Rheumatoid Arthritis Spine Treatment In New Jersey

Rheumatoid arthritis (RA) is an autoimmune condition that causes chronic joint inflammation. If you already live with rheumatoid arthritis, new neck symptoms can be difficult to make sense of. Aches and stiffness in the neck may seem like one more part of RA, but weakness, numbness, balance changes, or loss of hand coordination can point to changes in the cervical spine that deserve a closer look.

Rheumatoid arthritis differs from age-related osteoarthritis because it is caused by an autoimmune process rather than gradual joint wear. 

In the cervical spine, ongoing inflammation can damage the joints and supporting structures that help maintain normal alignment and stability. RA can also weaken the joints and supporting ligaments near the top of the neck, particularly between the first and second vertebrae (C1-C2). 

This can lead to atlantoaxial instability, a condition in which abnormal movement between these vertebrae may affect spinal stability or place pressure on nearby neurologic structures. 

Dr. Joseph Pyun focuses on identifying these structural changes and determining whether RA is affecting spinal stability, nearby nerves, or the spinal cord. His care can complement treatment from a rheumatologist, who typically manages the underlying autoimmune disease.

Patients with rheumatoid arthritis may benefit from a spine evaluation when they develop new or worsening neck symptoms, especially when strength, sensation, coordination, or mobility are affected.

Common concerns include:

• Persistent neck pain or stiffness
• Reduced neck mobility
• Headaches associated with neck symptoms
• Pain, numbness, tingling, or weakness in the arms or hands
• Changes in hand coordination
• Balance problems or difficulty walking

New or rapidly worsening weakness, significant balance problems, loss of coordination, or difficulty walking may indicate spinal cord involvement and should receive prompt medical evaluation.

Treatment options are different depending on what RA has changed in the spine and whether those changes are affecting stability, the nerves, or the spinal cord. Dr. Pyun prioritizes non-surgical care whenever possible.

A rheumatologist generally manages the autoimmune component of rheumatoid arthritis and medications used to control systemic inflammation. Dr. Pyun focuses on the structural effects of RA within the spine.

When both forms of care are needed, coordination can help ensure that spinal treatment fits appropriately within the patient’s broader rheumatoid arthritis management plan.

Your evaluation begins with a review of your rheumatoid arthritis history, current symptoms, and previous treatment. Dr. Pyun also performs a physical and neurologic examination to assess movement, strength, sensation, reflexes, coordination, and balance.

Once the examination and imaging are complete, Dr. Pyun can explain what is causing your symptoms and whether monitoring, conservative care, or surgery makes the most sense.

Insurance coverage varies by patient and plan. Our team can help answer appointment and insurance-related questions before your visit.

Neck symptoms can add another layer of frustration to an already complicated condition like rheumatoid arthritis. If pain, weakness, numbness, or changes in balance are beginning to affect everyday life, Dr. Pyun can evaluate whether changes in the cervical spine may be contributing. 

With locations in Paramus, Wayne, and Parsippany, specialized spine care is available close to home. Contact Modern Orthopaedics of New Jersey today to schedule a consultation with Dr. Joseph Pyun.