Degenerative Disc Disease

This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.

Intervertebral discs are cushions between the bones of the spine. They act as shock absorbers in the spine, displacing force and keeping the bones from impacting each other. In addition they also allow mobility of the spine, maintaining flexibility.

Degenerative disc disease can cause discogenic pain. Chemicals are released within a damaged disc that cause an inflammatory reaction. This causes the disc and the adjacent vertebrae (bone of the spine) to become chronically painful and stiff. Discogenic pain may accounts for 28-40% of neck and back pain.

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What are the symptoms?

Most patients will experience chronic neck or low back pain. In the low back, pain is usually centralized and will be worse with sitting, coughing, sneezing, and bending while lying down or standing improves it. In the neck, pain will typically worsen with sustained bending and muscle spasms may occur.‍

Diagnosis

At Compass Pain and Spine we can diagnose discogenic pain during a comprehensive history and physical examination. In addition, we may also request diagnostic tests such as an MRI, X-rays, or CT scans.

Treatment

The team at Compass Pain and Spine offer many cutting-edge options to treat discogenic pain from degenerative disc disease. Some different options include Epidural injections, radiofrequency ablation, MLS laser therapy and intradiscal treatments with regenerative medicine (prp). As a last resort we may refer you to a surgeon for surgical options such as disc replacement to regain and restore your function.

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