Degenerative Disc Disease

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As premier hip and knee replacement surgeons in Charleston, SC, Dr. Zimlich and Dr. Stem alleviate patient pain and discomfort using innovative techniques and technologies. Concentrating exclusively on knee and hip replacement, the Lowcountry Orthopaedics Hip and Knee Specialists operate at the Lowcountry Orthopaedics Surgery Center and area hospitals per patient preference.

Top rated for eight years in a row as Charleston’s Choice for best orthopedic surgeons, countless of satisfied patients walk away with a pain free, natural feeling knee or hip. From custom total knee arthroplasty using 3D printing to the area’s first and only outpatient surgery center based robotic knee replacement program, patients trust Lowcountry Orthopaedics Hip and Knee Specialists.

Signature services include:

  • Custom total knee arthroplasty using 3D printing
  • Same day robotic knee replacement program
  • Personalized joint replacement experience
  • Dedicated team of nurses, physician assistants, and physical therapists
  • Proven outcomes for quick recovery and pain-free lives

Same day appointments are available at one of our convenient North Charleston, Summerville, or Daniel Island locations.

Treatment

Degenerative disc disease (DDD) is a condition in which the disc loses support and stability. It is also sometimes called lumbar spondylosis or arthritis. The disc is the cushioning between the vertebral bones. It consists of an outer layer of rings of cartilage (annulus) and an inner layer of gel (nucleus). Healthy discs have a large content of water that acts like a hydraulic cushion.

The name implies that this is a disease. Although it cannot be cured, it can be managed in most cases, like any other disease (such as diabetes or high blood pressure). Treatment options your doctor may recommend:

Medications

  • Anti-inflammatory medications
  • Pain medications
  • Muscle relaxers
  • Steroid pills to reduce inflammation

Medications

To reduce inflammation, either over the counter or prescription NSAIDs (non-steroidal anti-inflammatory drugs).

Spinal Injections

Corticosteroid (cortisone) injections reduce inflammation within the spinal canal and reduce irritation of the nerves. People with mild to moderate DDD can have long-term relief from these injections.

Bracing

To help stabilize the spine in more severe cases.

Physical Therapy

To strengthen the core muscles and back muscles to help stabilize the spine.

Surgery

Surgery is always a last resort, but may be elected in advanced cases or if nerve damage occurs. Options include disc replacement or minimally invasive fusion.

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Causes

Most discs will degenerate naturally with aging. Everyone 40-50 years old will have some degeneration in their discs, although it does not necessarily cause pain in most people. Others will have underlying DDD that will activate by an injury or trauma to the back.

Symptoms

Back pain is the main symptom. This can especially occur with sitting. It can be aggravated by lifting, bending, or standing for long periods of time. Leg pain can also occur in advanced stages of degeneration if there is pressure or irritation of the spinal nerves.

Diagnostics

  • History and physical examination
  • X-rays: Show narrowing of the disc and bone spurs
  • MRI or CT scan: May show osteophytes (bone spurs), disc bulging, or annular tears
  • Neurologic testing: EMG/nerve conduction testing

Lowcountry Orthopaedics’ Spine Team

Christopher Battista, MD

Christopher Battista, MD

Spine Surgeon

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Don Stovall, Jr, MD

Don Stovall, Jr, MD

Spine Surgeon

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Carey Lennon, PA-C

Carey Lennon, PA-C

Physician Assistant

Kylie Smith, FNP

Kylie Smith, FNP

Nurse Practitioner

Hip & Knee Specialists

Fast forward to feeling better with Lowcountry Orthopaedics and Sports Medicine’s board-certified and fellowship-trained surgeons that specialize in joint reconstruction and hip and knee surgery.

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Same-Day Joint Replacement

The benefits of same-day total hip or knee replacement surgery include fast recovery, lower risk of infection, no risk of hospital-acquired illness, cost reduction, and increased patient satisfaction. Patients interested in same-day joint surgery should schedule an evaluation with Dr. Zimlich to review their medical profile for candidacy.

Joint Replacement Surgery
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