Arthritis is a life-altering condition that affects millions of people. Living with this condition can make even simple daily activities feel difficult. Whether someone feels a dull morning stiffness in your knees or a sharp grinding sensation in their spine, it can slowly take away their independence. Stiff joints, ongoing pain, and reduced mobility can affect the quality of life of an individual over time. However, we believe that while arthritis is a long-term condition, suffering from its symptoms does not have to be.
Since 1988, our clinic, Pain Management Center of Lansing, has been helping patients across Mid Michigan, providing personalized care that focuses on long term relief and improved function. This guide will help you understand arthritis, its causes, symptoms, and the most effective treatment options available.
What is Arthritis?
Arthritis is an umbrella term that describes more than 100 different conditions that cause joint inflammation and pain. At its core, it involves the breakdown of protective cartilage, which is the tissue that cushions the ends of your bones. When this cartilage wears away, bones can rub against each other, leading to significant friction, inflammation, and eventual damage to the joint structure.
It is a misconception that arthritis is strictly an age-related issue. While it is more common as we get older, it can affect individuals of all ages due to injury, genetics, or autoimmune factors. The key to effective management is identifying which specific form of the condition is affecting you, as the treatment for wear-and-tear damage differs greatly from the treatment for inflammatory or autoimmune joint issues.
Common Symptoms of Arthritis
Symptoms often develop slowly and worsen over a long period of time. The signs can vary depending on which joints are involved and the underlying cause of the inflammation. However, most patients experience a set of symptoms that indicate it is time to seek a medical evaluation. These symptoms often include:
- Joint Stiffness: A noticeable loss of flexibility is very common, particularly upon waking up in the morning or after sitting for a long period of time.
- Visible Swelling: The skin over the affected joint may appear red or feel warm to the touch due to active inflammation.
- Reduced Range of Motion: You may find it difficult to fully bend or straighten your joints as the condition progresses.
- Crepitus: A grinding or clicking sensation that occurs when you move the joint, often described as “bone-on-bone” contact.
Identifying the Different Types of Arthritis

Pinpointing the exact type of this condition is essential for developing a personalized recovery plan that actually works. Each type has unique characteristics and triggers and you must seek professional help for accurate diagnosis. The most common forms of arthritis we treat at PMCL include:
Osteoarthritis (OA): This is the most frequent form of arthritis we see at our clinic. It is primarily caused by mechanical wear and tear on the joint cartilage over time. As the cartilage thins, the joint loses its natural shock absorber, leading to pain during movement. OA most commonly affects the knees, hips, and hands.
Facet Joint Arthritis: This specific type occurs in the small joints located between the vertebrae of your spine. It is a frequent cause of chronic back and neck pain. Patients with facet joint arthritis often feel relief when leaning forward and experience increased pain when standing or twisting.
Bone Spurs (Osteophytes): When joints are damaged by arthritis, the body sometimes attempts to repair the area by creating new bone growth. These bone spurs can “poke” nearby nerves or interfere with joint movement, causing sharp, localized pain and further reducing your mobility.
Rheumatoid Arthritis (RA): Unlike osteoarthritis, RA is an autoimmune disorder where the body’s immune system mistakenly attacks the lining of the joints. This often results in symmetrical pain, meaning both wrists or both knees are affected simultaneously. If left untreated, the chronic inflammation can lead to permanent joint deformity.
Summary Table of Common Types
| Condition | Description | Common Affected Areas |
| Osteoarthritis | The most common wear and tear arthritis, caused by cartilage breakdown over time . | Knees, hips, and spine |
| Facet Joint Arthritis | Degeneration of the small joints connecting the vertebrae in your back . | Neck and lower back |
| Osteophytes | Bony projections or bone spurs that develop along bone edges due to joint damage . | Spine and major joints |
| Rheumatoid Arthritis | An autoimmune condition causing chronic joint pain and severe inflammation . | Hands, wrists, and knees |
| Post Traumatic Arthritis | This develops in a joint following a severe injury like a fracture . | Any previously injured joint |
Arthritis Non-Surgical Treatment Options
Modern interventional pain management has changed the way we approach arthritis. Many of our patients find that they can successfully manage their condition for years through targeted therapies that address inflammation and pain signals at their source.
Corticosteroid and Viscosupplementation Injections: For localized joint pain in the knees, hips, or shoulders, injections can provide rapid relief. Corticosteroids act as a powerful anti-inflammatory, while viscosupplementation involves injecting a lubricating fluid (hyaluronic acid) into the joint to mimic the body’s natural joint fluid. These joint injections are performed under ultrasound or X-ray guidance to ensure precision and comfort.
Specialized Nerve Injections: For patients experiencing complex pain, we utilize advanced injection techniques that target specific nerves and structural connections like: Epidural Steroid Injections, Sacroiliac Joint Injections and Specialized Nerve Blocks.
Medial Branch Blocks and Radiofrequency Ablation (RFA): If your arthritis is located in the spine, RFA is a highly effective long-term solution. We first use a diagnostic Medial Branch Block to confirm that the facet joints are the source of your pain. If successful, we use RFA to apply controlled thermal energy to the small sensory nerves, effectively “turning off” the pain signals they send to the brain. This procedure can provide relief for six months to a year or longer.
Physical Therapy: While it may seem counterintuitive to move a painful joint, low-impact exercise is vital for arthritis management. Our team works with patients to develop strengthening routines that support the muscles around the joints, taking the pressure off the bone and cartilage. Strengthening your core and maintaining flexibility are critical components of any long-term recovery strategy.
Frequently Asked Questions
How Do I Know if My Pain is Arthritis or Just a Strain?
Muscle strains typically resolve within a week or two with rest and basic care. Arthritis pain is persistent and often worsens over time rather than getting better. If you notice stiffness that lasts more than 30 minutes in the morning, it is likely more than just a muscle strain.
Are Steroid Injections Safe for Long-Term Use?
When administered by fellowship-trained specialists, steroid injections are a safe and effective tool. We carefully monitor the frequency of injections to ensure they provide the maximum benefit while protecting the integrity of your joint tissues.
Is Heat or Ice Better for Arthritis Pain?
Generally, heat is better for chronic stiffness as it relaxes the muscles and improves blood flow. Ice is more effective for acute flare-ups involving significant swelling or redness, as it helps constrict blood vessels and reduce inflammation.
Can Arthritis Be Cured Completely?
While there is currently no permanent “cure” for most types of arthritis, it can be managed so effectively that it no longer interferes with your daily life. The key is early intervention and a consistent treatment plan that evolves with your needs, preventing the condition from causing permanent structural damage.
Take the First Step Toward Relief
You don’t have to wait for your arthritis to become “severe enough” for surgery to seek help. Early intervention is the key to preserving joint function and preventing permanent mobility loss. Since 1988, our team of experienced providers have helped arthritis patients throughout Mid-Michigan find the relief they deserve.
If you are ready to take the next step, we invite you to request an appointment through our contact page and begin your path toward lasting relief.







