Arthritis literally means inflammation of a joint. It is typically used to describe joint pain. There are many different types of Arthritis, the most common types that a Chiropractor may see are Osteoarthritis (in the spine it may be termed Spondylosis); Rheumatoid Arthritis and Ankylosing Spondylitis.
Osteoarthritis (OA) is part of the degenerative process that most people experience as they age. It is better known as ‘wear and tear’. It commonly occurs in joints that have been injured, or endured more repetitive stress, such as manual jobs or sports. The cartilage covering the joint wears away and becomes rough. The tendons and ligaments supporting the joint weaken and the joint may become painful and stiff or deform. Degenerative change does not necessarily mean pain, although it does tend to make your joints more susceptible to damage. This type of arthritis often responds very well to treatment. Adjustments tend to improve the joint mobility and muscle tone. Combining this with flexibility and strengthening exercises can achieve marked reduction of painful episodes. Many patients with OA find that treatments every month or so keep the pain levels lower and reduce the frequency of flare-ups.
Rheumatoid Arthritis (RA) is caused by inflammation in the lining of the joint. It is an auto-immune disease which may become progressively disabling in some individuals. The joints tend to become reddened, hot, inflamed and painful. The cartilage can erode and the joint surfaces can become damaged or eroded, this may result in joint stiffness, pain and deformity. It commonly affects shoulders, wrists/hands, knees and feet. Some people with RA may feel an overwhelming feeling of tiredness. As it is a systemic disease process RA can affect any part of the body. Suppressing inflammation is one of the important ways of treating it medically. Chiropractors do treat patients who have RA, they may only need to modify their treatment to your current state. Adjustments should not be used on joints affected by RA at a time of severe flare-up.
Ankylosing Spondylitis (AS) is an inflammatory form of arthritis that tends to occur in males, with the onset often between the ages of 17 and 35. Initial symptoms are commonly low back, buttock and thigh pain and stiffness, although it can occur in other areas of the body. Advanced stages may result in severe inflammation and eventually fusing of joints- especially those of the spine. Chiropractors are trained in recognising this type of arthritis and may refer you back to your GP for blood tests to establish whether this is the type that you have. Chiropractic can sometimes be useful in reducing pain in AS patients, although techniques should be modified if you are in a stage of exacerbation.
Whilst Chiropractic treatment is appropriate for many forms of arthritis, for some it may only give relief from pain. You may also be referred to your GP or a Rheumatologist for further assessment/treatment.
