the Twin Cities for the past twenty-five years. We offer direct access to physical therapy for Minnesota patients. That means you can set up an appointment with us today even without a prescription from your primary care doctor.

Assessing Spinal Stenosis

A diagnosis of spinal stenosis will be made by your physician. Your doctor will take an X-ray of your lower back to determine the exact location of the degeneration and to measure how narrow the openings of your lumbar vertebrae have become.

Physical Therapy for Spinal Stenosis

The goals of physical therapy for someone with spinal stenosis include:

Spinal Stenosis Exercises

This exercise helps stretch the lower back muscles and brings your spine into flexion, a position that is often more comfortable for patients with spinal stenosis. It opens up the central spinal canal and can help relieve pressure in the lumbar spine.

Prevention

Working with a physical therapist can help prevent future problems from spinal stenosis by:

Outlook

Physical therapy can help improve your quality of life by decreasing your pain and providing you with the knowledge of how to correct your posture, avoid positions and movements that make your pain worse, and complete everyday activities in a way that avoids increased strain on your low back.

Frequently Asked Questions

Physical therapy usually involves performing stretches for the low back, hips, and legs; mobility exercises; and core strengthening exercises to improve lumbar support and decrease pain.

Summary

Physical therapy is an essential part of the treatment plan for spinal stenosis. Exercises performed during physical therapy can help strengthen your lower back muscles and restore mobility. While they are beneficial, check with your doctor or physical therapist before attempting these exercises at home to avoid additional injuries.

Does acetaminophen help with arthritis?

Acetaminophen blocks pain signals that travel from the site of an inflamed joint to the brain. NSAIDs relieve pain and swelling that result as the body’s immune system responds to joint damage caused by arthritis.

How long does physical therapy last?

Physical therapy usually continues for six to eight weeks, at which time your doctor assesses your progress and determines whether further therapy may benefit you. Our doctors and physical therapists may also recommend stretching and conditioning exercises you can do at home. Stretching the muscles in your legs, back, neck, ...

What is non surgical treatment for osteoarthritis?

Nonsurgical Treatment for Osteoarthritis of the Spine. If osteoarthritis of the spine is diagnosed early , doctors may recommend nonsurgical treatment to manage symptoms. NYU Langone physicians, physical therapists, and physiatrists, who specialize in rehabilitation medicine, can help you relieve pain and stiffness, improve flexibility, ...

Can osteoarthritis be treated early?

If osteoarthritis of the spine is diagnosed early, doctors may recommend nonsurgical treatment to manage symptoms. NYU Langone physicians, physical therapists, and physiatrists, who specialize in rehabilitation medicine, can help you relieve pain and stiffness, improve flexibility, and build strength in muscles that support the spine.

How does acupuncture help with osteoarthritis?

Acupuncture is a therapeutic technique in which very thin needles are inserted into various points on the surface of the body. By targeting specific points along “meridians” that correspond to the nerve pathways affected by osteoarthritis of the spine, acupuncture may stimulate healing by increasing blood flow and reducing inflammation, which can improve joint function. Acupuncture may also prompt the body to release endorphins, which are natural pain relievers.

Does weight loss cause osteoarthritis?

Being overweight stresses the spine and may cause osteoarthritis to progress more quickly. Losing weight and exercising can help reduce stress on the spine, build bone mass, and increase muscle strength, which relieve pain and benefit your overall health.

How do NSAIDs work?

NSAIDs relieve pain and swelling that result as the body’s immune system responds to joint damage caused by arthritis.

What is the best treatment for arthritis pain?

Acupuncture. This therapy uses fine needles inserted at specific points on the skin to reduce many types of pain, including that caused by some types of arthritis. Glucosamine. Although study results have been mixed, some studies have found that glucosamine works no better than placebo.

What is arthritis treatment?

Arthritis treatment focuses on relieving symptoms and improving joint function. You may need to try several different treatments, or combinations of treatments, before you determine what works best for you.

What fluids are used to diagnose arthritis?

The analysis of different types of body fluids can help pinpoint the type of arthritis you may have. Fluids commonly analyzed include blood, urine and joint fluid. To obtain a sample of your joint fluid, your doctor will cleanse and numb the area before inserting a needle in your joint space to withdraw some fluid.

How to help arthritis in the body?

Therapy. Physical therapy can be helpful for some types of arthritis. Exercises can improve range of motion and strengthen the muscles surrounding joints. In some cases, splints or braces may be warranted.

Does glucosamine help with arthritis?

However, glucosamine and the placebo both relieved arthritis pain better than taking nothing, particularly in people who have moderate to severe pain from knee osteoarthritis. Chondroitin. Chondroitin may provide modest pain relief from osteoarthritis, although study results are mixed. Yoga and tai chi.

What does a physical exam show?

During the physical exam, your doctor will check your joints for swelling, redness and warmth. He or she will also want to see how well you can move your joints. Depending on the type of arthritis suspected, your doctor may suggest some of the following tests.

What is the difference between MRI and ultrasound?

Combining radio waves with a strong magnetic field, MRI can produce more-detailed cross-sectional images of soft tissues such as cartilage , tendons and ligaments. Ultrasound. This technology uses high-frequency sound waves to image soft tissues, cartilage and fluid-containing structures near the joints (bursae).

How to treat neck pain with physical therapy?

Physical therapy for neck pain typically includes the following goals: 1 Reduce pain and stiffness 2 Improve head and neck range of motion 3 Develop dynamic strengthening of the neck and its supporting musculature 4 Develop strategies to prevent pain from recurring

How to improve neck posture?

Develop dynamic strengthening of the neck and its supporting musculature. Develop strategies to prevent pain from recurring. Even if pain cannot be completely eliminated, physical therapy may play an important role in improving neck posture and function for daily movements.

What is ACDF surgery?

For example, an anterior cervical discectomy with fusion (ACDF) surgery involves the fusion of 2 or more vertebrae in the neck, which can alter how some neck and upper back muscles move. In such cases, physical therapy may help to work through stiffness, increase neck function, and reduce or prevent painful spasms as the muscles are reconditioned.

How long does neck pain last?

Recovering from injury. Some injuries, such as whiplash, can damage the neck’s soft tissues and joints, resulting in pain and/or stiffness that can last for weeks or much longer. A physical therapy program can reduce pain and help return the neck to normal functioning. Recovering from surgery.

What are some alternative treatments for spinal stenosis?

Alternative Treatments for Spinal Stenosis. The two most common alternative therapies are acupuncture and chiropractic treatment. Acupuncture: This is a traditional Chinese practice in which someone inserts tiny, flexible needles into you or puts pressure on specific parts of your body to ease pain.

What are some exercises to help with pain?

Boost your fitness: Aerobic exercises, ones that get your heart and breathing rates up, release chemicals called endorphins that can ease pain. Examples of aerobic exercise include bicycling or swimming. There's no one right way to exercise with this condition -- and you don’t want to overdo it.

What is spinal stenosis?

What Are the Treatments for Spinal Stenosis? Spinal stenosis is a narrowing of the canal in your spinal column that affects mostly people age 50 and older. Nothing can cure it, but there are things you can do on your own, under your doctor's guidance, to enjoy an active life.

Can you cure spinal stenosis?

Spinal stenosis is a narrowing of the canal in your spinal column that affects mostly people age 50 and older. Nothing can cure it, but there are things you can do on your own, under your doctor's guidance, to enjoy an active life. Some of the best ways to treat the complications and pain of spinal stenosis are also the simplest.

How to get rid of stenosis in the spine?

Spinal stenosis exercises. Exercise, along with good eating habits, can help you slim down if you’re overweight. This will ease the strain on your spine. Even if you do decide to have surgery, exercising afterward can boost your recovery. But you’ll need to start slowly.

How to get your neck to move?

Gain flexibility: Stretching exercises can help with pain and make it easier to hold and move your neck and spine in healthier ways. Strengthen your muscles: A series of exercises called stabilization training can help build up the muscles that support your neck and give them better balance.

How to strengthen neck muscles?

Strengthen your muscles: A series of exercises called stabilization training can help build up the muscles that support your neck and give them better balance. Like stretching, these are simple exercises you can do at home without any special equipment.

Over-The-Counter Therapies

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Over-the-counter (OTC) medications are generally the first-line treatment for arthritis in the back. Tylenol (acetaminophen) and NSAIDslike ibuprofen and naproxen can help temporarily relieve pain and inflammation in the joints. Topical pain relieversare medications that you can apply directly to the skin overlying the …
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Prescriptions

  • When OTC medications are not enough to reduce the pain caused by back arthritis, your healthcare provider may prescribe stronger medications. Some NSAIDs, such as Zorvolex (diclofenac), are available by prescription only and help reduce pain and inflammation. In addition to prescription NSAIDs, anti-inflammatory medications known as steroids may be prescribed if y…
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Surgeries and Specialist-Driven Procedures

  • Radiofrequency ablation (RFA)is an outpatient procedure that uses heat (radiofrequency waves) to ablate (burn) the nerve fibers carrying pain signals to the brain, helping reduce or stop the pain. This is a simple procedure, and most patients can walk around immediately after the procedure. Though it may take up to two weeks to feel relief after the procedure, many patients report exper…
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Complementary and Alternative Medicine

  • In addition to prescribing medications to manage arthritis pain, your healthcare provider may also recommend complementary therapies to help reduce symptoms.
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Home Remedies and Lifestyle

  • There are a number of home remedies and lifestyle changes that can be added to your arthritis management techniques. These can be very helpful in reducing pain so you can live a full, active life.
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A Word from Verywell

  • Although spinal arthritis is chronic, it can be managed through a combination of medication, lifestyle changes, and complementary therapies. With the right treatment plan, individuals with spinal arthritis can live healthy and active lifestyles. Speak with your healthcare provider to determine the best course of treatment for you.
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