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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.
 

Back Pain
Elbow Pain
Golf Injuries
Headaches
Hip Pelvic Pain
Knee Pain
Neck Pain
Shoulder Pain
Whiplash
Wrist Pain
Side Effects of
   Prolotherapy


 A Multi-Disciplinary Clinic For Professional and Amateur Athletes and Chronic Pain Sufferers
11645 Wilshire Blvd., Suite 120 Los Angeles, CA (310) 231-7000

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.

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