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Which arthritis causes the most damage to the spine and hips?

A myRAteam Member asked a question 💭
British Columbia maple Ridge
May 2
 · 
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Answer Summary

Members responded to a question about which type of arthritis causes the most damage to the spine and hips, with many sharing personal... Read more

Members responded to a question about which type of arthritis causes the most damage to the spine and hips, with many sharing personal diagnoses including RA, OA, PsA, and DDD, often dealing with several conditions at once. Several members noted that PsA is known for targeting the hips and lower back, while others felt RA causes the most overall damage, though many agreed that treatments often overlap regardless of the exact diagnosis. A recurring theme was the importance of seeking multiple medical opinions, advocating for personalized care, and leaning on community support while managing daily pain, fatigue, and limited mobility.

myRAteam

When it comes to spinal damage, rheumatoid arthritis (RA) is particularly known for affecting the cervical spine (the neck area). In fact, around 80% of people with RA show signs of inflammation in the top two spinal joints (C1 and C2). This inflammation can lead to pain, limited mobility, and in serious cases, nerve Show Full Answer

When it comes to spinal damage, rheumatoid arthritis (RA) is particularly known for affecting the cervical spine (the neck area). In fact, around 80% of people with RA show signs of inflammation in the top two spinal joints (C1 and C2). This inflammation can lead to pain, limited mobility, and in serious cases, nerve damage.

RA attacks the synovium — the tissue lining the joints — and since the cervical spine joints are surrounded by synovial fluid, they are especially vulnerable.

Symptoms of RA-related spinal damage can include:
- Pain at the base of the skull
- Pins-and-needles sensations in the hands or feet
- Headaches
- Loss of flexibility or limited range of motion As for the hips, RA can cause significant damage there too. While RA more commonly affects smaller joints like the hands and wrists, it can absolutely impact the hips, causing pain, stiffness, swelling, and even joint locking or grinding sounds.

Hip-related RA pain can also radiate to the:
- Groin
- Buttocks
- Outer thigh
- Down the inside of the leg

As one myRAteam member described, their hips were their "number one issue," making it "impossible" to sleep on their side.

It's always best to speak with your rheumatologist about any spinal or hip symptoms, as early treatment can help protect your joints and quality of life.

May 2
A myRAteam Member

It really doesn’t make any difference. They basically get treated with the same meds. The doctor just decides which one that he/she chooses.

May 3
A myRAteam Member

I have DDD, and RA in my neck, spine
OA and RA in my hands and wrists. Im not sure about my hips. I know my worst osteoporosis is in my left hip.

May 2
A myRAteam Member

I have RA and OA in my neck. X-ray reports say that my cervical spine has fused on its own. My neck hurts when I turn my head to the left. It makes a popping noise.
RA does more damage overall

May 2
A myRAteam Member

Exactly Greta. That’s how I feel. I know it’s sera negative and I’m on a dmd and a biological. Hugs

May 3

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