Inversion Therapy for Osteoarthritis and Back Pain Relief

Degenerative arthritis. Lower back pain and the "inversion table."

Hello: I have osteoarthritis and am currently undergoing hyaluronic acid treatment, which is in the fourth phase of therapy.
I also have a chronic lower back pain condition (left lumbar region - middle lumbar muscle vertebrae).
I had an X-ray taken during a visit to the rehabilitation department at Shuang Ho Hospital, where the doctor mentioned that my knee is slightly deformed, with the left knee protruding forward.
Currently, I am able to walk, but not for long distances; I need to rest before walking again.
Standing up after sitting for a long time is quite painful, and I cannot squat naturally (it causes knee pain).

Recently, I came across an "inversion table" at a fitness equipment store and tried it out—after securing my feet, I slowly inverted from 90 to 120 to 180 degrees.
I felt a slight stretching effect and comfort in my knees and lower back (without any dizziness).
The salesperson mentioned various benefits and how it could help me.
However, since I haven't seen any related clinical trial reports, I would like to consult a professional doctor for safety considerations.
Could this inversion therapy cause any harm? (I am not commenting on its effectiveness).
Orthopedic doctors have extensive knowledge of pathological conditions, and I hope this platform can provide me with some clarity.
Thank you very much!

Lai Wang, 70~79 year old female. Ask Date: 2015/09/30

Dr. Shi Guozheng reply Orthopedics

If degenerative arthritis is not severe, it can be treated with medication.
If this is ineffective, intra-articular hyaluronic acid injections may be considered, although their effectiveness is not guaranteed.
In cases of severe arthritis that do not improve, surgical intervention may need to be considered.
There is no evidence from evidence-based medicine supporting the use of inversion tables, so they should not be used casually.

Reply Date: 2015/09/30

More Info

Inversion therapy, often practiced using inversion tables, involves hanging upside down or at an angle to relieve pressure on the spine and joints. Many individuals with osteoarthritis and back pain, like yourself, may be curious about its potential benefits and risks.

Understanding Inversion Therapy
Inversion therapy is based on the principle of gravity. By inverting the body, it is believed that the gravitational force can help decompress the spine, potentially alleviating pressure on the intervertebral discs and nerve roots. This decompression may lead to temporary relief from pain and discomfort, particularly for those suffering from conditions like osteoarthritis and chronic back pain.

Potential Benefits
1. Spinal Decompression: For individuals with osteoarthritis, particularly in the knees and spine, inversion therapy may provide temporary relief by reducing pressure on the joints and discs. This can lead to a feeling of increased mobility and reduced pain during the session.

2. Improved Circulation: Inversion can enhance blood flow, which may help in delivering nutrients to the joints and tissues, potentially aiding in recovery and reducing inflammation.

3. Muscle Relaxation: The act of inverting can help relax tight muscles, which may contribute to pain relief.

4. Enhanced Flexibility: Regular practice may improve flexibility and range of motion, which is beneficial for those with joint stiffness due to osteoarthritis.

Risks and Considerations
While inversion therapy may offer benefits, it is essential to consider the potential risks, especially for individuals with pre-existing conditions:
1. Increased Blood Pressure: Inversion can temporarily increase blood pressure, which may not be suitable for individuals with hypertension or cardiovascular issues.

2. Eye Pressure: Those with glaucoma or other eye conditions should avoid inversion therapy, as it can increase pressure in the eyes.

3. Joint Stress: For individuals with osteoarthritis, especially in the knees and hips, inversion therapy may place additional stress on these joints. If you experience pain during or after inversion, it may be a sign to discontinue use.

4. Balance and Coordination: Inversion therapy requires a certain level of balance and coordination. If you have issues with these, it may pose a risk of falls or injury.

Clinical Evidence
Currently, there is limited clinical evidence supporting the efficacy of inversion therapy specifically for osteoarthritis and back pain relief. Most of the benefits reported are anecdotal, and while some individuals find relief, others may not experience significant changes. It is crucial to approach this therapy with caution and ideally under the guidance of a healthcare professional.

Recommendations
1. Consult Your Doctor: Before starting inversion therapy, consult with your healthcare provider, especially considering your existing conditions like osteoarthritis and back pain. They can provide personalized advice based on your medical history.

2. Start Slowly: If you decide to try inversion therapy, start with short durations and lower angles to see how your body responds. Gradually increase the time and angle as tolerated.

3. Monitor Your Symptoms: Pay attention to how your body reacts during and after inversion therapy. If you experience increased pain, discomfort, or any concerning symptoms, discontinue use and consult your doctor.

4. Complementary Therapies: Consider combining inversion therapy with other treatments for osteoarthritis, such as physical therapy, medication, or lifestyle modifications, to enhance overall effectiveness.

In summary, while inversion therapy may provide some individuals with temporary relief from osteoarthritis and back pain, it is essential to weigh the potential benefits against the risks. Always consult with a healthcare professional before starting any new treatment to ensure it aligns with your health needs and conditions.

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