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Spinal Osteoarthritis (Degenerative Arthritis of the Spine)

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Spinal Osteoarthritis (Degenerative Arthritis of the Spine)
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How Is Osteoarthritis of the Spine Treated? continued...


Pain medications may also be used to treat osteoarthritis. Over-the-counter products include acetaminophen (Tylenol).

Nonsteroidal anti-inflammatory drugs (NSAIDs) are also available over-the-counter in certain strengths. Examples include aspirin, naproxen sodium (Aleve), and ibuprofen (Motrin or Advil). NSAIDs may have serious side effects. Those include heart attack, stroke, stomach irritation and bleeding, and less frequently, kidney damage.

Topical ointments and creams are also available to treat pain. They are applied to the skin in the area that hurts, but generally, these are not effective. Examples of topical drugs include Ben-Gay and Aspercreme.

Your doctor may also recommend prescription drugs to treat symptoms, as there are no medications that reverse the process. These may include prescription painkillers, mild narcotics, or injections of corticosteroids around the spinal column called epidural steroid injections. It is important to understand that these injections do not correct the underlying problem and are sometimes used without clear indication of long-term benefit. Oral steroids are not commonly used.

Most cases of spinal osteoarthritis can be treated without surgery, but surgery is sometimes performed. Spinal osteoarthritis is one of the causes of spinal stenosis, or narrowing of the spinal canal. In cases where bladder and bowel function is impaired, where the nervous system is damaged, or when walking becomes very difficult, surgery will likely be recommended.
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