Degenerative Disc Disease: Understanding the Causes, Symptoms, and Treatments

An initial event leading to this spinal disease is injury to annulus fibrosus (the outer layer of the spinal disc containing the inner “jelly”) leading to an annular tear (or tears). An annular tear may result in a herniated disc, protruding disc, or bulging disc when the inner nucleus of the disc leaks out and into the pathways in the spine where sensitive nerves reside.

Contributing factors:

• Trauma to spinal disc
• Genetics or family history of degenerative disc disease
• Disc nutrition
• Unfavorable spinal biomechanics

Degenerative disc disease is a combination of structural, biochemical and molecular changes that occur over time within the spinal disc. Not all spinal discs undergo this degenerative cascade of events. Many elderly persons and senior citizens have only a few of their 23 spinal discs degenerate. Most people over the age of 50 have several degenerated spinal discs; fortunately most are without pain or other symptoms.

In summary, most people will have at least one degenerated spinal disc in their lifetime but very few of them have any problems from these discs that are degenerated. Degenerated spinal discs can be a “part of life” like wrinkles or sunspots and most of the time we don’t need to treat them at all. If symptoms like pain, numbness, weakness or tingling of the legs, feet, hands, or arms occur and the degenerated spinal disc is determined to be the source, surgery is often needed. The most common surgery performed to treat symptomatic degenerative disc disease is a spinal fusion. With new, more advanced surgeries like Deuk Laser Disc Repair, spinal fusion is not always necessary. With laser surgery, the spinal disc is repaired and not removed.

Degenerative disc disease is identified most commonly by the structural changes seen on an MRI scan or CT scan of the affected region of the spine. These changes include loss of disc height; loss of disc hydration or water content which appears as a “black” disc on T2 weighted MRI sequences; bulging or herniated discs; annular tears; presence of osteophytes or bone spurs; facet degeneration and subluxation; adjacent vertebral endplate changes including sclerosis, irregularity, fractures and edema within the cancellous bone. Some or all of these changes may be present but there is no consensus on what definitively constitutes a degenerated disc. A diagnosis is determined by ordering an MRI, CT and discogram.

Treatment for degenerative disc disease depends on the duration and severity of discogenic pain; less than two months duration may respond well to pain medication, therapy and injections. Discogenic pain lasting longer than two months usually requires surgery to effectively relieve painful symptoms in the neck or back.

Deuk Laser Disc Repair is the most effective surgery designed to specifically treat cervical herniated discs and lumbar disc herniations or degenerative disc disease. This minimally invasive spine surgery uses a small incision, has over a 95% success rate, provides a fast recovery time, and does not weaken the spine by cutting the bone. 

To learn more about degenerative disc disease, watch the video below:

Are you or a loved one experiencing neck or back pain caused by degenerative disc disease? Deuk Spine Institute is here to help eliminate your discomfort and get back to living life. To learn more, contact us or give us a call at 1-800-FIX-MY-BACK.