骨关节炎 of the Spine

About 骨关节炎 of the Spine

骨关节炎 (OA) is the degenerative form of joint arthritis. It is a progressive joint disease associated with aging. 在脊柱上, OA can affect the facet joints, the intervertebral discs, 和 the ligaments supporting the spine.

症状: Back pain is the typical symptom associated with OA of the spine. The pain is typically felt deep in the muscles. Being upright aggravates the pain, 和 lying down typically helps. The first symptom of spine OA is intermittent low back pain that is usually most severe in the morning or after inactivity.

Other symptoms depend on the disease stage 和 may include: stiffness 和 limited motion of the lumbar spine; pain 和 limited chest expansion; arthritis involving the shoulders, 臀部, 和 knees; kyphosis (curvature of the spine) in advanced stages, sometimes caused by the tendency for these patients to assume a stooping posture in an attempt to reduce their symptoms; hip deformity with limited range of motion; 和 tenderness over the inflammation site. These symptoms progress unpredictably, 和 the disease can disappear temporarily or permanently at any time.

诊断: Physical examination is typically not very specific in this illness. x射线 和 核磁共振成像 show narrowed or collapsed disc spaces, 和 sometimes there is forward slip of one vertebra versus the other. The MRI sometimes shows a tear in the outer layer of the disc 和 may even show edema in the bone adjacent to the arthritic level.

治疗: Most OA of the spine will not need surgery. 物理治疗, weight loss, 和 anti-inflammatory medications are the first line of treatment. If surgery is needed, fusion of the spine or disc replacement 关节成形术 could be an option.

For more information about spine related conditions 和 treatments, visit the 皇冠hga025大学洛杉矶分校脊柱中心 at at spinecenter.皇冠hga025大学洛杉矶分校.edu.