There are two main forms of arthritis. One is inflammatory such as Rheumatoid Arthritis and the other is degenerative which usually occurs from wear and tear as we get older known as Osteoarthritis. There are many causes of this. Occasionally there is a genetic predisposition and it can run in families.
Causes of Osteoarthritis
Frequent causes include a short leg or not correcting a flat foot situation. Running on hard surfaces or using poorly fitting sneakers or shoes that provide little or no support is another example. Frequent use of high heel shoes can cause arthritis of the toes or knees. Repetitive joint movements in an occupation or a hobby can also cause it such as knitting all day without proper rest or using a tool for work without good body mechanics.
Diagnosing The Cause
The most important part of caring for patients with neck pain is an accurate diagnosis. Dr. Magaziner uses his years of clinical experience, using a thorough examination and sophisticated diagnostic tools to arrive at his diagnosis. Some of the diagnostic tools are: X-ray, Fluoroscopy, Magnetic Resonance Imaging, Bone Scan and Ultrasound.
Common treatments include rest, lifestyle modification, anti-inflammatory medication, bracing or splinting, correcting leg length or gait abnormalities, strengthening exercises and correcting muscle imbalances. Physical therapy, massage, chiropractic care, Laser and acupuncture can help correct these problems and alleviate the pain in some cases. Good nutrition and vitamins are important which can help protect you from disease progression and reduce inflammation naturally. It is commonly believed that glucosamine and chondroitin sulfate, MSM, and omega 3’s fish oil can be helpful. Medical treatments such as anti-inflammatory medication and cortisone injections have no role in preventing or healing the condition but can provide temporary relief.
More recently there has been some “break through” regenerative treatments that are successful with reducing pain and regenerating the damaged tissue. Unlike other pain reducing procedures, these regenerative procedures help improve the function of the joint for a longer lasting benefit. Examples of these procedures are: PRP (Platelet Rich Plasma) and Prolotherapy.
Dr. E. Magaziner’s philosophy is to start with the more conservative treatments (less invasive) first. If necessary, The Center for Spine, Sports, Pain Management and Orthopedics Regenerative Medicine provides multiple forms of treatment to help patients recover from an acute or chronic conditions. There are many non-surgical treatments which are effective in the treatment of arthritis pain. Some of these treatments include: