<p>Chapter 6 In the News</p><p>Arthritis in the Back</p><p>Mornings are the worst for individuals with arthritis in the back. The stiffness from arthritis in the back forces individuals to move in slow motion until they limber up. </p><p>Depending on the joint area affected, the pain from arthritis in the back can vary, and may be mild to severe.</p><p>Generally the discomfort occurs after a period of immobility, such as getting out of bed first thing in the morning or standing up after being seated for an hour or more. Moving about generally lessens the pain. </p><p>Diagnoses for arthritis in the back may be made through an x-ray; MRI, CT scan, or bone scan.</p><p>The goal in treating arthritis is to reduce inflammation, manage the pain, and maintain mobility in the joints.</p><p>Some treatments include:</p><p> Topical pain managers such as over-the-counter creams, gels, ointments, and sprays.</p><p> Nonsteroidal anti-inflammatory drugs (NSAIDs) help with inflammation. Cox-2 </p><p> inhibitors such as Celebrex or Vioxx provide relief similar to NSAIDs. However, </p><p> there may be some side effects with the use of these drugs.</p><p> Certain antidepressants can help reduce chronic pain as well as aid in sleep.</p><p> Regular, low-impact exercise such as swimming and walking can improve overall </p><p> mobility. Strengthening exercises that support the spine and exercises that incorporate stretching, flexibility, and balance, such as tai chi, may also be helpful. </p><p>Supportive footwear is also recommended.</p><p> Controlling weight is an important treatment. Excess weight puts stress on the back </p><p> and weight-bearing joints.</p><p> Cold packs or ice may help initially, but hot packs are better tolerated for chronic </p><p> pain. Use hot packs for about 15 minutes at a time.</p><p> Practicing relaxation techniques such as biofeedback, guided imagery, and relaxed </p><p> breathing can help reduce muscle tension.</p>