Degenerative disc disease - Wikipedia

Although symptoms are variable from person to person, most patients with lumbar degenerative disc disease will experience low-grade continuous but tolerable pain that will occasionally flare (intensify) for a few days or more. Pain symptoms can vary, but generally are:

L4-L5 degenerative disc disease ..

Degenerative Disc Disease; Discitis; ..

Degenerative disc disease as described, ..

Degenerative Disc Disease is a gradual process that occurs as we age. Gradually the water and protein content of the body’s cartilage changes. Sometimes this process is accelerated due to heavy occupational demands such as repetitive bending and twisting, heavy lifting, or accident and injury. These changes can result in weaker and thinner cartilage. Because both the discs and the joints (facet joints) are composed of cartilage, these areas are subject to wear and tear over time (degenerative changes). This gradual deterioration of the discs between the vertebrae (back bones) is referred to as degenerative disc disease. These changes usually occur long before you can see them on x-rays or other imaging techniques.

Degenerative disc disease: Causes and treatment options

Although degenerative disc disease is relatively common in aging adults, it seldom requires surgery. When medical attention is warranted, the majority of patients respond well to non-operative forms of treatment like chiropractic manipulative therapy, physical therapy or Disc Rehydration Therapy.

Degenerative Disc Disease - Causes, Symptoms, …

MRI & CAT scans enable the surgeon to image good anatomical detail and definition of pathological changes. But because pathology becomes prevalent with increasing age even in patients without symptoms MRI images cannot be used as the sole diagnostic tool. This means that clinical examination and consideration of the patient’s history must also be taken into account. However whilst the loss of disc height and dehydration which results from disc degeneration can result in exiting nerve roots becoming nipped by the vertebrae and so causing irritation and pain such changes may be evident at several disc levels in the same patient. The distribution of the pain is supposed to guide the surgeon as to the disc level causing the symptoms but these distribution patterns may be in error for instance in the lumbar spine in excess of 15% of patients. So a more accurate method of diagnosis is called for hence our development of aware state diagnosis.

Lumbar Degenerative Disc Disease or …

Unfortunately the patient may present with degeneration at more than one disc level. Until the advent of aware state surgical examination, the sources of Vertebral Slippage were hard to define and surgeons engaged in pre-operative ‘guesstimation’ based on the results of clinical examination, X-rays, MRI scans and CAT scans. The complexity of the spinal region means that a wide range of possible conditions exist to confound diagnosis. In the presence of back and leg pain and spondylolisthesis or retrolisthesis the surgeon will tend to focus upon this evident pathology and treat this. In our published studies the pain was arising at an adjacent level in almost 20% of cases. The patients body had adapted to the slippage and surgery at this level would not have modified the pain.

Degenerative Disc Disease is a gradual process that occurs as we age

Oddly enough, this condition is not really degenerative and is not really a disease. More correctly it is a condition that results from ageing and its effects vary considerably in their nature and severity and should be referred to as disc degeneration (Spondylosis). However, the term Degenerative Disc Disease is generally used to define a number of natural processes and conditions brought about by the general ageing and wear and tear upon the spinal discs and the secondary effects that this has upon associated spinal structures.


The perceived wisdom is that back pain in particular arises from the disc itself. Therefore it is thought that over time, the pain will gradually decreases as the degenerating disc stops causing pain. However aware state endoscopy allows us to see where the pain is arising. This shows us that only 11% of patients have symptoms arising from the disc itself. The medial border of the nerve when palpated is the actual cause of the back pain and the core of the nerve is the cause of the referred pain down the arm or leg.