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Degenerative
Disc Disease
Degenerative Disc
Disease
Degeneration of the intervertebral disc, which
is often called "degenerative disc disease" (DDD) of
the spine, is a common disorder of the lower spine. Disc degeneration
can lead to disorders such as spinal stenosis (narrowing of the
spinal canal that houses the spinal cord and nerve roots; can
be lumbar or cervical), spondylolisthesis (forward slippage of
the disc and vertebra), and retrolisthesis (backward slippage
of the disc and vertebra). DDD is in fact not a disease but, rather,
a degenerative condition that can be painful and can greatly affect
the victim's quality of life. Disc degeneration is a normal part
of aging and is generally not a problem by itself. However, for
certain individuals, a degenerated disc can cause pain, such as
when bone spurs grow adjacent to the discs and pinch or put pressure
on the nearby nerve roots or spinal canal.
Causes
Aging is the most common
cause of disc degeneration. As the body ages, the discs in
the spine dehydrate, or dry out, and lose their ability to
act as shock absorbers between the vertebrae. The bones and
ligaments that make up the spine also become less flexible
and thicken. Unlike muscles, there is minimal blood supply
to the discs so they lack the ability to heal or repair themselves.
Repetitive stress injury (RSI) and/or several injuries over
time that involve the same disc can also increase the likelihood
of disc degeneration as may a poor body mass index. However,
an active lifestyle that combines regular light exercise
and a good diet can help to repair or prolong the life of
the disc.
Symptoms
With symptomatic degenerative
disc disease, chronic low back pain sometimes radiates to
the hips, or there is an aching pain in the buttocks or thighs
while walking; sporadic tingling or weakness through the
knees may also be evident. Similar pain may be felt or may
increase while sitting, bending, lifting, and twisting. While
the degeneration of the disc will likely progress as a natural
part of the aging process, symptoms such as low back pain
often decrease over time.
Understanding Disc
Pain
It is not clear why some degenerative discs
are painful and some are not. After an injury, some discs
become painful because of inflammation. Some people have
nerve endings that penetrate more deeply into the annulus
fibrosus, or outer layer of the disc, than others, making
the disc more susceptible to becoming a source of pain. Pain
that radiates down the leg, known as sciatica or lumbago,
is the result of the nerve root encountering the inner disc
material, or the nucleus pulposus, an inflammatory substance
that also puts pressure on the nerve. These conditions can
cause symptoms such as severe leg pain, difficulty standing
and walking, and weakness or numbness in the legs. Degenerative
disc disease can lead to a chronic debilitating condition
and can have a serious negative impact on a person's quality
of life. When pain from degenerative disc disease is severe,
traditional nonoperative treatment is often ineffective.
Don’t live life in pain!
Salama
Chiropractic Center
Wendover Chiropractic Clinic Location
Suite
A, 3410 West
Wendover Avenue• Greensboro, North Carolina 27407
© 2008 All Rights Reserved.
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