May 28, 2025

Is Arthritis or Back Pain Hereditary?

If you have a parent or close relative who struggles with arthritis or back pain, you might wonder if this is the fate that awates you? The short answer is—not necessarily. While both arthritis and back pain can have a genetic component, your lifestyle choices still play a powerful role in your long-term joint and spinal health.

Arthritis: Is It in Your Genes?

Certain types of arthritis can run in families, especially:

  • Rheumatoid arthritis (RA): Linked to genes like HLA-DR4.
  • Osteoarthritis (OA): Family history can increase your risk, particularly in hands, hips, or knees.
  • Ankylosing spondylitis and psoriatic arthritis: Strong genetic links, often tied to HLA-B27.

But here’s the good news: genetics only increase susceptibility. Whether or not arthritis develops often depends on lifestyle, injury history, and environmental factors like smoking or diet.

What About Back Pain?

Back pain isn’t always inherited directly, but genetics can influence risk by affecting:

  • Spinal disc health and degeneration
  • Spine shape or conditions like scoliosis
  • Pain sensitivity - there are a lot of factors that affect how sensitive you are to pain, your genes are a very small part of this. Beliefs, knowledge and expereince all play a more significant role.

So if your family members have chronic back problems, you might be more prone to them—but again, it’s not set in stone.

How to Take Action if You Feel That You're at Risk

Whether it’s arthritis or back pain, knowing your family history is a great start. Here are practical steps to protect your joints and spine:

1. Stay Active

Movement is medicine. Low-impact exercise like walking, swimming, or Pilates helps strengthen the muscles that support your joints and spine.

2. Maintain a Healthy Weight

Excess weight adds strain to joints and discs—especially in the knees, hips, and lower back.

3. Improve Posture

Setting up your workplace ergonomically and ensuring that you move and change position regularly throughout the day will help to reduce stress on your joints.

4. Strengthen Your Core

Strong core muscles support your back and reduce injury risk. Simple exercises like bridges and bird-dogs can make a big difference. Healthy breathing patterns and good pelvic floor strength and control also play a big role in a strong core.

5. Don’t Ignore Early Signs

Joint stiffness, recurring backaches, or difficulty getting moving after rest should be checked early—especially if there’s a family history of arthritis or spinal problems.

6. Get Professional Advice

If you're concerned about inherited risk, speak to a chiropractor, physiotherapist, or GP. Early guidance can help you stay ahead of potential problems.

Final Thoughts

Yes, arthritis and back pain can be hereditary—but they’re not inevitable. Think of your genes as your starting point, not your destiny. With proactive care and healthy habits, you can protect your joints and spine for years to come.

Our Aspirations

At Cathedral Chiropractic we have three chiropractors and we find that no two chiropractors are the same! What we can assure you is that each of us has our patient’s best interest at heart, that we keep up to date with the literature and keep our therapies evidence led and patient centred. We always Keep your experience in mind and work hard to make it the best we can offer.
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