Best Treatments for Arthritis in the Lower Back and Hip

Back and hip pain can occur for many reasons. One common cause is arthritis. Arthritis in the lower back and hip can develop due to a variety of reasons, often intertwining genetic, environmental, and physical factors. Factors contributing to arthritis in the lower back and hip include:

  • Genetic predisposition
  • Advanced age
  • Excessive body weight, leading to added stress on joints
  • Prior injuries or trauma to the back or hip
  • Repetitive strain from occupational or sports activities
  • Inflammatory diseases like rheumatoid arthritis
  • Bone deformities
  • Certain metabolic disorders
  • Chronic poor posture

Nonsurgical Treatment Options

There are several nonsurgical options to manage arthritis in the lower back and hip. These treatments aim to alleviate pain, improve mobility, and enhance the quality of life. Here are three common nonsurgical options for these conditions:

Physical Therapy

Physical therapy involves individualized exercises and stretches designed to strengthen the muscles supporting the affected joints, improve flexibility, and enhance mobility. For arthritis in the lower back and hip, this might include core strengthening exercises, flexibility exercises, and posture training.

Medications

Various medications can be used to manage pain and inflammation associated with arthritis.

  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Such as ibuprofen or naproxen, can reduce inflammation and alleviate pain.
  • Acetaminophen: Helpful for pain management in some patients.
  • Corticosteroid Injections: Injected directly into the affected joint, corticosteroid can provide relief from pain and inflammation for a few months at a time.

Lifestyle Modifications

This involves making certain changes to daily routines and habits to reduce strain on the affected joints and manage symptoms.

  • Weight Management: Maintaining a healthy weight can reduce stress on the joints, especially the hips and lower back.
  • Exercise: Regular low-impact exercises like walking, swimming, or cycling can help keep the joints flexible.
  • Assistive Devices: Using aids like canes or walkers can help reduce strain on the hips and lower back.
  • Ergonomic Adjustments: Making workplace or home adjustments, such as using an ergonomic chair or ensuring that the desk is at the right height, can minimize back strain.

Lifestyle changes are suitable for all patients with arthritis, regardless of the severity. In many cases, adopting the right lifestyle modifications can significantly reduce the need for other treatments.

Surgical Treatment Options

When conservative treatments like physical therapy, medications, and lifestyle modifications don’t alleviate symptoms, surgical intervention might be considered. Here are three common surgical options for these conditions:

Lumbar Spinal Fusion

Lumbar spinal fusion is a procedure where a surgeon fuses two vertebrae together. This eliminates any motion between the fused vertebrae, which can reduce pain caused by the movement of arthritic joints or unstable vertebrae. The fusion can be done through various techniques, using bone grafts, screws, rods, and cages.

Spinal fusion is typically recommended for patients with lumbar spine arthritis who have instability in the spine or have not found relief from conservative treatments. It can also be used in cases of spondylolisthesis, spinal stenosis, and degenerative disc disease.

Total Hip Replacement

Total hip replacement, also known as total hip arthroplasty, involves replacing the damaged hip joint with artificial components. The procedure involves removing the problematic femoral head (top of the thigh bone) and replacing it with a metal stem that is placed into the hollow center of the femur.

The orthopedic surgeon will place a ceramic or metal ball on the upper part of this stem. Then, the surgeon will remove the damaged cartilage surface of the socket (acetabulum) and replace it with artificial parts, typically made of metal, plastic, or ceramics.

Total replacement is best for patients with severe hip arthritis causing significant pain and disability, especially if conservative treatments have failed.

Hip Resurfacing

Hip resurfacing is an alternative to total hip replacement, especially for younger patients. Instead of replacing the joint, the surgeon smoothens the head and covers it with metal, plastic, or ceramic.

Resurfacing is best suited for younger, active patients with hip arthritis who are not morbidly obese and do not have significant bone loss or large cysts in the hip joint.

It’s important to note that while these surgical procedures can provide significant relief from pain and improve function, they come with their own risks and potential complications. It’s crucial for patients to discuss their specific situation and needs with an orthopedic surgeon to determine the best surgical option for them.

Hip Arthritis Treatment in Catonsville and Eldersburg, MD

Arthritis in the lumbar region and hip joint can significantly impair your quality of life. However, with appropriate knowledge and therapeutic interventions, you can mitigate its effects and symptoms and live a fulfilling life. There are several treatment methods available, both surgical and nonsurgical, that can help you manage your arthritis and its symptoms.

If you or a loved one is experiencing persistent pain or mobility issues, don’t wait. Come visit the Orthopaedic Associates of Central Maryland to discuss suitable treatment options and start your journey towards a pain-free, active life today.

Call us at (410) 644-1880, or visit our website to set an appointment.