Adults only (18+)

Best Treatment for Arthritis in the Lower Back

Understanding Lower Back Arthritis

Arthritis in the lower back, often referred to as lumbar osteoarthritis or facet joint arthritis, involves the degeneration of the cartilage and joints in the lumbar spine. This condition can cause chronic pain, stiffness and reduced mobility, significantly impacting daily activities. The best treatment for arthritis in the lower back usually involves a combination of medical therapies, lifestyle adjustments and physical rehabilitation tailored to individual needs.

Medication Management

Medications are often the first step in managing lower back arthritis. Over-the-counter pain relievers such as paracetamol can help reduce mild discomfort, while non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen reduce inflammation and more severe pain. In some cases, doctors may prescribe muscle relaxants, corticosteroid injections or stronger pain medications for flare-ups. It is important to use medications under medical guidance to avoid side effects.

Physical Therapy and Exercise

Physical therapy plays a vital role in treating lower back arthritis. A physiotherapist can design a personalised exercise programme to strengthen the muscles supporting the spine, improve flexibility and reduce pain. Low-impact activities such as swimming, walking and stretching are beneficial. Regular exercise helps maintain joint function, prevent stiffness and promote weight management.

Lifestyle Modifications

Maintaining a healthy weight reduces stress on the lower back joints, alleviating pain and slowing disease progression. Adopting good posture, using ergonomic furniture and avoiding prolonged sitting or heavy lifting also protects the spine. Applying heat or cold packs can provide temporary pain relief and reduce inflammation.

Alternative Therapies

Some people find relief through complementary treatments such as acupuncture, massage or chiropractic care. While evidence varies, these therapies may improve pain and function when used alongside conventional treatment.

Surgical Options

Surgery is generally considered only when conservative treatments fail and arthritis causes severe pain or nerve compression. Procedures may include decompression surgery or spinal fusion to stabilise the affected segments.

Psychological Support

Chronic lower back pain from arthritis can affect mental wellbeing. Stress management techniques, counselling and support groups help cope with the emotional impact of persistent pain.

Summary

The best treatment for arthritis in the lower back combines medication, physical therapy, lifestyle changes and, when necessary, alternative therapies or surgery. Early intervention and personalised care improve pain control and mobility, enhancing quality of life.