Treatment FAQ

what is ddd treatment for the spine

by Norma Ullrich Published 2 years ago Updated 2 years ago
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Treatment may include occupational therapy, physical therapy, or both, special exercises, medications, losing weight, and surgery. Medical options include injecting the joints next to the damaged disc with steroids and a local anesthetic. These are called facet joint injections.

Medication

DDD treatments may include one or more of the following options: Heat or cold therapy Cold packs can help decrease pain associated with a damaged disc, while heat packs can reduce the inflammation that causes pain.

Procedures

You're in luck—there are multiple treatment options for DDD. Your treatment plan will most likely include a combination of treatments, such as exercise, physical therapy, and medications.

Therapy

Without treatment or therapy, DDD can progress and cause more symptoms. While surgery is an option for DDD, other less invasive treatments and therapies can be just as helpful and at a much lower cost. Talk to your doctor about all your options for DDD.

Self-care

When these disks wear out, people typically experience back pain and stiffness. You may find pain relief with nonsurgical treatments such as physical therapy and spinal injection. For some people, home remedies like hot and cold therapy can decrease pain. When pain is severe, you may benefit from spinal injections or spine surgery.

Nutrition

See more

What are the different types of DDDDD treatments?

What are the treatment options for diabetic disc disease (DDD)?

Is there a cure for DDD without surgery?

What are the treatments for worn-out spine disks?

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What is the best treatment for severe degenerative disc disease?

Bed rest, or reduced activity, for the first 1 to 2 days after onset of severe pain, combined with anti-inflammatory medication such as ibuprofen, and ice and/or heat therapy. Prescription muscle relaxant medications, as needed, for up to 1 week. Gentle stretching and aerobic exercise, for at least 3 times a week.

What can be done for degenerative disc disease in the back?

Physical therapy can help stretch and strengthen the right muscles to help the back heal and reduce the frequency of painful flare-ups. Lifestyle modifications, such as changing your posture, losing weight or giving up smoking, can sometimes help reduce stress on the damaged disc and slow down further degeneration.

Can DDD be cured?

Answer: Unfortunately, there's currently no cure for degenerative disc disease, and once you're diagnosed with DDD, it's typically a lifelong journey of learning to live with back pain, neck pain, or other symptoms. Once your discs begin to degenerate, you can't really reverse the process.

How do you treat degenerative disc disease without surgery?

Non-surgical TreatmentPain Medications. Your doctor will most likely recommend over-the-counter pain relievers. ... Heat/cold treatment. Applying ice or a cold pack to a painful area of the spine can relieve pain by reducing inflammation. ... Epidural Steroid Injections. ... Physical Therapy. ... Exercise programs.

What happens if degenerative disc disease is left untreated?

Without appropriate treatment, degenerative disc disease can cause lasting, debilitating back pain. The pain may become so severe that you find it difficult to carry out your normal daily activities. It can interfere with your mobility and your overall quality of life.

How can I prevent degenerative disc disease from getting worse?

Preventing Degenerative Disc DiseaseStop smoking, or better yet, don't start — smoking increases the rate of desiccation.Be active – regular exercise to increase the strength and flexibility of muscles that surround and support the spine.More items...

Can you live a normal life with DDD?

Can you live a normal life with degenerative disc disease? The answer is yes, even it forces you to be out of work for an extended amount of time. Do not give up. There are many methods of pain relief that you can do at home that can help you live a normal life.

Is DDD serious?

Stage 4 is considered severe DDD because it is challenging or impossible to reverse in many cases. It may still be possible to treat the condition and improve your quality of life though. Typically, treatment will involve some physical activity and exercises to reduce pain levels.

Can DDD cause paralysis?

As the vessel narrows, the disc material obstructs it, depriving a certain segment of the spinal cord of its blood supply. Without proper blood supply, that segment of the spinal cord dies, resulting in paralysis. Surgery will not help these dogs because there is no pressure on the spinal cord.

What foods should you avoid with degenerative disc disease?

Agents of InflammationSugars (and processed sugars). ... Vegetable oil (and other processed oils). ... Potato chips. ... Fried foods. ... Refined flours. ... Artificial sweeteners. ... Saturated fats. ... Processed meats (i.e. bacon, bologna, hot dogs) and animal proteins.

Is bed rest good for degenerative disc disease?

It's important to note that bed rest is not a long-term treatment for degenerative disc disease. Bed rest should be limited to 1 – 3 days to prevent your muscles from weakening, which may cause your discomfort to become more intense.

Is gabapentin good for DDD?

Anti-seizure medications, such as gabapentin (Neurontin), are sometimes prescribed to help control chronic low back pain. They may be especially useful for nerve pain, such as sciatica or peripheral neuropathy, caused by the degenerated disc.

What is the best treatment for degenerative disc disease?

Typical pain medications used to treat the low back pain include acetaminophen, NSAIDs, oral steroids, narcotic drugs, and muscle relaxants. Each type of medication has strengths, limitations, and risks, and the patient's particular low back problem ...

How to help lower back pain from degenerative disc disease?

For those people, the main goals for managing lower back pain caused by degenerative disc disease are usually: Achieving enough pain relief to be able to engage in lower back pain exercises and a rehabilitation program. Preventing the application of excess stress on the disc through proper ergonomics and posture.

How to heal disc disease?

For the vast majority of patients, the only way to achieve long-term healing is active exercise, which usually includes a combination of strengthening, stretching and low-impact aerobic exercise. Quitting smoking.

How does massage help with lower back pain?

Therapeutic low back massage is thought to provide low back pain relief by improving blood flow, reducing muscle stiffness, increasing range of motion, and raising endorphin levels in the body. See Massage Therapy for Lower Back Pain.

How does an epidural help with back pain?

An epidural injection into the spine delivers steroids that can provide low back pain relief by decreasing inflammation in the painful area. TENS units. These devices deliver mild electrical stimulation that overrides the painful signals sent to the lower back.

What is the best treatment for low back pain?

In addition, heat and/or ice therapy, acupuncture, behavioral therapy, and other therapies often provide enough low back pain relief to allow the patient to progress with his or her exercise and rehabilitation program. advertisement.

Is degenerative disc disease passive or active?

The treatments for degenerative disc disease are either passive (done to the patient) or active (done by the patient). Usually, a combination of treatments is used to help control the symptoms. Passive treatments are rarely effective on their own—some active component, such as exercise, is almost always required.

How to treat back pain from DDD?

Exercise is essential to your overall health, but especially if you have back pain associated with DDD. You may be tempted to lay down from pain. Decreased mobility or immobility may increase your risk for: 1 worsening pain 2 decreased muscle tone 3 reduced flexibility in the back 4 blood clots in the legs 5 depression

How to help a DDD?

Exercise for DDD. Exercise can help complement other DDD treatments by strengthening the muscles that surround the damaged discs. It can also increase blood flow to help improve painful swelling, while also increasing nutrients and oxygen to the affected area. Stretching is the first form of exercise that can help DDD.

Why do my discs hurt?

Over time, discs naturally tend to dry out and lose their support and function. This can lead to pain and other symptoms of DDD. DDD can start developing in your 30s or 40s, and then progressively worsen. This condition can also be caused by injury and overuse, which may result from sports or repetitive activities.

What are the risk factors for DDD?

Risk factors. Age is one of the greatest risk factors for DDD. The discs in between the vertebrae naturally shrink down and lose their cushiony support as you get older. Almost every adult over 60 years of age has some form of disc degeneration. Not all cases cause pain.

How do you know if you have DDD?

Symptoms. Some of the most common symptoms of DDD include pain that: primarily affects the lower back. might extend to legs and buttocks. extends from neck to arms. worsens after twisting or bending. can be worse from sitting. comes and goes in as little as a few days and up to several months.

What is the term for a condition where one or more discs in the back lose their strength?

Degenerative disc disease (DDD) is a condition where one or more discs in the back lose their strength. Degenerative disc disease, despite the name, isn’t technically a disease. It’s a progressive condition that happens over time from wear and tear, or injury.

How long does it take for a DDD to go away?

comes and goes in as little as a few days and up to several months. People with DDD might experience less pain after walking and exercise. DDD can also cause weakened leg muscles, as well as numbness in your arms or legs.

Overview

Degenerative disk disease is when your spinal disks wear down. Spinal disks are rubbery cushions between your vertebrae (bones in your spinal column). They act as shock absorbers and help you move, bend and twist comfortably. Everyone’s spinal disks degenerate over time and is a normal part of aging.

Symptoms and Causes

The most common symptoms of degenerative disk disease are neck pain and back pain. You may experience pain that:

Diagnosis and Tests

To diagnose degenerative disk disease, your healthcare provider may start by asking you about your symptoms. Questions may include:

Management and Treatment

Usually, your healthcare provider will recommend noninvasive treatment options first. Your treatment may include:

Prevention

You can prevent or slow the progression of spinal degeneration through lifestyle changes. Some of these include:

What is the best way to strengthen the spine?

Strengthening exercises that build lower back and abdominal muscles to maintain healthy postures and better support the spine. Strengthening exercise programs might include a customized physical therapy program, dynamic lumbar stabilization, tai chi, Pilates, or others.

What is the best treatment for sciatica?

Physical Therapy and Activity Modification. Physical therapy is often suggested or prescribed to help maintain healthy mobility in the spine. A thorough low back exercise program should include a combination of: Exercises for Sciatica from Degenerative Disc Disease Video.

How to help lower back pain?

Exercise and Physical Therapy 1 Stretching exercises for muscles in the low back, hips, and pelvis, as well as the hamstring muscles. Tightness in these muscles places more pressure on the lumbar spine and contributes to low back pain. 2 Strengthening exercises that build lower back and abdominal muscles to maintain healthy postures and better support the spine. Strengthening exercise programs might include a customized physical therapy program, dynamic lumbar stabilization, tai chi, Pilates, or others. 3 Low-impact aerobic exercise that elevates the heart rate to improve circulation and deliver nutrients and oxygen necessary for healing the body’s tissues. Examples of aerobics that are gentle on the spine include walking, swimming and water aerobics, stationary biking, and running on an elliptical.

What is the best pain reliever for nerve pain?

Aspirin (Bayer), ibuprofen (Advil), or naproxen (Aleve) are common pain medications that can relieve inflammation that contributes to discomfort, stiffness, and nerve root irritation. Acetaminophen (Tylenol) is a pain reliever that interferes with pain signals sent to the brain.

What are some exercises to help lower back pain?

Tightness in these muscles places more pressure on the lumbar spine and contributes to low back pain. Strengthening exercises that build lower back and abdominal muscles to maintain healthy postures ...

How to prevent back pain from flaring up?

For example, wearing a back brace while lifting, or avoiding twisting while lifting, can prevent pain from flaring up due to overuse.

How to reduce pain in lower back?

Applying heat to the low back improves circulation, which reduces muscle spasms and tension and improves mobility. Ice packs can reduce inflammation and numb mild pain. It can be helpful to apply heat before physical activities to relax the muscles, and to apply ice after activity to minimize inflammation.

What is the best treatment for degenerative disk disease?

Treatment may include: Medication. Over-the-counter pain relievers like aspirin and ibuprofen can help fight inflammation. They can ease your pain and lessen swelling. Your doctor may prescribe a stronger drug for pain if you need it. Degenerative disk disease may also lead to muscle spasms.

How to help a degenerative disc?

Degenerative disk disease may also lead to muscle spasms. Your doctor may suggest medicine to help relieve them. Physical therapy. Specific movements make the muscles in your neck and back stronger and more flexible. This supports the spine. In most cases, physical therapy and pain medication are enough for long-term relief. Steroid shots.

What is degenerative disk disease?

Degenerative disk disease is when normal changes that take place in the disks of your spine cause pain. Spinal disks are like shock absorbers between the vertebrae, or bones, of your spine. They help your back stay flexible, so you can bend and twist. As you get older, they can show signs of wear and tear. They begin to break down and may not work ...

What are the disks in the spine made of?

Your spinal disks are made up of a soft inner core and a tough outer wall. The disks change in ways that may cause degenerative disk disease, such as: Dry out. When you're born, the disks in your spine are mostly made up of water. As you age, they lose water and get thinner. Flatter disks can't absorb shocks as well.

How long does it take for a weak disk to go away?

Common signs include pain that: Comes and goes. It can be nagging or severe, and can last from a few days to a few months. In some cases, degenerative disk disease can lead to numbness and tingling in your arms and legs.

What is the procedure to remove a disc from the back?

If other treatments don't work, your doctor may recommend surgery. One procedure, called a discectomy, removes the injured part of the disk.

Can a doctor fuse bones in your spine?

In some cases, your doctor might remove the whole disk and put an artificial one in. If you have a severe problem, your doctor might fuse (permanently connect) the bones in your spine after they remove the disk. Share on Facebook Share on Twitter Share on Pinterest Email Print.

What is the best medicine for disc pain?

Non-steroid anti-inflammatory drugs like ibuprofen. Corticosteroid injection into the disc space. Prescription pain medication. Other alternative therapies like over-the-counter herbal pain creams that contain cayenne, peppermint, wintergreen, or eucalyptus may be useful for relieving pain.

What tests are needed to diagnose degenerative disc disease?

You may need some imaging tests like x-rays, magnetic resonance imaging ( MRI ), or computed tomography (CT) scan to see your spine and discs.

What causes pain in the spine?

Degenerative Disc Disease and Sciatica. Degenerative disc disease makes the disc more susceptible to herniation (rupture) which can lead to localized or radiating pain. The pain from degenerative disc or joint disease of the spine is usually treated conservatively with intermittent heat, rest, rehabilitative exercises and medications ...

What are the symptoms of degenerative disc disease?

Degenerative disc disease symptoms include: Pain in the lower back, buttocks, neck, or thighs. Pain when sitting that gets worse with time. Pain that comes and goes. Numbness or tingling in extremities.

Why do discs hurt?

These discs act as shock absorbers to keep your spine flexible. With age, and sometimes with injury, these discs wear down and the bones begin to rub on each other and cause pain. Discs are made of about 80% water but, compared to other tissues in the body, the discs have very low blood supply.

What is the outer layer of the disc?

A tough, outer layer that contains nerves. A soft, inner layer that contains proteins. Discs are made of about 80% water but, compared to other tissues in the body, the discs have very low blood supply. If they are injured, they may not be able to repair themselves, which can lead to permanent damage.

What is the best way to relieve low back pain?

One of the best low back pain treatments is exercise. Learn more about low back pain exercises--what works, and what doesn't. Discover severe low back pain relief through various gentle workouts designed to protect and strengthen the lumbar, core, and other related muscle groups.

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Degenerative Disc Disease Treatment Goals

Example Progression of Treatment Regimens For Lumbar Degenerative Disc Disease

Active and Passive Treatment Options

Team Approach to Pain Management

Medically reviewed by
Dr. Shreenidhi Kulkarni
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes exercise, medication, physical therapy, pain-relieving medication, and surgery.
Medication

Analgesics: Used to manage pain.

Ibuprofen . Acetaminophen

Procedures

Artificial disc replacement: Procedure which involves replacement of a broken disc with a metal/plastic one.

Spinal fusion: Connecting the affected vertebrae together in order to strengthen the spine.

Decompression: Herniated disc compressing the spinal cord is removed to relieve the compression.

Therapy

Physical therapy:Exercises such as stretching are done to strengthen the muscles surrounding damaged discs and also to improve blood flow and stabilization of the region.

Self-care

Always talk to your provider before starting anything.

  • Heat or cold therapy- cold packs reduce pain while heat packs reduce inflammation

Nutrition

Foods to eat:

  • Calcium rich foods such as milk, vegetables, and nuts
  • Antioxidants such as oranges
  • Omega 3 fatty acids rich foods such as salmon, fish
  • Sulphur rich foods such as onions, garlic, and cabbage
  • Fiber rich foods such as whole grains, nuts, vegetables

Foods to avoid:

  • Processed foods high in nitrites such as processed meat
  • High sugar, saturated fats, trans fat foods
  • Foods containing corn syrup

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Neurosurgeon
Specializes in surgery on the nervous system, especially the brain and spinal cord.
Orthopedic surgeon
Specializes in the surgery of bone and joint disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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