Practical Pain Management Community Advice


I was told by my primary care doc that I have osteoarthritis (of the spine) and rheumatoid arthritis (of the knee). She said that physical therapy would help. Does it really work?

Any advice would be appreciated. Thank you.

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2 Responses

Is this good advice?

Physical therapy most definitely can help! RHa involves synovial joints. The spine is a prime target. If you have pain in the upper spine(neck) you may be helped by your dentist making an appliance for you that decreases the use or at least forces used when you use your jaw. This will reduce the load on your cervical spine. The jaw connects to the skull on both sides ant the temples. These are known as the temporoalmandibular joints. These joints seem to be always at work. Think of them as you would any joint system ie. knees. You would take measures to decrease the amount and how hard they are used. The "TMJs" are synovial joints that are attacked by rha like any other synovial joint. However they work dependently on each other and functions of the mouth - clenching/bruxing in response to pain greatly increases the load on these joints and on the neck. These are loaded joints so if the amount and frequency of the loading can be decreased you should have less of a problem with associated headache and aggravation of the cervicothoracic structures.
This is NOT a cure, but could slow the progress of the disease and decrease your pain. "TMJ" is not a diagnosis, but an anatomical location. Everyone has two!

Is this good advice?

Yes, Scientific and systematic physical therapy will do help in keeping your spine and knee joints mobile, pain free and strengthen the muscles surrounding the joints. Deformities can be prevented if therapy is started in the early stage which can add life to your years

Mathew Varghese