Degenerative Disc Disease

July 29, 2011 by Dr. Marc Darrow, M.D.  
Filed under Back Pain

Degenerative Disk Disease 150x150 Degenerative Disc DiseaseThe 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 from your spinal cord injury 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). In a future article we will discuss Prolotherapy Injections and the benefits of prolotherapy injections treatment in greater detail.

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. Read about Dr. Darrow’s back pain

Questions about this article? Contact Doctor Darrow.

Written by Dr. Marc Darrow, M.D.

To Learn More Call 1-800-REHAB10. As one of the leading prolotherapy practicioners, Dr. Marc Darrow, M.D. developed the Prolotherapy Institute to educate patients, their caregivers and the medical community about the benefits of Prolotherapy. Dr. Marc Darrow is a Board Certified Physiatrist specializing in Physical Medicine and Rehabilitation. He is also an Assistant Clinical Professor at University of California School of Medicine, Los Angeles, where he trained, and teaches Prolotherapy to the doctors in their residency training.

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Prolotherapy, PRP, AGE MANAGEMENT MEDICINE, and other modalities mentioned are medical techniques that may not be considered mainstream. As with any medical TREATMENT, results will vary among individuals, and there is no implication that you will HEAL OR receive the same outcome as patients herein. 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.
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