Adults only (18+)

Best Treatment for Arthritis in the Lower Back

Understanding Arthritis in the Lower Back

Arthritis in the lower back, often caused by osteoarthritis affecting the facet joints or the discs between vertebrae, can lead to chronic pain, stiffness and limited mobility. This condition develops when cartilage in the spine wears away, causing bones to rub together and triggering inflammation. The best treatment for arthritis in the lower back is typically multifaceted, combining medication, physical therapy, lifestyle adjustments and sometimes surgical interventions depending on severity.

Medications to Manage Pain and Inflammation

Medications play a key role in relieving symptoms of lower back arthritis. Over-the-counter painkillers such as paracetamol can help manage mild pain, while non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen reduce inflammation and alleviate more severe discomfort. In certain cases, doctors may prescribe muscle relaxants to ease spasms or corticosteroid injections directly into the affected joints to provide targeted relief. It is essential to use medications under medical supervision to minimise risks and optimise effectiveness.

Physical Therapy and Exercise

Physical therapy is a cornerstone of managing lower back arthritis. A physiotherapist can develop a personalised exercise plan that focuses on strengthening core muscles, improving spinal flexibility and reducing joint stress. Low-impact activities such as swimming, walking and gentle stretching promote joint health and reduce stiffness. Regular exercise not only alleviates pain but also supports weight management, which is crucial to decreasing pressure on the lower back.

Lifestyle Modifications and Self-Care

Maintaining a healthy weight significantly reduces strain on the lower back joints, helping to ease symptoms. Adopting good posture, using ergonomic seating and avoiding prolonged sitting or heavy lifting can protect the spine. Applying heat or cold packs may also relieve pain and inflammation during flare-ups. Stress management techniques, such as mindfulness or yoga, can be helpful as chronic pain often impacts mental wellbeing.

Alternative and Complementary Therapies

Some individuals find additional relief through therapies like acupuncture, massage or chiropractic treatment. While evidence varies, these approaches may improve pain and function when combined with conventional care.

Surgical Options

Surgery is generally reserved for severe cases where conservative treatments have failed and there is significant nerve compression or instability. Procedures such as spinal decompression or fusion may be recommended to stabilise the spine and relieve symptoms.

Summary

The best treatment for arthritis in the lower back involves a combination of medication, physical therapy, lifestyle changes and, in some cases, surgery. Early intervention and a personalised approach can improve pain, mobility and overall quality of life.