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Degenerative Disc Treatment Suggestions

Generally speaking, degenerative disc  treatment suggestions have to be understood with the knowledge that there are significant changes in the spine as we age. Specifically, there is a drying up of the disc material and of the lubrication of the joint fluid in the facet joints. To clarify, the facet joints are the row of small joints on each side of the spinal canal, which together with the discs as a unit give the spine its mobility.

In particular, with degenerative changes there are bone spurs, there is loss of joint space and a general stiffening and a painful decrease of range of motion. Ultimately these changes can eventually be seen on X-rays and the drying out of the discs, called “desiccation” can be visualized on an MRI scan. Obviously, to prevent this from happening prematurely fitness walking, stretching exercises and mild to moderate weight training programs are useful.

Premature degenerative changes

However, heavy weight training, conversely, can accelerate the wearing out of the facet joints and discs thus leading to premature degenerative changes. Similarly, multiple sports injuries, car accidents or fights will also accelerate this type of degenerative arthritis, typically with a 5 to 10 year delay following a back injury.

Furthermore, anti-inflammatory medication such as the COX-2 inhibitors or regular non-steroidal anti-inflammatories will help to control the inflammation and allow the patient to do the gentle reconditioning that is required. In conclusion, heat treatment, acupuncture and massage treatments and swimming are all useful therapeutic modalities.

 Degenerative Disc Treatment Suggestions

Degenerative Disc Treatment Suggestions

End stage degenerative arthritis 

However, for the most part in more severe cases where the degeneration of the facet joints has progressed to the point that bone rubs on bone, surgery may be indicated.  Similarly, when the disc material has been thinned out to the point where one vertebral body almost rubs on the other, this, too, would require back surgery. Typically, the surgeon takes a bone graft from the pelvic bone and fuses the degenerative joint or the disc space. That is to say, in medical circles it is called “spinal fusion surgery”. Indeed, the orthopedic or neurosurgeon will be able to advise whether or not this is an option in a particular patient. Every patient has to be judged according to the individual circumstances.


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Last modified: June 22, 2019

This outline is only a teaching aid to patients and should stimulate you to ask the right questions when seeing your doctor. However, the responsibility of treatment stays in the hands of your doctor and you.