Disc degeneration

Disc degeneration is a normal age-related phenomenon. Aging causes a number of changes in the intervertebral disc in most people. The disc starts to dry out and flatten, and cracks may develop.

Symptoms

As the intervertebral discs wear down, their ability to absorb shock decreases. This can lead to stiffness and reduced flexibility. You may experience back pain, especially when driving, sitting, bending and lifting. The intervertebral discs can also shrink over time due to loss of water and cartilage. Sometimes this creates a herniated disc or bulge, which in turn can put pressure on surrounding nerves, causing pain. Radiating pain (leg pain or sciatica) may also be present. This wear and tear is age-related but occurs at a younger age than wear and tear on the knee or hip, for example. You can suffer from disc degeneration as early as age 30 or 40.

Diagnosis

Disc degeneration is a natural part of the aging process, but it can also be hereditary or caused by injury, overuse or lifestyle. Usually the diagnosis can be determined by symptoms or medical history. Additional imaging such as an X-ray, CT scan or NMR scan (MRI) may be needed to confirm the diagnosis.

Treatment

Non-surgical treatment of the symptoms will always be attempted first. For example, you can work with a physical therapist to practice strengthening the back muscles, improving flexibility and promoting proper posture. This (along with painkillers) can already provide a lot of relief. If this doesn't help enough, you can get cortisone injections to reduce the pain. In advanced cases, surgery may be necessary. You will then receive a discectomy or a fusion, depending on your situation.

Micro-discectomy
Lumbar fusion
Cervical fusion

Departments

For more information, please visit the orthopaedics department.

Telephone 011 33 42 86