Degenerative Disc Disease
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.
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Causes
Symptoms
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
Treatment
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
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.
Lowcountry Orthopaedics’ Spine Team
Contact Us
Office Phone
(843) 797-5050
Office Headquarters
2880 Tricom Street
North Charleston, SC 29406