Rheumatoid arthritis (RA) commonly affects peripheral joints, but can also impact the neck vertebrae, which can lead to back pain. A person can lower discomfort with medical treatment, exercise, and other home remedies.
Rheumatoid arthritis (RA) symptoms commonly manifest in the joints of your hands, wrists, feet, elbows, ankles, and hips. Your immune system attacks the synovium — the membrane lining of your joints — which leads to inflammation and pain.
For people with advanced RA, it can cause the compression of your spinal cord and nerve roots. When this happens, you can experience moderate to severe pain.
Keep reading to learn about short-term treatments for back pain and long-term back pain management steps.
The C1 and C2 vertebrae in your neck connect both to your skull and the rest of your spine.
When RA affects this region, it can cause a person to have difficulty keeping stability and to experience stiffness and pain throughout their back.
RA pain can be different for each person. It can be dull or sharp, or it may just feel like tightness.
Some people with RA
Before looking at treatments for your back pain, you’ll need to know if your back pain is caused by a condition or injury.
Acute back pain is usually a result of straining your back. It can be treated with bed rest for up to 3 days and medication. It will usually get better over time. Exercise isn’t recommended.
Chronic back pain is different. It’s a long-term problem caused by conditions such as RA. It can be treated in a number of ways, and exercise can be beneficial.
Hot and cold packs can’t treat the underlying causes of back pain, but they can help to lower the pain and stiffness you feel during a flare-up.
Use a heat pack to help improve blood flow and reduce muscle spasms. It can also help make your pain more manageable.
Use a cold pack to help lower RA inflammation. It should mainly be used for flare-ups or acute pain.
Cold packs may feel uncomfortable at first, but they can lower swelling and help the pain. Cold packs should only be applied for 20 to 30 minutes at a time.
Medication can be an effective way of controlling chronic back pain. The type of medication you’ll need depends on how severe your pain is and how often you experience it.
A variety of medications can alleviate pain and even slow the progression of RA.
Managing your pain is important in learning to live with a chronic back problem. Analgesics, or pain relievers, are one way of easing back pain.
Over-the-counter drugs such as aspirin may be enough to manage mild pain, but a doctor or healthcare professional may prescribe stronger medications for people with more severe RA. This can be a dose of a stronger nonsteroidal anti-inflammatory drug (NSAID) such as acetaminophen (Tylenol) or an anticonvulsant such as gabapentin (Neurontin).
Nonsteroidal anti-inflammatory drugs
NSAIDs can soothe pain and inflammation. Anti-inflammatory treatments are helpful because they lower swelling. This eases pressure on your back and helps make movement easier.
Ibuprofen (Advil, Motrin IB) and naproxen (EC-Naprosyn) are two NSAIDs that are often prescribed. NSAIDs may cause side effects, such as stomach bleeding.
A doctor will be able to help you decide if NSAIDs are right for you based on your medical history.
Disease-modifying antirheumatic drugs
Disease-modifying antirheumatic drugs (DMARDs) are prescribed to help soothe pain and slow the progression of RA. They can help stop future pain flare-ups. A commonly prescribed DMARD is methotrexate.
DMARDs work by interfering with the cellular process causing antibodies to attack your joint tissue. This prevents further damage to your bones and cartilage.
DMARDs can cause side effects, such as:
- skin rashes
- liver damage
- abnormal white blood cell counts, leading to infection
A doctor can help you manage these side effects if they occur.
A spinal injection can be a quick way to relieve chronic back pain. It usually means injecting a corticosteroid or anesthetic into the nerve region that’s being affected by RA inflammation.
The effects of a spinal injection can last for weeks or even months. Corticosteroids may cause other health problems such as osteoporosis. For this reason, a doctor may suggest you wait several months for your next injection.
Surgery is usually the last resort for back pain treatment. While it can be effective in helping to ease chronic back pain, it’s not always successful at lowering pain.
For example, a doctor may recommend a “fusion” procedure: This
Another approach is realigning and stabilizing your spine to ease pressure on your spine’s nerves. This can lessen pain and even improve mobility.
A range of therapies can help support your back pain treatment. For instance, physiotherapy could improve your flexibility and muscle strength.
Research shows occupational therapy can also be useful. This kind of therapy teaches you joint protection strategies. An example might be how to pick up and carry objects without causing back pain.
Chiropractic therapy usually isn’t recommended for people with RA who are experiencing back pain. It may be used to treat the C1 and C2 vertebrae, but there are risks.
One of the most serious risks is that it can trigger spinal cord compression, which leads to paralysis. Rarely, a chiropractic adjustment can also
Appropriate exercise can help take pressure off of your back and keep joints supple if you’re experiencing chronic back pain due to RA. Exercise also helps keep up your overall body health.
Always consult a doctor before starting any fitness program for your back pain.
You’ll find additional answers to questions about RA and back pain here.
What are some RA back pain exercises?
A few exercises that may help lower RA-related back pain include the pelvic tilt, the back stabilizer, and the deep lunge.
Learn more about the best exercises for arthritis back pain.
What is the relationship between RA and sciatica?
Though these are different conditions, it may be hard to tell whether your pain is caused by RA or sciatica. Sciatica pain happens because of pressure against the sciatic nerve. If you’re unsure if your back pain is related to RA, you should consult a doctor for a correct diagnosis and treatment.
What are other causes of back pain?
Acute back pain is usually caused by an injury. Causes of chronic back pain
If you have RA and think you have chronic back pain, talk with a doctor. They’ll be able to help you find the right treatment for your particular condition whether that means short-term solutions such as ice packs and medications or long-term pain management strategies such as physiotherapy or an appropriate exercise plan.