Treatments That Work for Degenerative Disc Disease and Low Back Pain
Posted by David Greene in fitness, tags: alternative medicine, Back Pain, chiropractic, Disease, doctors, Fitness, Health, low back pain, medicine, pain, pain management, spine, surgeryLow back pain affects many millions of Americans on a daily basis. Degenerative disc disease is a condition that affects young and middle-aged individuals and can lead to back pain that comes on a daily basis, or it may wax and wane depending on when it decides to be a bother.
The intervertebral discs are located between the vertebral bodies at every level of the lumbar, thoracic, and cervical spines. The disc is comprised mostly of water at 80%, and act as shock absorbers when a person walks or jumps or really does any range of motion of the spine.
Research has shown that people over the age of 40 have a 40% incidence of degenerative disease. Most of these folks have no back pain at all. Even when there is severe degenerative disc disease present on x-rays or MRI, the patient does not necessarily have any problems with back pain.
For those unfortunate individuals who are afflicted with back pain from degenerative disc disease the first question is to help understand how it came to be that the problem developed.
Those who develop degenerative disc disease do not always have it from an injury. It may be luck of the draw from genetics causing dehydration and degeneration of one or several disc spaces leading to loss of height and bulging discs and pain.
In other patients, there may have actually been a trauma to the back which led to degenerative disc disease subsequently. The person may have also had a herniation of a disk with subsequent surgery and degenerative changes progressively afterwards. This is extremely common.
Initial treatment of back pain from a degenerative disc should involve the basics such as activity avoidance and over-the-counter pain medications. The person should avoid the activity that incites the pain, such as if jogging makes it worse then maybe switch over to swimming or cycling.
Anti-inflammatory medications such as naproxen and ibuprofen should always be taken according to the manufacturers recommended dosing. These may be all that is necessary initially to manage the back pain.
Additional treatments at the next level of pain management include spinal decompression therapy, chiropractor treatment, acupuncture, massage, and physical therapy. These treatments all have a very low risk profile for treating the lower back.
Chiropractic treatment has been shown in the research to have over 85% satisfaction rate in this country. In addition to this, spinal decompression therapy has shown over and 85% effectiveness as well. This treatment is highly effective, low risk, and cost under 5% what spine surgery does.
Physical therapy can teach the patient better core strengthening, lumbar strengthening, and provide individuals with a home program to utilize to keep the pain at bay.
Along with these treatments, treatment with an interventional pain management physician may help tremendously. Chronic narcotics for degenerate disc disease is not a good idea. They maybe utilized in the short term for an acute flare up of the back pain, but the long-term risks tend to outweigh the benefits.
Interventional treatments on the other hand can work exceptionally well. Intradiscal electrothermal treatment is not very popular anymore because the results were never great.That was a treatment involving burning the interior part of the disc.
There are some pain doctors who will inject numbing medicine and steroid medication called cortisone into the degenerative disc. This is shown in several studies to provide potentially months of pain relief. Often times patients have abnormal motion of the spine due to degenerative disc disease which can lead to facet related pain as well.
Because of this, facet treatments including radiofrequency ablation or direct facet injections are often needed and have provided substantial pain relief. There are also some stem cell injection critical trials going on in the US which provide the potential for regeneration inside the disc.’s initial results have been promising.
These treatments have been showing promise for degenerative disc disease. Aerobic exercise has been shown to be an excellent treatment for the problem. Over 75% of patients are able to successfully avoid surgery.
Other than these nonsurgical options, surgery for degenerative disease is truly only a last resort. Surgical outcomes tend to be a roll of the dice, and the person may only get rid of part of the problem or potentially be worse off than they were before the surgery.
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