Thursday, May 01, 2008 shantini asks

Q: Can scoliosis cause OA of the lumbar facet joints, and if so, how can you prevent it progressing?

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Answers (1)
JB, Editor
5/ 2/08 12:00pm

People have asked similar questions in different ways:

 

Does osteoartritis cause scoliosis?

Can scoliosis cause osteoarthritis?

 

The answer to the first question is yes. From Harvard University: "Degenerative disk disease and osteoarthritis of the spine can contribute to scoliosis (or curvature of the spine), but this type of scoliosis is rarely a significant problem. ... If narrowing of the disk space or osteoarthritis affects one side more than the other, a slight curve in the spine may develop, but degenerative changes tend to be symmetric -- both sides are affected to a similar degree -- so significant curvature related to disk disease or osteoarthritis is relatively rare and the curvature itself rarely requires treatment."

 

And to the second question (and yours), the answer is trickier. According to the National Scoliosis Foundation, degenerative scoliosis can occur in adults who already have scoliosis. Over time, their spine shows signs of wear and tear -- osteoarthritis -- but because of the existing spine curvature, their spine can collapse and the curvagture can get worse.

 

As far as OA of the lumbar facet joint specifically, I'm not 100% sure. The back pain caused by either osteoarthritis or degenerative scoliosis, generally comes from the facet joint pressing together due to injury or thinning of the discs between the vertebrae. So, it seems possible that degenerative scoliosis could cause that problem.

 

But I'm not a doctor, so you need to check with yours to be sure.

 

As for preventing progression, one of the doctors on the site, Dr. Krant, has written about various osteoarthritis treatments that can help relief pain and prevent progression. Click here to read it.

 

I hope this helps!

 

 

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By shantini— Last Modified: 12/26/10, First Published: 05/01/08