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How can you navigate facet disease and spinal impingement related to RA?

While RA primarily affects the cervical spine (neck area) where it can cause inflammation in the C1 and C2 joints, back pain in other areas is common. Around 64.5% of people with RA report chronic lower back pain, though this isn't usually from Show Full Answer

How can you navigate facet disease and spinal impingement related to RA?

While RA primarily affects the cervical spine (neck area) where it can cause inflammation in the C1 and C2 joints, back pain in other areas is common. Around 64.5% of people with RA report chronic lower back pain, though this isn't usually from inflammatory RA activity in those areas.

RA can indirectly affect your spine through arthritis in your feet, hips, or knees, which puts extra strain on your back and can accelerate structural changes. Additionally, RA medications like steroids can impact spinal health.

For cervical spine involvement, symptoms may include:
- Pain at the base of your skull
- Pins-and-needles sensation in hands or feet
- Limited mobility
- Headaches

It's important to talk with your rheumatologist about your specific symptoms. They can order imaging tests like X-rays or MRIs to assess any damage and determine if your spinal issues are directly related to RA or another cause. Treatment options may include:

Lifestyle approaches:
- Physical therapy to strengthen back muscles
- Occupational therapy to learn how to perform activities without straining your back
- Regular exercise like swimming
- Heat therapy for muscle spasms or cold therapy for inflammation

Medications:
- NSAIDs for pain and swelling
- Corticosteroid injections for persistent nerve pain
- DMARDs if inflammation is the primary issue

Surgery:
- Spinal fusion may be recommended for severe cervical spine damage from RA

A myRAteam member shared: "I got a cortisone shot. It took the severity of the pain away and helped me be able to get around a little more without hurting so much."

Working closely with your healthcare team is essential to find the right treatment approach for your specific situation.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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