![]() However, it is important to keep in mind that what shows up in an X-ray may not correlate to the presence or absence of osteoarthritis and associated pain. X-rays are also useful in helping to exclude other causes of pain and to better inform possible considerations for referral to a specialist. ![]() The X-ray can show cartilage loss, compression fractures, and the presence and location of bone spurs. The doctor may order an X-ray to see if there is joint damage and how much joint damage has occurred. The patient may also be asked to perform some exercises to test range of motion and determine whether pain worsens during any particular type of movement. The doctor will be looking at muscle strength, flexibility, and the patient's ability to carry out daily living activities such as walking, bending, and reaching. The doctor will conduct a physical exam to assess the patient's overall general health, musculoskeletal status, nerve function, reflexes, and direct evaluation of the problematic joints in the back. Other questions may relate to certain lifestyle topics, such as exercise, nutrition, and activities for diversion, sports, etc. When dealing with pain problems, the doctor is likely to ask key questions related to those things that reliably cause or aggravate the pain and those that reliably bring relief or prevent the pain. The medical history will include the patient's other medical conditions, current medications, past experience with other treatments, family history, and general lifestyle habits (such as alcohol intake, smoking, etc.). The patient should also discuss how the symptoms affect his or her everyday life and work activities. See Special Considerations for a Neck or Back Pain Diagnosis The patient will be asked to describe his or her symptoms, such as a description of the pain, stiffness, and joint function, when and how the symptoms started, and how the symptoms have changed over time. ![]() In general, diagnosis spinal arthritis involves a 3-step process, starting with a complete medical history. ![]() 3-Part Process for Diagnosing Spinal Arthritis ![]()
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