Spinal Osteoarthritis

What is spinal osteoarthritis?

Spinal osteoarthritis, also known as spinal arthritis or facet joint arthritis, is a degenerative condition that occurs when the cartilage between the joints of the spine wears down over time. Without the protective cushioning of cartilage, bones may rub against each other, leading to pain, stiffness, and inflammation. Spinal osteoarthritis is most common in adults over the age of 50, but it can develop earlier due to injury, genetics, or repetitive stress on the spine.

Signs & symptoms of spinal osteoarthritis

Symptoms of spinal osteoarthritis can vary depending on the severity and location of the condition. Common signs include:

• Chronic back or neck pain
• Stiffness, especially in the morning or after periods of inactivity
• Pain that worsens with movement and improves with rest
• Reduced flexibility or range of motion
• Tenderness around the spine
• Numbness, tingling, or weakness may occur if nerve compression occurs

Causes & risk factors

Several factors may increase the risk of developing spinal osteoarthritis, including:

• Age – Most common in adults over 50.
• Genetics – Family history of arthritis or degenerative joint disease.
• Previous injuries – Spinal fractures, dislocations, or repetitive stress injuries.
• Obesity – Extra weight puts additional stress on the spine.
• Overuse – Heavy lifting or repetitive motions over time.

Diagnosing spinal osteoarthritis

At Iowa Ortho, diagnosis begins with a detailed medical history and physical examination. To confirm spinal osteoarthritis, your doctor may order:

• X-rays – To detect bone changes, joint space narrowing, or bone spurs.
• MRI scans – To evaluate cartilage, nerves, and soft tissues.
• CT scans – For a detailed view of the spine’s structure.

Treatment options for spinal osteoarthritis

While spinal osteoarthritis cannot be reversed, treatments are available to manage symptoms, improve mobility, and slow progression. Iowa Ortho offers a range of treatment options tailored to each patient.

Non-surgical treatments

• Medications – Anti-inflammatories, pain relievers, or muscle relaxants.
• Physical therapy – Targeted exercises to improve flexibility, strength, and posture.
• Lifestyle modifications – Weight management, low-impact exercise, and activity changes.
• Spinal injections – Corticosteroid or facet joint injections to reduce inflammation.
• Radiofrequency ablation – A minimally invasive procedure that disrupts pain signals from affected nerves.

Surgical treatment for spinal osteoarthritis

If conservative treatments fail, surgery may be considered to relieve nerve compression or stabilize the spine. Surgical options may include decompression procedures or spinal fusion. Iowa Ortho’s spine surgeons use advanced techniques to minimize recovery time and restore quality of life.

Living with spinal osteoarthritis

Many patients are able to manage spinal osteoarthritis with non-surgical treatments, lifestyle changes, and ongoing care. With the right treatment plan, it’s possible to stay active, reduce pain, and improve mobility.

Why choose Iowa Ortho for spinal osteoarthritis care?

• Experienced orthopedic spine specialists
• Comprehensive care under one roof—diagnosis, therapy, injections, and surgery
• Personalized treatment plans based on individual needs
• A patient-first approach to managing long-term spinal health

Request an appointment

If you are experiencing chronic back or neck pain that may be caused by spinal osteoarthritis, Iowa Ortho can help. Our specialists provide accurate diagnosis and customized treatment to help you move with confidence.

Call Iowa Ortho at 515-247-8400 or request an appointment online today.