Degenerative disc disease

Definition

Disease caused by aging of vertebral bodies and discs

Between vertebral bodies, there are buffering discs. The round and flat discs consist of nucleus pulposus at the center and annulus fibrosus surrounding nucleus pulposus. As people age, the bones and discs lose their moisture component, become hard, shrink, and cannot absorb impacts. Through the process of degeneration under the increased pressure of the discs, the intervals between the vertebral bodies get narrower, resulting in a collision of the bones and displacement. The displaced discs and develop osteophytes can stimulate the nerve and cause pain.

Symptoms

Activity-related pain, getting worse while sitting and better while leaning

  • 1.The pain gets worse when the back is bent forward or backward depending on the location of the disc degeneration.
  • 2.Difficult to sit still in one posture
  • 3.Radiating pain to legs
  • 4.S-shape deformity, resulting in pain in spine and pelvis, difficulties in breathing, and digestion, if severe

Cause

  • Extended sitting
  • Continuous stimulation of the spinal column by improper posture habits
  • Repetitive work of bending or lifting heavy objects
  • Weak muscles due to lack of exercise, smoking, stress, nutritional imbalance
  • Trauma

Treatment

Diagnosis : X-ray, CT, MRI

Non-surgical treatment

  • Rest
  • Medication
  • Physiotherapy
  • Injection
  • Rehabilitation
  • Neuroplasty
  • Balloon expansion
  • Epidural endoscopic laser decompression
  • Endoscopic discectomy