Adults only (18+)

Best Medication for Spinal Arthritis

Understanding Spinal Arthritis and Its Treatment Needs

Spinal arthritis, often referred to as osteoarthritis of the spine or facet joint arthritis, involves the degeneration of cartilage and joint tissues in the spine, leading to pain, stiffness and reduced mobility. Managing spinal arthritis effectively usually requires a combination of medications tailored to the individual’s symptoms, severity and overall health. While there is no one-size-fits-all “best” medication, several options are commonly used to relieve pain and inflammation associated with spinal arthritis.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs such as ibuprofen, naproxen and diclofenac are typically the first line of medication for spinal arthritis. They help reduce inflammation and relieve pain by blocking the production of prostaglandins—chemicals involved in the inflammatory process. NSAIDs are effective for many people but should be used cautiously under medical guidance, especially in those with stomach, kidney or cardiovascular concerns.

Analgesics

For individuals who cannot tolerate NSAIDs or require additional pain relief, analgesics such as paracetamol (acetaminophen) may be recommended. While paracetamol does not reduce inflammation, it can alleviate mild to moderate pain and is often used in combination with other treatments.

Muscle Relaxants

Spinal arthritis can cause muscle spasms around the affected joints. Muscle relaxants may be prescribed to relieve these spasms and reduce associated pain and stiffness. They are generally recommended for short-term use due to side effects such as drowsiness.

Corticosteroids

In cases of severe inflammation or flare-ups, corticosteroids may be used to rapidly reduce swelling and pain. These can be administered orally or through injections directly into the affected facet joints. Steroid injections often provide temporary relief and are typically combined with other therapies.

Disease-Modifying and Biologic Drugs

While these are more commonly used for inflammatory arthritis like rheumatoid arthritis or ankylosing spondylitis, some patients with autoimmune spinal arthritis may benefit from disease-modifying antirheumatic drugs (DMARDs) or biologic therapies that target immune system activity.

Complementary Approaches

Medications are often most effective when combined with physical therapy, exercise, weight management and lifestyle changes. Non-drug therapies support medication effects and help improve function.

Summary

The best medication for spinal arthritis usually starts with NSAIDs for pain and inflammation, supplemented by analgesics, muscle relaxants or corticosteroids as needed. Treatment is personalised based on symptom severity and patient health, often combined with non-medical therapies for optimal results.