Staying Active Despite Arthritis in the Spine
Arthritis in the spine - the most common form of the condition being osteoarthritis of the spine - does not mean that the healthy, active lifestyle you enjoyed while you were younger is relegated solely to the past. Nor does it mean that a trip to the operating room is inevitable. In fact, surgery is almost always considered the last resort when dealing with symptoms associated with the gradual deterioration of the cartilage that lines the vertebral joints (also known as facet joints). In most cases, doctors encourage physical activity as a means of managing the stiffness, pain, and other symptoms caused by spinal osteoarthritis.
The Value of Exercise
No one diagnosed with arthritis in the spine should begin an exercise regimen without first consulting a doctor or physical therapist. Ideally, a doctor will recommend certain stretches or types of low-impact cardiovascular exercise (walking, swimming) based on the patient's physical capabilities and overall health. As a palliative activity, exercise can:
- Improve circulation and nutrient exchange - Low-impact cardiovascular exercises, such as walking or swimming, facilitate the flow of fluids that carry healing nutrients and endorphins, the body's natural pain killers.
- Strengthen the core muscles of the abdomen, back, and buttocks - This provides the spine with extra support and helps maintain vertebral alignment, allowing for more normal twisting, flexion, and extension.
- Target tight or inflexible muscles - Stretching, especially of the hamstrings, can relieve tension from tight muscles, thereby decreasing stress on the lower back.
Know Your Limits
If you are diagnosed with arthritis in the spine, the treatment plan formulated by your doctor will more than likely include a variety of conservative methods. In addition to exercise and stretching, a doctor may recommend a combination of non-steroidal anti-inflammatory drugs (NSAIDs), behavior modification, and other methods. If exercise is included in your treatment plan, always follow your doctor's instructions to the letter. Also, stop working out immediately and let your medical team know as soon as possible if an activity exacerbates your symptoms.
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