What makes degenerative disk disease worse
On the right is an X-ray of the discs after traditional spinal fusion surgery. How is degenerative disc disease diagnosed? A diagnosis is based on a medical history and a physical examination, as well as the symptoms and the circumstances where the pain started. Magnetic resonance imaging can show damage to discs, but it alone cannot confirm degenerative disc disease.
How is degenerative disc disease treated? Treatment options include: Artificial disc replacement Surgical intervention Nonoperative treatment of symptoms, including acupuncture, back braces and pain management.
Key points Degenerative disc disease isn't actually a disease, but rather a condition in which a damaged disc causes pain. This pain can range from nagging to disabling. The condition can be caused by the drying out of the disc over time, daily activities, sports and injuries. Treatment options include disc replacement, other surgical interventions, and nonsurgical options such as acupuncture, back graces and pain management. Next steps Tips to help you get the most from a visit to your healthcare provider: Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered. Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you. Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are. Ask if your condition can be treated in other ways. Intervertebral discs, also known as intervertebral fibrocartilage or spinal discs, provide the padding between the vertebrae of the spine.
They have an elastic structure, made of fibrocartilage tissue. The outer part of the disc is known as the annulus fibrosus. It is tough and fibrous, and it consists of several overlapping layers. The intervertebral discs cushion the stress when the spine moves or bears weight.
They also help the spine to bend. As people age, repeated daily stresses on the spine and occasional injuries, including minor, unnoticed ones, can damage the discs in the back. To compensate, the body builds osteophytes, or bone spurs, small bony projections that develop along the edge of bones. These projections can press against the spinal cord or spinal nerve roots. They can undermine nerve function and cause pain. Degenerative disc pain can start when a major or minor injury leads to sudden and unexpected back pain , or it can present as a slight back pain that gets worse over time.
The doctor will ask about symptoms, when and where the pain occurs, whether there is tingling or numbness, and which situations cause the most pain. They will also ask about any falls, injuries, or accidents.
The doctor may also test for other conditions, such as a tumor or other kinds of damage, to ensure a correct diagnosis. Exercises can help to strengthen and stabilize the area around the affected disks, and to increase mobility.
Exercises that build the back and stomach muscles include walking, cycling, and swimming, as well as core strengthening programs, such as yoga and pilates. In the same position, squeeze the buttocks together and gently lift them up to make a low bridge. If it is difficult to make a bridge, just squeezing the buttocks can help. Do this 10 times. Patients who do not respond to conservative therapies within about 3 months may consider surgery. Stabilization surgery or spinal fusion : fusing two vertebrae together provides stability for the spine.
It can also increase blood flow to help improve painful swelling, while also increasing nutrients and oxygen to the affected area. Stretching is the first form of exercise that can help DDD.
Doing so helps to wake up the back, so you may find it helpful to do some light stretching before you start your day. Yoga is helpful in treating back pain, and it has the additional benefits of increased flexibility and strength through regular practice.
These stretches can be done at your desk to relieve work-related back and neck pain. In this form of OA, the vertebrae rub together because there are no discs left to cushion them. This can cause pain and stiffness in the back and severely limit the types of activities you can comfortably accomplish. Exercise is essential to your overall health, but especially if you have back pain associated with DDD. You may be tempted to lay down from pain. Decreased mobility or immobility may increase your risk for:.
Without treatment or therapy, DDD can progress and cause more symptoms. While surgery is an option for DDD, other less invasive treatments and therapies can be just as helpful and at a much lower cost. Talk to your doctor about all your options for DDD. In many cases a ruptured or herniated disc can be managed at home. We explain the causes, how to treat this condition, and when you should seek help….
A bulging disc in your neck can cause pain in your neck, shoulders, chest, and arms. Read about causes, diagnosis, and treatment options. Many people consider the aches and pains they get in their back an inevitable part of the aging process. And while it is true that spinal discs begin to break down as a natural process of aging, healthy lifestyle choices can prevent spinal diseases such as Degenerative Disc Diseases DDD from occurring early or worsening.
The intervertebral disc lies between adjacent vertebrae in the vertebral column. The degeneration of these intervertebral discs causes many of the problems in the spine. As the days of your life begin to add up, your vertebral discs eventually begin to feel the effects of daily wear and tear.
However, not everyone feels pain. Degenerative disk disease is when the changes in the disks of your spine start to cause pain. If you live with chronic pain of this type, you may have DDD.
With degenerative disc disease, the main issue lies within one or more of your intervertebral discs. Each intervertebral disc contains a soft inside layer, the nucleus pulposa. This core of this nucleus is comprised of a jelly-like substance, mainly made up of water and a loose collection of collagen fibers.
Outside of the nucleus pulposa is a sturdy, flexible ring that surrounds it, the annulus fibrosus. When we get older, these soft nuclei within our intervertebral discs become less soft and dry out in a process known as desiccation.
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