Spinal Arthritis (This Is What It Looks Like)

Spinal Arthritis (This Is What It Looks Like)


hi i’m paula moore the chiropractor from
posturevideos.com and i thought i’d show you today an MRI to get an idea of
what spine arthritis looks like lumber disc degeneration as a fancy word for
wear and tear which is the more common way that we tell people they’ve got a
bit of arthritis in the spine this is a young 40-something he’s clearly got some arthritis in the discs of the spine i’m going to show you that now
just to orient you this is the front area where his stomach would be this is
his back here we’ve got a layer of fat and we’ve got the bony nobbles that you
feel as you run your finger down your
spine then we’ve got the space between the back of the vertebra and the
vertebral bodies themselves and in this space we’ve got some white cerebrospinal fluid that’s white because the MRI picks up water within the cerebrospinal fluid
and fat and it shows up as white so you can see there’s also white in these
cartilage discs as well this is the spinal cord you can actually see it
running down the spinal cord ends around here and then it tapers down into these
nerve roots that look like long pieces of hair so on someone with arthritis in
the discs one of the first signs will be that we can pick this up just on a
simple posture examination just by looking at them not even touching this
is one of the reasons why I’ve put up my new service posture analysis (under Shop) on my website so that I can actually just look
at pictures of you and get some ideas of things that I think might be going on in
the spine so in this individual before he even had this MRI taken I knew he
had disc degeneration now of course that can’t be said 100% without an MRI but
you can get a pretty good guess on this person because his spine is very flat if
you follow this white arrow what it should look like from his lower back is
we should have a nice arching in that’s known as your lumbar
lordosis it should straighten out and then curve back between your shoulder
blades and we can practically took a ruler and draw along the back of the vertebra
on this gentleman now in actual fact he’s flattened so much that he’s
starting to reverse right through this area and when I had this person lie on
his front and I was examining him pushing through this area gently this
was the area of greatest resistance because there was no curve in at his
spine and you could actually see it now when we have loss of disc height when they start to get dehydrated that they go from white to looking very dark so
quite a few of his are showing some darkness and irregularity on these
little plates at the bottom of the vertebra they’re called end plates so they’re all getting quite dehydrated and they’re
tapering at the back but particularly down here his third disc his fourth and
fifth there’s five in the lumbar spine vertebra five four three two and one and
you can see that these discs are well contained and then we get some bulging
right here now not enough on this gentleman that he’s irritated the nerves
but if that continues bulge or say it bulges in a number of years from now and there’s irritation or swelling that’s inflammation around this nerve root this
person would likely come in with sciatica pain right down the leg because
these nerve roots travel right down through the buttocks and down to the
ankle so again we see some more bulging here and we also see some bulging and
look how thin that lower disc is this person is probably waking with a lot of
stiffness in the morning in fact I know he is so those are some classic signs if
you’re waking stiff in the morning and you’ve got quite a flat lumbar curve you
may have lumbar disc degeneration now you can’t diagnose this yourself but
you certainly can go to your doctor or your chiropractor who can give you
accurate diagnosis I hope that was interesting and come on over if you’d
liked more information on that posture analysis go over to posturevideos.comand look under Shop thanks for watching

54 Comments

  • Diane leach says:

    very informative, I have this in the lumbars 3-5 too, I used to have caudal epidurals for about 4 yrs now, but alas no longer work, so i have to take MST 90mg x2. aswel as alot of other tablets for depression, statins, (yes im obese and that doesnt help at all)… my consultant says I cannot have surgery as it is too risky, as of having 3 lumbars worn out, ive just had my 5th MRI in Jan, but still waiting to see him, for the results as I feel its got worse? I am very stiff in morning, too!

  • Dr Paula Moore says:

    The fact you are on youtube researching tells me you are interested in your health so good for you, that is a start. Before you can even consider properly addressing your back, you need to get the weight down otherwise everything you do will be undone. Once your weight is down you can then start to address the chemical toxins from the medication. I like cyndi o'mearas natural approach to nutrition. Find her online she is excellent. Best to you.

  • Decadawn says:

    Hello! thanks for your video. I also have a very flat spine and I'm dealing with an herniated disc.. causing pain in my hip/butt in the morning.. (piriformis syndrome probably).. Can the natural curve of the spine be restored with proper exercises? I train almost every day, I'm a healthy 6' tall guy who weighs 190lbs. Thanks

  • Dr Paula Moore says:

    In my experience spinal curves can certainly be improved toward 'ideal' with the help of a professional who understands the physics of the spine so make sure you have good support. Thanks so much for watching.

  • DeeDee says:

    Please help,,,, I was diagnosed with degenerative facet disease and have pinched nerve.. Nerve damage .. Low back.. My back is killing me daily and feet.. What can I do????

  • Dr Paula Moore says:

    If this is your diagnosis you should definitely see a qualified practitioner who understands spinal arthritis like a chiropractor, physio or your doctor. Sometimes gentle spinal adjustments makes a world of difference to the pain and mobility.

  • Diamond T says:

    are you related to jenna moore

  • Dr Paula Moore says:

    Don't know a jenna.

  • Jsckeeoh says:

    I am 27 years old and was recently told that i have a curved thoracic spine and arthritis in my L4. I don't even know what this means except that i have pain, in both places. I constantly feel like I need to crack my back (in my thoracic area) and have constant aching and sometimes nerve pain stemming from my lumbar area. Any advice? I am waiting for a consultation with a physical therapist, but would love some pointers for the mean time. I am a single mother of 2 young children. Help!

  • Dr Paula Moore says:

    The curve in your mid back will be making the joints and muscles work overtime resulting in pain and perhaps stiffness. Chiroprator, physio, massage etc all good. You may even wish to try Posturecise – a technique based on 21 specific body movements and is safe enough for almost anyone trying to improve posture. Find this under 'best posture products' on my posture videos site. Arthritis at L4 means that the disc (the cushioning) in the 2nd last disc in your lower back has worn down.

  • Panda Kim -Morgan LeBeau- says:

    im 19 and i been haveing arthitis in my spine since i was 15 the doctors here at the IHS barely telling my what going on in my spine i know i have herniated disks in my C-5- C-8 area
    never had a back injury or sports injury in my back been 4 years now they finally put on medicine to help with the arthitis noone ever really told me what goes on iin spine arthtis now i know more
    thank you

  • Dr Paula Moore says:

    I'm glad this helped you. Why do you have disc arthritis in your neck? Osteoarthritis (OA/DDD degenerative disc disease) is the kind you get when discs are prolapsed but you usually only see OA in somewhat older individuals who have had a history of neck trauma like a car crash, fall from a height (stairs, off a horse, a bike, jungle gym etc). Have you had a past trauma?

  • Panda Kim -Morgan LeBeau- says:

    i have no injury in my neck or to my spine since i was born, the doctors cant even figure it out why i have herniated disks i never in a car crash the only time i had fell is from seizures but i hit my head first have bruising and cuts from the seizures the only past trauma i had was entering in state of shock from allergic reaction from iodine contrast dye used in CT and MRIs last year in 2012 the docs found the disks in my neck

  • Dr Paula Moore says:

    Well seizures certainly counts as a 'whiplash-like' trauma to the neck. It is certainly possible that this kind of repeated stress and trauma to the neck may have resulted in disc damage and herniations. If you ever wish for me to provide a Posture Analysis (available under Best Posture Products on my website), I'd be happy also to include a review of any x-rays you might have. I'd be very interested indeed.

  • dracomancer01 says:

    im 30..i was just diagnosed with bilateral facet joint degenerative arthritis of the L5-s1,bone spurs and osteochondrosis…my doctor seems worried about it due to the fact its been causing me pain the past ten years and has been getting worse..to the poinbt my legs actually lose feeling and give out..any idea why that is? is i because the sciatic nerve is irritated?

  • utubesuckcox says:

    Dr More I hope you will be able to assist me, I have the following C4-C5
    Moderate right paracentral disc-osteophyte ridge, contacting the anterior cord,
    but without definite compression, No significant foraminal narrowing
    C5-C6
    Prominent Diffuse and left sided disc-osteophyte complex, producing moderate flattening of the anterior cervical cord,
     and moderate central canal stenosis. Severe left -sided foraminal stenosis predominantly due to unconvertebral ridging,
    Right-sided foramen is adequate. Mild Bilateral facet arthropathy.
    C6-C7
    Moderate focal kyphosis centred at C6
    moderate osteophyte ridging but more diffuse rather than left sided, Moderate Central Canal stenosis with moderate
    anterior cord flattening. Moderate to severe left-sided foraminal stenosis due to uncovertrebral ridging.
    Right-sided exit foramen only minimally narrowed. Mild Bilateral Facet arthropathy.
    L3-L4
    Moderate Bilateral Facet arthropathy, but without significant canal or foraminal stenosis, benign haemangioma up to 5mm within L3
    L4-L5
    Stage 2 spondylosis, Severe proliferative bilateral facet arthropathy, worst on left with Ligamentum Flavum thickening.
    broad-sided diffuse disc bulging this produces a moderate to severe central canal stenosis which deforms the thecal sac,
    and produces moderate stenosis of the lateral recesses. Mild left-sided foraminal narrowing due to dic extension,
    right-sided foramen is adequate.moderate diffuse disc desiccation.unexplained and incompletely imaged bone marrow,
    oedema surrounding right L4 transverse process An underlying cause not identified but this is probably benign.
    L5-S1
    small central and right paracentral disc bulge with annular fissuring, but without canal stenosis
    Mild to moderate bilateral facet hypertrophy Moderate Disc height loss. Minor extension of disc material into the right
    side exit foramen with potential for L5 nerve contact, but without displacement  I have been told Fusion will not help with the pain at all, only to fuse upon being paralysed, I have done facet and epidural injection, Cox Flexion Distraction Therapy for the past 23 months which help with the mobility, Pilates  but the pain is real  bad I sit on about level 8 I don't suffer much from nerve pain much, more the grinding pain, do you think a spinal cord stimulator could help, I use a TEMS/EMS regular which helps whilst using it  or do you know anything else I could try I need to be careful due to the bone spurs, I had this since 28 yrs old, every year its worse im 43 now my doctor keeps telling to give up work

  • nisw1918 says:

    I have a test Xray on my channel what do you see . thanks

  • Mahesh Danu says:

    Hello dr thanks for this video
    I got AS. Pain started from last 5 years now I am 26 year old . I got HLa b 27 + ve. Right now i have so much pain on my solders, ribs, low back, neck, and sometimes knee also. I can't sleep proper I am afraid to sneeze.
    Can you plz help me. Can you plz tell me that what kind of food good for me or bad for me

  • weloveandlive says:

    Sorry this might sound a bit dumb but the cartilage/disc in between the vertebra is suppose to be white? Now if you have spondylolisthesis and it has turned into lumber lordosis would that be a cause for spinal stenosis?

  • Anitras Beauty says:

    my son went a doctor In Jamaica and they did a xray  thy said its arthritis in his spine. how can he get rid of the pain because its not like in te us you can go to the hospital anytime. can you give me any advice

  • Montery12 says:

    Hello, Dr. Moore:  Patients that you have diagnosed having spondylosis or they came in with same diagnosis from another care; and they asked you for spine adjustments in the low spine; will you provide it and will it be safe?  Please reply.  Thank you.

  • chicagocubs71 says:

    HI Doctor Paula Moore, just found out that I have Arthritis in my back. Findings:Lumbar vertebral bodies appear to be of average height with intact disc space and normal alignment. Interpedicular distances appear preserved. There is a mild disc space narrowing at L2-L3 and L1-L2. Mild facet arthropathy at L4-L5 and L5-S1. Suggestion of lateral osteophytosis at L2-L3. No spondylolisthesis noted. Lumbar Spine:Mild degenerative disc changes. No spondylolisthesis noted.

  • Clovis Goman says:

    I have lumps on the side of my lower back, they are very bone like but I don't know if they're just knots

  • sumnerslayer says:

    looks similar to my MRI, I'm 29 and was diagnosed with spinal arthritis in my L4/L3, at this point I'm struggling to find a new line of work to ease up on my body

  • Chuck W says:

    Apparently the pulsatile nature of the csf can be turbulent at those bulging locations and that turbulence may cause irritation at the spinal cord or nerve roots.

  • Iman Hossen says:

    i have back pain 7 years

  • Kelly Bluebook says:

    Hx of bone fractures not he of bone fractures

  • Melissa Melissa says:

    I am 27 years old and I was diagnosed via MRI with osteoporosis . I also have had sciatic for 4 years. I have mod to severe stiffness in my lower back and my lumbar is flat.

  • Siko says:

    I'm 37 and after x-ray my physician told me that there is a mild arthritic changes at L4-L5, what does it mean and what is treatment for it? Thank you.

  • fay al says:

    I'm 18 and i got diagnosed with arthritis in L5 and i don't know what to do…

  • Franswa says:

    Hi thank you very much for your videos, they are very instructive!. Could you tell me why is it that if you have disc height loss you will have stiffness in the morning?

  • Moo says:

    My dad brought me up to straighten my spine like this image. He said this was good posture. My back muscles hurt all the time and I can't move it without cracking the joints. It really restricts my movement when walking

  • Holly Kayanna says:

    I'm 23 with arthritis in my back. Lumbar L5 L4 L3

  • Rohiwaldo says:

    This is s fair analysis but incomplete. In my experience DDD bring other issues, facet joint sindrome could be one of those. So everything come in a kind of an unpleasand cascade. Difficult but not impossible to revert to almost normal 😅

  • lucifaeris' life and stuff says:

    I am 24 and have a Lumbar disk replacement  put in when I was 17 do to being hit by a car. My doctor told me that if I developed arthritis directly above the replacement or below it that it wouldn't actually matter for function (as in it wouldn't cause pain). Is this true?

  • catamandow1 says:

    hello , can stem cells cure spinal arthritis ? thanks

  • Altuis Sangio says:

    can xray find arthritis ?

  • Bikerchic says:

    Just some fyi from an mri tech…to keep it simple, some tissues show up bright on a t1 weighted images and some show up dark. On a t2 weighted images some tissues show up bright , some dark…Fluid such as spinal fluid, edema, inflamation shows up dark on t1 weighting.. Fluid shows up bright on a t2 weighted image… Cartlidge, tendons muscle will show up dark on a t1 and t2 weighted image. Fat is generally bright on both t1 and t2… Since fluid and fat both show up bright on a t2 image, fat saturations is applied at the frequency that fat precesses in a magnet. When you apply fat saturation, all fat will be dark, and fluid and imflamation can be seen much better. You really needs to see axial images of this spine as he or she may have herniations or stenosis . Acute bone fractures are best seen on inversion recovery sequences where all fat is suppressed. Metastatic disease in bones of the spine can usually be seen as dark spots on the vertebrea in a t1 weighted image and usually the dark areas appearin the posterior part of the bone are characteristic of a met… A bone with some sort of acute compression will have a similar dark appearance as mets but usually is dark in the top to bottom of the vertebrea. To tell is someone has an acute compression fracture, look at an inversion recovery image and if the compression looks bright, there is generally time to go in and inject bone cement to increase some of its height. MRI is complicated and my tutorial is basic.

  • James earl Cash says:

    I always wake up stiff in the morning lmao

  • khanjadoon jadoon says:

    میے مسلا یےہے مجے کو ہل بتاہے

  • The Gel says:

    It's amazing that you keep good people around you. That's the key to a happy life and success.

  • houk tanh danhi says:

    can IDD Therapy help this or Spinal decompression therapy I think it's called?

  • Burgerplayer says:

    I have a black spine part at the bottom "of my spine" do you have any idea of what it could be ?

  • Vinny Morreale says:

    Great Vid

  • Hockeymom #67 says:

    What's the difference between DDD and disc arthritis?

  • El AZ says:

    Can arthritis in your neck be the cause of bone to bone friction ? Can this cause dizziness as well ?

  • Umma Omae says:

    It’s very very painful, so why do the doctors say “oh it’s just a bit of wear and tear, take it easy.” It’s life changing pain especially for us still young.

  • beverley leach says:

    Hi can you help me pkease i have Denerative spine disase pain in lower back and in bottom very painful comes must days hurts walking sleeping .

  • beverley leach says:

    Had exray on hips can they tell if their would be Cancer in spine aswell

  • beverley leach says:

    Forgot to mention have fibromaliga aswel.

  • Josie Blanco says:

    Thank you for info about isculiocis

  • Blocksworld gameplays! says:

    My mom has this ):

  • Tatersalad19 Cars says:

    I have this from being a Drywall Hanger for close to 30 years I’ve been retired for 10 years and it still hurts

  • Copper Colored Queen says:

    Yes it’s debilitating pain, I’ve had a second set of x-rays done within a two year span of time because of pain intensifying. The doctor told me that it’s a little worse than it was before. What makes it get worse so fast? I can’t walk long distances, sit too long or stand to long. It makes my hip, pelvis, sciatica, and feet hurt when I’ve sat too long and get up. 😞 10 years of this.

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