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I am 24, female. Can osteoarthritis cause neck and back pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 24-year-old female. My BMI is normal. I am fairly active on my feet all day because of work, and I used to walk instead of taking transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week.

Since I have gotten older and due to injury, I dance for two hours a week and swim when I get a chance. I was diagnosed with Osgood-Schlatter's in both knees when I was 16 and had physio for a year. They used to swell drastically, and I still have prominent bony lumps just below both the kneecaps.

The only thing that really seemed to help was drastically cutting down exercise, as it would become so painful that I could barely walk. The pain comes and goes after an active day at work, such as cycling, swimming, driving a long distance, or sitting for a long period of time, as I am 5 feet 10 inches, it is regular.

I have also noticed recently that I have been getting neck and lower back pain, as well as regularly feeling like I have strained my right shoulder. I have tried to pass it off as just pain, but it is becoming too often to be a coincidence, and I cannot help thinking it is linked. I have looked online and read a bit about osteoarthritis, and this seems to fit what I have been finding.

But I do not want to jump to a conclusion. Do you have any idea what this could be and whether it is linked? Is there anything that I can do to prevent it other than cold compression?

Please advise.

Hello,

Welcome to icliniq.com.

It does seem like osteoarthritis, but I would suggest ruling out rheumatological diseases as well and check vitamin D and repeat it. For your shoulder I would like to know how much is your range of motion.

Thank you.

The Probable causes

1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely).

Investigations to be done

1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region.

Differential diagnosis

1. Most likely degenerative joint disease (DJD).

2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint.

3. Less likely rotator cuff injury for the shoulder and nerve impingement of the lumbar (lower back) area.

Treatment plan

1. Ibuprofen 400-600 mg every eight hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxants like Cyclobenzaprine 10 mg every 12 hours on a needed basis. You should not drive while taking it.

Preventive measures

1. Minimize your exercise to three times a week and strengthening exercise is encouraged. 2. Use braces.

Medically reviewed byiCliniq medical review team

Published At May 27, 2016
Reviewed AtMarch 23, 2026

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