Healthy Body
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Understanding Degenerative Disc Disease
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Staff
So many of us suffer from back pain that interferes with our lifestyle and daily activities. When the diagnosis is degenerative disc disease, visions of lifelong pain and a slow decline of health often comes to mind for those who aren’t familiar with the diagnosis.
A report published by the National Institutes of Health (“Lumbar Degenerative Disc Disease,” September 2019) states, “Interestingly, while it is thought that men likely start this degeneration almost ten years earlier than women, women with disc degeneration are likely to be more susceptible to the effects.”
Is this chronic and painful health issue actually a disease? Do we have any control over it?
It would be logical to assume that degenerative disc disease – one of the most common spine problems in older adults – is actually a disease. However, this progression of changes in spinal discs due to injury, wear and tear, and aging isn’t a disease at all, but a sometimes-preventable condition that can lead to chronic pain, according to Kaliq Chang, M.D.,* an interventional pain management specialist at Atlantic Spine Center.
To understand degenerative disc disease, it’s helpful to understand the spine’s anatomy, Dr. Chang says. Spinal discs sit between bony vertebrae, enabling us to bend and flex as well as cushioning much of the stress of day-to-day movement on our spines. Gradual changes in any area of the back or neck from degenerative disc disease - often dubbed the “degenerative cascade” - can lead to lost fluid in the discs, torn outer layers, or the growth of nerve fibers.
“All of these changes can result in chronic pain,” explains Dr. Chang. “Additionally, other spine problems can occur as disc deterioration continues, including bone spurs, herniated discs and spinal stenosis. When this deterioration is severe, your range of motion can become limited. Knowing symptoms and getting an accurate diagnosis is important to help slow or stop the damage.”
Causes
So many of us suffer from back pain that interferes with our lifestyle and daily activities. When the diagnosis is degenerative disc disease, visions of lifelong pain and a slow decline of health often comes to mind for those who aren’t familiar with the diagnosis.
A report published by the National Institutes of Health (“Lumbar Degenerative Disc Disease,” September 2019) states, “Interestingly, while it is thought that men likely start this degeneration almost ten years earlier than women, women with disc degeneration are likely to be more susceptible to the effects.”
Is this chronic and painful health issue actually a disease? Do we have any control over it?
It would be logical to assume that degenerative disc disease – one of the most common spine problems in older adults – is actually a disease. However, this progression of changes in spinal discs due to injury, wear and tear, and aging isn’t a disease at all, but a sometimes-preventable condition that can lead to chronic pain, according to Kaliq Chang, M.D.,* an interventional pain management specialist at Atlantic Spine Center.
To understand degenerative disc disease, it’s helpful to understand the spine’s anatomy, Dr. Chang says. Spinal discs sit between bony vertebrae, enabling us to bend and flex as well as cushioning much of the stress of day-to-day movement on our spines. Gradual changes in any area of the back or neck from degenerative disc disease - often dubbed the “degenerative cascade” - can lead to lost fluid in the discs, torn outer layers, or the growth of nerve fibers.
“All of these changes can result in chronic pain,” explains Dr. Chang. “Additionally, other spine problems can occur as disc deterioration continues, including bone spurs, herniated discs and spinal stenosis. When this deterioration is severe, your range of motion can become limited. Knowing symptoms and getting an accurate diagnosis is important to help slow or stop the damage.”
Causes
Various risk factors for degenerative disc disease can’t be changed, including getting older and having a family history of the condition, Chang notes. But other risk factors are modifiable, such as obesity, heavy lifting/physical work, smoking, back injury, and sports participation.
Quickly identifying the condition can rely on knowing its symptoms. These include:
“The chance of developing degenerative disc disease – or a severe case of it – is certainly heightened in those who don’t practice healthy lifestyle measures, such as smoking or gaining excessive weight,” Chang warns. “Clearly, we can’t eliminate all our risk factors for the condition, but proactively protecting our spine is possible by controlling the risk factors that we can.”
Prevention
What can you do to help prevent degenerative disc disease? Chang says these measures include:
Treatment
“Treatment options for degenerative disc disease are typically conservative, combining tactics such as physical therapy or steroid injections,” Chang reports. “If these techniques don’t work and pain remains severe, or bowel or bladder function is affected, then surgery may be required for some patients. Talk to your doctor to come up with a plan that best suits your needs.”
Quickly identifying the condition can rely on knowing its symptoms. These include:
- Pain in the low back, buttocks, thighs or neck
- Pain that worsens when sitting, bending, lifting or twisting
- Pain that feels better when walking, changing positions or lying down
- Periods of severe pain that improves after days or even months
- Numbness, weakness or tingling in the legs
“The chance of developing degenerative disc disease – or a severe case of it – is certainly heightened in those who don’t practice healthy lifestyle measures, such as smoking or gaining excessive weight,” Chang warns. “Clearly, we can’t eliminate all our risk factors for the condition, but proactively protecting our spine is possible by controlling the risk factors that we can.”
Prevention
What can you do to help prevent degenerative disc disease? Chang says these measures include:
- Drinking water: Consuming plenty of water can help keep discs strong and pliable, also helping you avoid weight gain that could tax your spine.
- Eating right: Healthy foods such as leafy green veggies, whole grain pastas and breads, fish, nuts and dairy products all help nourish the bones, including spinal vertebrae supporting discs.
- Scheduling physical activity: Regular exercise contributes to blood and nutrient flow to back muscles, which support the spine and discs. As a bonus, exercise triggers the release of pain-soothing chemicals known as endorphins.
Treatment
“Treatment options for degenerative disc disease are typically conservative, combining tactics such as physical therapy or steroid injections,” Chang reports. “If these techniques don’t work and pain remains severe, or bowel or bladder function is affected, then surgery may be required for some patients. Talk to your doctor to come up with a plan that best suits your needs.”
*Kaliq Chang, M.D., is double board-certified in interventional pain management and anesthesiology and is an interventional pain management specialist at Atlantic Spine Center, a nationally recognized leader for endoscopic spine surgery with several locations in New Jersey and New York City.
