Multilevel Degenerative Disc Disease

Friday, March 07, 2025

multilevel degenerative disc disease

Multilevel Degenerative Disc Disease

Multilevel degenerative disc disease causes chronic pain and reduced mobility as multiple spinal discs deteriorate over time. Most patients exhibit more than one cause of pain. Without proper treatment, this condition can become more severe, leading to a significant decline in quality of life. 

This article explores the causes, symptoms, and diagnosis of multilevel degenerative disc disease, highlighting the risks of conservative treatments, injections, and surgery. We will also discuss why laser disc repair is the ideal treatment.

What Is Multilevel Degenerative Disc Disease?

Multilevel degenerative disc disease refers to the progressive breakdown of intervertebral discs at multiple levels of the spine. For instance, one might suffer from a herniated disc in lower back as well as a herniated neck disc.

Unlike an isolated disc injury, multilevel degenerative disc disease affects several adjacent discs, compounding symptoms and making treatment more complex.

As the discs deteriorate, they become less effective at cushioning the vertebrae, leading to inflammation and mechanical instability. This can result in chronic back and/or neck pain as well as discomfort throughout the limbs.

What Causes Multilevel Degenerative Disc Disease?

Multilevel degenerative disc disease has several determinants, with the primary cause being trauma. In the sections below, we’ll explore how each of these factors contributes to disc deterioration and what this means for spinal health.

Physical Stress

Repetitive motions, heavy lifting, and prolonged poor posture can lead to disc degeneration. Athletes, manual laborers, and individuals with physically demanding jobs often experience increased spinal breakdown. 

Chronic strain on the spine leads to microtraumas, exhibiting as annular tears in the discs, hastening their deterioration and contributing to multilevel degenerative disc disease.

multilevel degenerative disc disease

Lifestyle

Sedentary behavior, smoking, obesity, and poor nutrition all negatively impact spinal health.

Smoking decreases the flow of oxygen to spinal tissues, impairing their ability to heal, while excess body weight increases the load on the spine, accelerating disc degeneration.

Genetic Predisposition

Some individuals inherit a genetic tendency for weaker spinal discs, making them more susceptible to degeneration at multiple levels. While genetics cannot be changed, awareness of this risk factor can encourage early intervention and preventive care.

Symptoms Of Multilevel Degenerative Disc Disease

Our research indicates that multilevel degenerative disc disease often causes annulitis, a condition where inflammation develops within the annulus fibrosus of affected discs. This inflammation results in persistent, localized pain in the neck or lower back, often worsening with movement, prolonged sitting, or standing. 

Unlike muscle-related discomfort, this pain is resistant to standard pain relief methods like stretching or massage.

As disc degeneration progresses across multiple levels, it can lead to radicular pain, which occurs when inflamed discs irritate or compress nearby nerves. This can result in sharp, shooting pain that radiates from the spine into the arms (cervical spine) or legs (lumbar spine).mild multilevel degenerative disc disease

Diagnosing Multilevel Degenerative Disc Disease

To help guide our diagnosis, we offer a free MRI to all new patients, so that we can accurately assess the condition of your spine before performing any procedures. The MRI, combined with our advanced physical exam, provides a comprehensive understanding of your spinal health.

As Dr. Ara Deukmedjian, MD, explains, "MRI scans don’t tell you where pain comes from; patients do." While MRI imaging is valuable for detecting disc degeneration and structural issues, it cannot determine the exact origin of the pain. 

We have developed a groundbreaking physical exam technique with a 99% accuracy rate in diagnosing back and neck pain. This precise method allows us to pinpoint the exact cause of the pain, ensuring that treatment is tailored to each patient's needs.

This advanced exam can often be performed remotely via video call, enabling patients to undergo the assessment from their homes.

Treatments For Multilevel Degenerative Disc Disease

Treating multilevel degenerative disc disease requires careful consideration, as many treatments have adverse effects. In fact, a laminectomy, for example, causes excessive loss of blood! 

Let’s consider your options.

Conservative Treatments

Conservative treatments for multilevel degenerative disc disease typically include physical therapy, pain medications, and lifestyle modifications. These approaches aim to strengthen the muscles supporting the spine, reduce inflammation, and temporarily relieve symptoms. 

While non-invasive, they do not repair damaged discs, meaning pain relief is often temporary. Over time, patients may become more symptomatic as disc degeneration progresses.

Pain medications such as NSAIDs, muscle relaxants, or opioids come with significant risks. Long-term NSAID use can cause gastrointestinal issues, kidney damage, and cardiovascular problems. On the other hand, opioids are highly addictive and have led to a national crisis of dependency. advanced multilevel degenerative disc disease

Interventional Procedures

Interventional treatments such as epidural steroid injections (ESIs) and nerve ablations are often recommended for pain relief. These procedures aim to reduce inflammation and block pain signals, but they do not heal the damaged discs. 

Nerve ablations, such as radiofrequency ablation (RFA), attempt to reduce pain by heating the affected tissue. 

Because nerve ablations do not address the underlying cause, pain often returns once the nerve regenerates, requiring repeated procedures. In fact, ablation fails in greater than half of all cases, making it an ineffective option.

Surgery

Traditional surgical options for multilevel degenerative disc disease include spinal fusion and artificial disc replacement. 

Spinal fusion permanently locks two or more vertebrae together, eliminating movement at those levels. While this can reduce pain, it leads to adjacent segment disease, where discs above and below the fusion deteriorate more quickly due to increased stress. 

Artificial disc replacement aims to address this issue. By replacing a damaged disc with a mechanical implant, it attempts to preserve mobility.

However, this surgery carries a high risk of device failure, infection, and improper alignment, leading to more surgeries. As we can see, traditional spine surgeries often create more problems than they solve.

Laser Disc Repair

Unlike conventional treatments, Deuk Laser Disc Repair is minimally invasive and permanently eliminates discogenic pain without fusion or artificial discs. This procedure uses an endoscopic laser to remove inflammation-causing disc tissue, leaving the healthy portion of the disc intact. 

Unlike spinal fusion, Deuk Laser Disc Repair preserves natural spinal movement and avoids adjacent segment disease​.

The benefits of Deuk Laser Disc Repair are unmatched. It is performed as an outpatient procedure, allowing patients to walk out of surgery the same day with no hospital stay. 

With zero complications reported to date, it is the safest spinal surgery available. There is no significant blood loss, no risk of infection, and no hardware failure.

By precisely targeting the source of pain, Deuk Laser Disc Repair can help you heal from multilevel degenerative disc disease​ for good.multiple level degenerative disc disease

FAQs

Is multilevel disc disease a serious condition?

Conditions such as a thoracic disc herniation are no joke. Our findings show that they can cause chronic pain, mobility issues, and nerve-related symptoms if left untreated. However, with the right treatment, symptoms can be completely eliminated without invasive surgery​.

How quickly does multilevel disc disease progress?

The progression varies by individual, but factors like age, lifestyle, and genetics influence the speed of degeneration. Without proper treatment, symptoms tend to worsen.

What activities should I avoid if I have multilevel degenerative disc disease?

High-impact activities like heavy lifting, repetitive bending, and prolonged sitting can accelerate disc deterioration. Likewise, low-impact exercises and proper posture can help manage symptoms and prevent further damage​.

Who is likely to get multilevel disc disease?

As mentioned, individuals with a family history of disc disease, aging spines, poor posture, or physically demanding jobs are at higher risk. Additionally, smoking, obesity, and a sedentary lifestyle can increase the likelihood of developing this condition​.

Conclusion

Chronic pain from multilevel degenerative disc disease can severely impact daily life, making even simple tasks difficult. 

Many treatment options exist, but not all provide lasting relief, and some come with high risks. Finding a solution that eliminates pain without creating new complications is essential for long-term spinal health. 

For the safest treatment for multilevel degenerative disc disease, choose Deuk Spine Institute. Contact us today and we’ll conduct a free MRI review to determine the root of your pain.