Sunday, April 19, 2009

Lumber Degenerative Disk Disease




As humans age, our minds age as well as our body… Really?? Ok, so my point is when our bodies change the our weight distribution on our spine does too. So it only makes sense that many Americans, especially with our obesity percentages *don’t even get me started*, end up with lower back pain. This lower back pain can very easily develop, or stem from, lumbar degenerative disk disease, also known as LDDD. Did you know that the anterior portion of your lumbar spine bears over 90% of the weight we put on the spine? It’s pretty much the Hercules of our body. Therefore, the intevertebral discs act as primary cushions to provide relief and stability to this area.
This pathology has three main stages. The first stage shows small tears around the outer annulus which can be accompanied end plate separation which can then lead to blood supply interruption. These changes could be a result of harmful repetitive movements. The second phase is also known as the unstable phase. This phase is characteristic of loss of disc space height. Herniated disks fit in this category. The third phase is basically just a more intense version of the first two stages. There is further disk space narrowing , further endplate destruction. Which means the pain is greater in this phase as well.
Nearly 13 million of doctors’ visits a year are related to lower back pain. The cause of this pathology is unknown. Treatment that does not include surgical intervention include physical rehabilitation, relative rest, and education. Surgery includes fusions and disk arthroplasty.

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