For osteoarthritis of the spine, specific exercises sometimes help, and back supports or braces may be needed when problems are severe. Maintaining ordinary daily activities, a functional, independent role in the family, and job performance is important. Physical therapy, often with heat treatment, can be helpful. Splints or supports can protect specific joints during painful activities. Massage by trained therapists, traction, and deep heat treatment with diathermy or ultrasound may be useful when certain types of osteoarthritis affect the neck.
Drugs are the least important aspect of the total treatment program.
An analgesic such as acetaminophen may be all that's needed. A nonsteroidal anti-inflammatory drug such as aspirin or ibuprofen may be taken to lessen pain and swelling. Cox-2 inhibitors, which control inflammation and relieve pain with fewer side effects, are in final studies. If a joint suddenly becomes inflamed, swollen, and painful, corticosteroids may be injected directly into the joint. This treatment usually provides only short-term relief.