Degenerative Disc Disease and Sciatica

Degenerative disc disease is a health issue which occurs when one or more of the discs found between the vertebrae of the spine break down, causing painful symptoms and other problems. Common symptoms may include pain, tingling sensations, weakness, and numbness. Despite its name, degenerative disc disease is actually not a disease, but rather, a natural process which occurs with aging. The rubbery discs found between the vertebrae function like shock absorbers, allowing the back to flex and bend accordingly.� When they wear out, however, they no longer provide as much protection as before. �

Causes

The intervertebral discs also referred to as spinal discs or intervertebral fibrocartilage, provide the padding required between the vertebrae of the spine. The intervertebral discs are an elastic structure made from fibrocartilage tissue. The outer part of the disc is referred to as the annulus fibrosus. The annulus fibrosus is tough and it’s made up of many overlapping layers. The inner part of the disc is referred to as the nucleus pulposus. The nucleus pulposus is soft and gelatinous. The intervertebral discs cushion the stress of the spine, bears weight, and also helps the spine bend and flex. �

As people age, repeated daily stresses on the backbone and occasional trauma and/or injuries, including minor, undetected health issues, may ultimately damage the intervertebral discs in the back. Changes caused by damage may include: �

• Decreased fluid: The intervertebral disks of a healthy young adult are made up of around 90 percent fluid. With age, the fluid material decreases, causing the disc to become thinner. The distance between each vertebra, in turn, becomes smaller and it makes them even less effective to function as a cushion or shock-absorber.
• Disc structure: Small tears or cracks can become larger in the outer layer of the disc. The soft and gelatinous material from the inner part may push through the disc, causing a bulging or ruptured disc. The disc may break into fragments.

If the vertebrae have less padding between them, the backbone also becomes less stable. To compensate, the human body builds osteophytes, or bone spurs, small bony structures which develop along the edge of bones. These structures can compress or impinge the spinal cord or nerve roots. Other health issues caused by degenerative disc disease includes the breakdown of cartilage or the tissue which cushions the joints, a bulging disc, known as a herniated disc, and a narrowing of the spinal cord, also referred to as spinal stenosis. These changes can cause painful symptoms and lead to fatigue. �

Symptoms

Degenerative disc disease can either cause no symptoms or the pain and discomfort may be so severe, it can tremendously affect an individual’s quality of life. This health issue generally aggravates due to injury or trauma to the backbone, however, symptoms can also affect other parts of the human body, depending on the direct location of the degenerative disc disease. The pain and discomfort can range from mild to severe and it may often be debilitating. It may ultimately result in osteoarthritis, with pain and discomfort along with stiffness in the back. Fatigue can generally accompany other symptoms. �

If degenerative disc disease affects the low back or the lumbar spine, the pain and discomfort may radiate down the buttocks, hips, and thighs, into the knees and feet. There might also be tingling sensations and numbness, a collection of symptoms known as sciatica, caused due to the compression or impingement of the sciatic nerve. If degenerative disc disease affects the neck or the cervical spine, the pain and discomfort may radiate into the shoulders, arms, and hands. The painful symptoms may worsen when sitting, bending, twisting or lifting. Rest may help provide some pain relief. �

Diagnosis

A healthcare professional will ask the patient about their symptoms, including where and when the pain developed as well as whether there are tingling sensations or numbness. The doctor may also need to know which circumstances cause the most painful symptoms and if the patient suffered any injuries and/or aggravated conditions. A physical evaluation may examine pain and discomfort in response to touch or movement, muscle strength, flexibility, and performance, as well as nerve structure and function. The healthcare professional may also order diagnostic tests, such as MRI or CT scans. �

Treatment

Treatment for degenerative disc disease might include occupational therapy, physical therapy, chiropractic care, exercise or physical activity, drugs and/or medications, weight loss, and surgery. Medical options include injecting the joints next to the broken disc with steroids and a local anesthetic. Medicines include pain relief medicine, such as Tylenol, and non-steroidal anti-inflammatory medications, or NSAIDs, including ibuprofen. Muscle relaxers and steroids may also be prescribed. �

A corset or brace may also offer back support. Patients who don’t respond well to conservative treatment options might require surgery. Furthermore, a patient who develops osteoarthritis, a herniated disc, or spinal stenosis may require a combination of different types of treatment approaches to achieve pain relief. It’s fundamental for a healthcare professional to provide a patient with the proper diagnosis of their symptoms to follow-up with the most appropriate treatment. �

Differential Diagnosis of Hip Pain and Discomfort

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Degenerative disc disease is characterized as the normal, gradual deterioration of the intervertebral discs with age, which may occasionally cause a variety of painful symptoms. Common symptoms associated with degenerative disc disease can include pain and discomfort, tingling sensations, and numbness, similar to sciatica. Painful symptoms may also cause fatigue and other health issues. Nearly everyone’s intervertebral discs will break down over time, however, not everyone will develop painful symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight

Fibromyalgia Magazine

The purpose of the article was to discuss degenerative disc disease and sciatica. Degenerative disc disease is often associated with pain, tingling sensations, and numbness, similar to the symptoms of sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �

Curated by Dr. Alex Jimenez �

Additional Topic Discussion: Severe Sciatica

Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �

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