(soft rock music) – Degenerative disc disease
is almost universal. It’s essentially, what I like to call, wear and tear on the spine. The discs within the spine are.. how I describe it, like a jelly donut. There’s a jelly in the
center and hard caritlage rings around the outside. These are the discs in between the bones. These are the cushions,
the shock absorbers. This is where the
deterioration first occurs. Where we have drying of the discs, narrowing of the spaces. As the discs become more narrow, the nerve holes, where these nerves exit, become narrow. And the central canal, which
is where the spinal cord and spinal nerves are, that
becomes narrow as well. The symptoms of degenerative disc disease, or DDD as we call it, can span just about any
other cause of back pain. You can have pure back pain in
the center of the lower back, which is typical of pain in
the disc, in and of itself, You can have pain radiating
out along the belt-line, which is typical of muscular pain or joint-related pain, those
structures will become painful as the wear and tear occurs. You’ll have joint pain in the
facet, or facet, or z-joints of the spine as the muscles try to splint and get tight to try
to stabilize the spine, you’ll get muscle pain, muscle spasms. You can also, with narrowing
of the spaces around the nerve, because of collapse of the
spine with the wear and tear, you can also have nerve pain. Which then radiates or can radiate down down the leg, even past the knee towards the foot or the ankle. You can also have positional discomforts. Things like, “It hurts me
more when I stand and walk,” versus, “It hurts me more when I sit,” “It hurts me more getting
up out of the chair “but once I’m up and
moving, it’s a bit better.” Essentially any pain that anyone
can have in the lower back could be related to
degenerative disc disease. So as part of my usual examination after watching the patient
walk into the room, and see how they walk, see how they move, see how they do things
like sit on the chair, stand from the chair,
get on and off the table, we do a basic neurologic
examination to make sure that the nerves are working properly. And that’s things like strength,
sensation, and reflexes. The most important point,
or part of the examination, is actually the history taking. That’s when the doctor should just listen and hear the story and I believe that if you allow the
patient to tell their story the majority of patients will
actually tell you what’s wrong and you can get that information
through their history as to whether or not you
think it may be more of a disc pain, or a nerve
pain, or a joint pain. We then test motion of the spine in forward bending and bending backwards and side bending and that
can give us an indication as to whether or not it’s
more likely a disc pain or a joint paint, or a muscle pain. And then once we get in to
things like physical therapy, we start to test people
more in the realm of strength and functional ability. Imaging studies are both
crucial and not important all in the same time. One of the biggest problems
that people come to me and my partners with
is that they’re labeled because of an imaging study. If you take the population
over forty, fifty years old off the street, and put
everyone through an MRI you’re going to find
degenerative disc disease on nearly everyone but
that certainly doesn’t mean that it has to hurt, doesn’t
mean that it doesn’t. So the imaging study really should be used as a secondary means to take a look at what you are thinking is going on. Treatment options certainly very and cover the entire
spectrum of lower back care. The reason is is because, again, the main question is what
is the pain generator, what’s the source of the pain. That DDD label is not a pain source. If someone’s suffering from
disc pain or joint pain or muscle pain, and those
treatments may vary. Typically we use some ice, some anti-inflammatory medications, some pain relievers, some muscle relaxers and those are designed
to treat the symptoms. And then we’ll begin things
like physical therapy or chiropractic care. Physical therapy is a great
way to gain flexibility, it’s a great way to
provide better posture, make sure the pelvis is working properly, it’s tipped properly,
everything is angled properly. Range of motion is very
important to make sure you’re not restricting
the limbs or the pelvis or the spine in terms of its motion. And then strengthen those areas in the proper position to more
properly stabilize the spine. Chiropractic can be very helpful in manipulating the spine,
in repositioning the bones, in loosening the
restrictions of the joints in the back of the spine,
to gain better mobility as well as a great deal of muscular work that the chiropractors
can perform to loosen the muscular restrictions
in that area as well. Then based on imaging studies and possibly electrical testing, we
can move into the realm of interventional treatment,
or injection treatments, which can be epidural steroid injections which are anti-inflammatory injections performed over a painful
nerve or and inflamed nerve. We can also do several
different procedures including both steroid injections into
the joints of the spine, as well as nerve blocks to the nerves that supply the painful
sensations of the joint to rid someone of the joint
pain of degenerative disc or degenerative spine disorder. (soft rock music)

24 thoughts on “Low Back Pain Part 6: Degenerative Disc Disease (DDD)”

  1. @VitalityMassage continued… exposing the overinvasive, overpriced, greedy, uneducated in regards to natural healing, idiot medical so called professionals that have put this woman through so much pain and hardship. In YOUR video you too did not mention massage. Chiropractors do very little soft tissue work. They too are quick fix, greedy idiots that don't understand the true nature of healing… TEACHING THE PATIENT HOW TO TAKE CARE OF THEMSELVES first and foremost!!!!!!!!!!!

  2. this is really dumb i am suffering from back issue for 3 years now..American treatment suck.It is all talk no real solution.These people are not telling the truth.There is no cure for this.

  3. Thank you for a great informative video. You've helped me understand more about ddd, than the Dr. who diagnosed me.

  4. im only 25 and have what the radialogist labeled as degenerative disc bulge on 3 discs in my cervical spine(neck). is this normal at such a young age?

  5. You didn't even mention that massage therapy can be very helpful. I feel if you make a video like this you should explain all the benefits of helping someone not just focusing on aspects that will boost your career. This is offensive towards me who is an LMT. Hooh Rah

  6. I have done massage, acupunture, chiropractic adjustments, anti-inflammatories, physical therapy, and do walking and stretching excercises along with core strengthening…5 years now and still have my pains…what else is left?

  7. Great information but I wish that the physio therapists/osteos/quiros and even personal pro-trainers would talk as clear about DDD and all the issues around it and its treatment in deep for a natural cure avoiding the final surgical solution 😁

  8. my brother has degenerative disk desease and he is home thin plus he has had surgery and he still has back pain surgery and shots do not work.

  9. Been dealing with ddd since i was 25…42 now and it is now to tbe point where i have waist and groin pain intense with back pain and ass cheek pain when walking…its embarassing oh yeah dont know if its related but past 8 months my knees like to give out while walking..not ocassio ally either…but really concerning i have a family it worries me.

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  11. I definitively love this back pain guideline, search Google "Kenzαnο αyb". Overall, I say this can help keep my knees, hips and also back all aligned correctly. As I wake up in the morning, I really don`t feel pain any longer. The issue of my knees has tremendously improved since I started making use of this..
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  12. This video make me feel old… I was diagnosed with DDD at 18y/o. OH and may I know is cracking sound when I twist or bent my back normal??????

  13. I want to share my experience. I was suffering from Backache which is commonaly known as back pain. I used various medicines but got no relief. One day I just scroll my Tubetube and find a video of a girl, she mentioned Ayurvedic medicines of “Planet Ayurveda”. It includes Joint aid plus and many more. Then I also used these medicines and now I have no more backache.Thank you Planet Ayurveda. If you also have back pain problem use these medicines of Planet Ayurveda.

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