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Arthritis and Rheumatism

What is the Possibility That Lower Back Pain is Caused From RA?

02/18/2008

Question:

My rheumatologist said some of the pain in my hips is from my lower back. What is the possibility that it could be caused from RA? Or could be caused from another type of arthritis?

Answer:

Rheumatoid Arthritis (RA) can have spinal involvement. The facet joints of the spine may be susceptible to the damage induced by RA. The same can be said for the hip joints. However, in the setting of low back pain with radiation to the buttocks and hips, the prevalence of other musculoskeletal problems is higher than that of RA. It is far more likely for osteoarthritis of the spine, degenerative disc disease, nerve root compression, myofascial pain, or muscular strain/spasm to be the source of low back pain with radiation to the buttocks/hips.

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Response by:

Raymond  Hong, MD, MBA, FACR Raymond Hong, MD, MBA, FACR
Formerly, Assistant Professor of Medicine
School of Medicine
Case Western Reserve University