Spinal Osteoarthritis: How Physical Therapy Can Help

What Is Spinal Osteoarthritis?

Osteoarthritis of the spine occurs when the cartilage that cushions the small joints between your vertebrae (called facet joints) begins to break down. Without that smooth cushioning, bones rub against each other, causing pain, inflammation, and stiffness.

Over time, bone spurs (osteophytes) may form, which can narrow the spinal canal and irritate nearby nerves. This could lead to radiating pain, numbness, or tingling in the arms or legs.

Spinal osteoarthritis most commonly affects the lower back (lumbar spine) leading to lumbar arthritis and chronic lower back pain and the neck (cervical spine) leading to stiffness and pain.

If you have spinal osteoarthritis, you may notice:

  • Persistent back or neck pain that worsens with activity and improves with rest
  • Stiffness after waking up or sitting for long periods
  • Decreased flexibility or difficulty twisting and bending
  • Grinding or popping sounds in the spine
  • Muscle tightness or spasms in the back
  • Radiating pain, numbness, or tingling in the arms or legs (if nerves are affected)

How Physical Therapy Helps Treat Spinal Osteoarthritis

Physical therapy for spinal osteoarthritis focuses on reducing pain, improving flexibility, and strengthening the muscles that support the spine. We design a personalized exercise program based on your condition, goals, and lifestyle.

Your treatment plan may include:

  • Manual Therapy- Hands-on joint mobilization and soft tissue techniques to reduce stiffness and improve spinal movement.
  • Strengthening Exercises- Core and back strengthening exercises to stabilize your spine, improve posture, and reduce stress on the facet joints.
  • Flexibility and Stretching- Gentle stretches to loosen tight muscles and restore your natural range of motion.
  • Posture and Body Mechanics Training- Guidance on how to sit, stand, and move in ways that protect your spine and reduce pain during daily activities.
  • Pain Relief Modalities- Heat, cold, dry needling, or electrical stimulation may be used to ease inflammation and muscle tension.

 

Why Staying Active Matters

When your back hurts, rest might seem like the best option but staying active is one of the most effective ways to manage lumbar arthritis. Regular, guided movement helps:

  • Keep joints lubricated
  • Strengthen supporting muscles
  • Prevent stiffness and loss of mobility

Even light exercises, such as walking or swimming, can make a big difference when combined with your physical therapy plan.

 

When to See a Physical Therapist

If back pain or stiffness is interfering with your daily life, work, or sleep, it’s time to see a physical therapist. Early treatment can help slow the progression of osteoarthritis, prevent further damage, and keep you moving comfortably.

Our expert physical therapists specialize in spinal osteoarthritis treatment and physical therapy for back pain. We’ll design a customized plan to relieve your pain, strengthen your spine, and restore confidence in your movement.

Schedule your evaluation today and take the first step toward restoring your lifestyle!