Diseases

Lumbar osteoarthritis: the diagnosis

The diagnosis of lumbar osteoarthritis is based on radiography.

The radiography associates, to varying degrees:

  • A pinch of the disc is discarthrosis, which reflects the destruction of the cartilage;
  • Densification (or condensation) of the bone under the cartilage on the vertebral plateaus;
  • Hypertrophy of the bone at the bone-cartilage junction (this is the "osteophyte", or "parrot's beak" in common parlance).

Osteophytosis is the most common radiographic lesion seen in lumbar osteoarthritis.

Some radiological reports have, unintentionally, a very negative impact: the words "degenerative", "evolved", "staged" refer to a feeling of irremediability. Do not hesitate to share your concerns with your doctor

Modern imaging techniques can be useful for the diagnosis of lumbar osteoarthritis, especially for assessing its impact or for discussing the achievement of infiltration. The scanner, allowing horizontal cuts, has a certain interest for the study of certain joints poorly explored otherwise (posterior articular). Magnetic resonance imaging (MRI) is a second-line examination to evaluate a narrowed lumbar canal, or where there is a discrepancy between symptom severity and radiography.

At what rate should X-rays be repeated to follow the course of lumbar osteoarthritis?

There is no consensus on this. If the symptomatology does not change, there is no point in renewing the examination. If an aggravation occurs, it may be useful to repeat the X-rays and / or complete them with CT or MRI. In all cases, it is necessary to report to your doctor the successive photographs, which alone allow to appreciate a possible evolution.

It is currently the simple radiography that allows the diagnosis of lumbar osteoarthritis and to follow the evolution. CT or MRI are second-line examinations, which can be indicated in cases of diagnostic difficulty, before an infiltration procedure, or to discuss an intervention.

Want to react, share your experience or ask a question? Appointment in our FORUMS Osteoarthritis & Rheumatism, Back or A doctor answers you!

Popular Posts

Category Diseases, Next Article

Zika: sources and notes - Diseases
Diseases

Zika: sources and notes

To know more : Institut Pasteur Lille: Evaluate your risk on your return trip by indicating the country visited: //www.pasteur-lille.fr/zika/ Map of the Pan American Health Organization: Countries and Regions Affected by the Zika Virus in South and North America: www.paho.org Sources: Institut Pasteur: Information sheet Zika //www
Read More
Tuberculosis: Sources and Notes - Diseases
Diseases

Tuberculosis: Sources and Notes

- UT Southwestern Medical Center. "New mechanism of tuberculosis infection." ScienceDaily. ScienceDaily, 21 July 2016 - Xiyuan Bai et al. Curcumin enhances human macrophage control of Mycobacterium tuberculosis infection. Respirology , 2016 - Tuberculosis, Aide-mémoire No. 104, October 2016, World Health Organization.
Read More
Psoriasis: the testimony of a patient - Diseases
Diseases

Psoriasis: the testimony of a patient

Estelle, 39, tells in her testimony having gone through moments of great depression because of her skin disease ... Have you been suffering from psoriasis for a long time? Since adolescence. It started with dandruff. I tried everything, anti-dandruff shampoos of all kinds. It did not work. But we did not think about psoriasis
Read More
Algodystrophy: sources and notes - Diseases
Diseases

Algodystrophy: sources and notes

Authors: Amaury Chardeau and Dr Nicolas Evrard. Expert consultant: Dr. Georges Dalzotto, orthopedic surgeon at the Hospitalor de Saint-Avold (Moselle). Sources: - Revol M., Servant JL Algodystrohie of the Hand, Patient Information Sheet, Plastic Surgery Department, St. Louis Hospital, May 2006. - Association SOS algodystrophie, French Association of the patients with the syndrome of algodystrophie (Afmasa)
Read More