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DEGENERATIVE DISC DISEASE
The aging process brings about degenerative changes to our ligaments,
tendons, and cartilage through the desiccation (the drying out) of
collagen. Degenerative Disc Disease (DDD) refers to this process
occurring in the vertebral
discs. It just so happens that the
vertebral discs suffers through the most
dramatic of age-related changes of all connective tissue related to this
process. In DDD, the discs will shrink and collapse bringing the
vertebrae closer together and causing greater risk of disc herniation
and assorted pain problems.
The typical treatment for Degenerative Disc Disease is heat, rest,
physical therapy, and of course, medications—pain relievers and anti-inflammatories.
These treatments can not solve the problem of ligament laxity as
we have seen Prolotherapy do. Injections to the ligament area, can help
restore, tighten, and thicken the ligaments that will stabilize the
spine in Degenerative Disc Disease.
The Problem With The Diagnosis
We typically have patients come into our office with big stacks of MRIs,
CT Scans and x-rays to confirm the label of Degenerative Disc Disease
placed on them by other medical professionals. For example, a woman once
came into our office. She had in essence become the living, breathing
“embodiment,” of the problem that showed up on her film. When she came
in, all she could do was talk about her degenerative disc disease at the
L-5, S-1 discs.
This woman had pain in her groin and her back. When we told her we were
going to examine her to determine if
this was indeed her
problem, she had a lot of difficulty comprehending that her pain may not
come from her Degenerative Disc Disease at L-5, S-1 because she had
already been diagnosed as needing surgery on these two discs. There have
been many studies and papers written on the accuracy or correctness of
diagnosis based on an MRI reading.
We know from studies that half the people after a certain age show disc
problems on film but they reported they had no pain.
So if someone has a diagnosis from an MRI the first thing we do is see
if that is REALLY where the pain is coming from. To practice good
medicine you need to rely on MRI and X-Rays and scans but you also need
to use your hands to find out where the pain is coming from, being
careful to gently press on the suspect area causing pain. When the
physician's touch elicits an intense pain spot, known as a trigger point
or tender point, then we know this is the spot (to do Prolotherapy).
Disc Herniation
As Degenerative Disc Disease progresses, the pressure exerted on the
discs by the squeezing together of the vertebrae can cause the disc's
inner fluid the "nucleus pulposis" to bulge (or herniate) out and
through the disc’s outer layer (the annulus fibrosus) and press down on
the nerve.
It is estimated that nearly 90% of disc herniations occur in the lower
back and in connection with the L5-vertabrae, either between L4 and L5,
or, L5 and S1.
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A Multi-Disciplinary
Clinic For Professional and Amateur
Athletes
and Chronic Pain Sufferers
11645 Wilshire Blvd., Suite 120 Los Angeles, CA (310) 231-7000 |
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Patient's stories herein,
and the language used, is intended to inform and educate. HOWEVER, it
does not imply that you or anyone else will receive the same outcome.
Prolotherapy and other modalities mentioned are medical techniques that
may not be considered mainstream. As with any medical procedure, results
will vary among individuals, and there could be pain or substantial
risks involved. These concerns should be discussed with your health care
provider prior to any treatment so that you have proper informed consent
and understand that there are no guarantees to healing.
Neither
Dr. Darrow, nor any
associate of Joint Rehab offer medical advice on this website. This
information is offered for educational purposes only. Do not act or rely
upon our information without seeking independent professional medical
advice. The transmission of this information does not create a
physician-patient relationship between you and
Dr. Darrow
or any associate of Joint Rehab. Neither Dr. Darrow, nor any associate
of Joint Rehab guarantees the accuracy, completeness, usefulness, or
adequacy of any resources, information, apparatus, product, or process
available at or from this transmission. The photos in this Web site
feature models for illustrative purposes and do not depict real
patients.
JOINT REHABILITATION &
SPORTS MEDICAL CENTER, INC IS HIPAA COMPLIANT. HIPPA IS SHORT FOR THE
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT. HIPAA PROTECTS
PATIENTS' PRIVACY & PERSONAL HEALTHCARE INFORMATION.
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