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Interestingly, over 40% of patients in their 40’s have signs of DDD on MRI and they don’t have ANY back pain.
So just having a degenerative disc(s) on MRI does not mean a patient will have back discomfort. A patient might have severe discomfort with only slight evidence of DDD or it could be vice versa. One of the concomitant conditions patients could be dealing with is facet syndrome. The spinal disc is in the front location of the spine http://www.raidersrookiesproshop.com/rodney-hudson-raiders-jersey/ , and the facet joints are in the back. If a person’s disc is dehydrating and losing height, the facet joints may begin to see abnormal amounts and sort of motion. This may lead to arthritis and pain in these joints.
If a patient is getting low back discomfort with signs of degenerative disc disease on an MRI, the facet joints ought to be evaluated for signs of arthritis. But that can be elusive as well. A pain management physician could carry out a diagnostic injection in the region about the joint to see if the facet joint is really the difficulty.
Unfortunately, no such diagnostic injection exists for the intervertebral disc. A patient could undergo a procedure known as a discogram which might aid diagnose if the disc itself is the source of the patient’s pain. Fluid is injected into the disc to see if it reproduces the discomfort that the patient has on a every day basis. If it does, the disc itself can be assumed to be causing the patient’s discomfort.
Surgery for degenerative disc illness, at this point in time http://www.raidersrookiesproshop.com/reggie-nelson-raiders-jersey/ , consists of two alternatives. One is to perform a spinal fusion, the second is an artificial disc replacement. Artificial disc replacement became FDA approved back in 2004 for the lumbar spine, and the hope was it would be a veritable “holy grail” for degenerative disc illness. So far, that has not been the outcome. Final results have been roughly 70% excellent to outstanding for either procedure.
The bottom line here is that low back discomfort from degenerative disc illness does not usually correlate to the degree of the degeneration observed on imaging studies. The patient’s subjective complaints are more important than the MRI.
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