Back pain- Inflammatory vs Degenerative
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- Опубликовано: 6 июл 2024
- I see quite a few inflammatory arthritis patients as part of my practice. That includes patients with inflammatory back pain. Of course many of my patients also have degenerative arthritis related lower back pain. This video is meant to help people understand the difference between inflammatory and degenerative arthritis related back pain, diagnostic differences, and treatment differences.
#backpain 
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Best description I've seen of the differences and treatments. No mention of dietary changes to reduce inflamation though
Great idea. That will be a future topic discussion- dietary interventions for inflammation.
Looking forward to dietery considerations. Thanks.
Thanks
Thank you. Very great comparison
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@Ashton Merrick Instablaster ;)
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I lifted heavy weight , 2 year back, since pain started. Stiffness in morning n pain while sleeping? What can be reson ?
After re tweaking my LOWER left back/hip after landing from a dunk I've had constant pain/inflammation on that side for a week now, how long will it last? Or is it something that will bother me constantly for years like it used to before it went away completely by chafing my diet radically?
I know to get checked by a professional and I'm working on that but just wondering what you think, a response would be great!
Chronic injuries tend to aggravate from time to time. Do your best with the appropriate exercise, supplements, nutrition, and regenerative medicine treatments to support and improve the instability that is driving your chronic pain.
I have DDD and it gets better when I go for a walk so what is it
I have been having severe lower back pain and sciatica combined and nerve issues on the back. I have all the symptoms of the inflammatory- I am going to the chiro for this. Is that something you recommend? Thank you!
For pain relief Chiro, PT, massage, and accupuncture are all good first line treatments. If that is not enough, see a rheumatologist to determine your diagnosis and treatment options.
Hello Doc, reaching you from Nigeria. Please i have this pain at the right side of my back that pain me more when i wake from sleep or stay at rest and reduces when i run or walk about. I saw a doctor sometime last 2 months and he prescribed neurovite and diclofenac, which actually subsided the pain totals but it has started again. It doesn't prevent me from doing my activities but surely makes me uncomfortable.
Thank you for your message.
Sorry to hear about the difficulty you’re experiencing.
We may be able to help.
You can schedule a telehealth visit with us in the following ways:
1. Email us: admin@chicagoarthritis.com.
2. Call us: +1.773.348.7171
3. Schedule directly within our system: healow.com/apps/practice/chicago-arthritis-llc-25058?v=1
I get middle back pain from certain foods and hard pills and alcohol I’ve had mri X-ray upper gi sonogram and no doctors can’t find anything wrong. What can cause this? Seems like it’s getting worse. I took a steroid shot last year it helped but the pain came back
See a rheumatologist to be evaluated for non radiographic spondyloarthropathy.
@@ChicagoArthritis thank you for responding I’m going to Mexico to see some doctors for a second opinion and I will try and do that.
ok for treatment options, i don’t see any difference between degenerative and inflammatory conditions. tell me one thing that differs between these two in terms of treatment. all conservative treatments look same to me in this if it includes joints only.
When i think, i don’t have morning pain but my pain comes later. The first onset of the pain came while i was lying down for long. It started with heaviness on buttocks and then progressed to a burning pain in the area and it does not radiate to legs. pain killers like voltaren helped and pain comes if i walk more than 2 km. clinically i have cmc 1 oa which was diagnosed like 1 year ago and bulging on neck 2 years ago, happened when i carried a heavy guitar case. and a year ago i fell on my back from 1 meter height and had pains only for 4 days or so, so million dollar question, now you know the background, tell me if you can say what i have without an mri! i am 40. inflammatory or mechanical back pain? DDD?
You can’t make a diagnosis via a RUclips message board, but you certainly have a history more consistent with degenerative joint disease of the back. A proper evaluation is your next step.
Treatment differs for inflammatory arthritis such as ankylosing spondylitis. Generally medication that modulates the immune system is needed. For degenerative back pain using your own platelets or bone marrow stems cells is a preferred treatment.
@@ChicagoArthritis i agree with you. i made so binary. it can even be cancer. Differential diagnosis is so upsetting in medicine.
An mri will be on the way. You are right.
your video does not clearly mention about medications modulating the immune system for inflammatory pain though.
For degenerative part, none of the treatments you mention in your comment provides a reverse of degeneration (you never claim a reversal anyway). Except, merck introduced a phase 3 test lately that claims to build up cartilage. more promising than voodoo like tumeric or glucosamine i think.
as far as i understand the exercise part is same for both conditions.
@@ChicagoArthritis And thanks you are kind to reply. Amazing is that when my neck and head aches (which it was aching during august and september), i don’t present a thumb pain. Here aching is aching not burning. And now my lower back burns (burns less now due to ice and voltaren), my basal thumb does not ache. I have laxity in my thumb but my question here is that:
Can a certain level of controllable inflammation be good to divert the focus of other inflammation? I never saw a study about this. Say, we create an inflammation that lasts, can it cause a reduction of inflammation in another part of the body?
Acute inflammation after an injury is usually helpful. But chronic inflammation is pathologic and not good. In addition total body chronic inflammation is even worse and damaging to joint, tendons, and other organs as well.
@@ChicagoArthritis sir 2 year back. Lower back pain left side. I had lifted heavy weight, since I pain n stiffness, x ray is normal.
I have both 😫
Sorry to hear that. If you treat both appropriately, you’ll do better compared to treating only one of the problems.
I’m going through tests now to see what I have.
Are back spasms correlated to inflammation or degenerative?
Usually with instability the surrounding muscles spasm to maintain control. That instability is part of the degenerative process.
Thank you! Any specific treatments you recommend for back spasms?
Treat the underlying cause. So if you have instability due to weakness of the ligaments around the spine, that needs to be treated. Core strengthening for improving muscle derived stability. Prolo/Prp treatment to strengthen the ligaments themselves.