The MRI demonstrates L4-L5 degenerative disc disease confirmed by discography and the flexion-extension X-rays demonstrate a minimal retrolisthesis of L4 on L5 in extension. This patient has had symptoms for 6 months. Prior to offering any surgical treatment, I would recommend maximal conservative management with truncal strengthening, physical therapy and aqua therapy.
Degenerative Disc Disease What is degenerative disc disease? Degenerative disc disease is one of the most common diagnoses for people with back pain. The diagnosis is often alarming to patients.
It sounds like they have a disease that is deteriorating the discs in their spine. These reactions to the diagnosis are common. Degenerative disc disease is a catchall phrase for a number of structural changes of the spine, such as lossof disc height, disc bulges, and impingement of nerves in the spine, among other changes.
Certain healthcare providers and their patients typically presume that such changes of the spine are the cause of back pain. As such, it is one of the most commonly used diagnoses to explain back pain.
Degenerative disc disease is also one of the most common reasons for undergoing spine surgeries1 and interventional procedures. There is by no means agreement that it is understood accurately across all healthcare providers.
There is also no agreement that it should be diagnosed as often as it is. Common misunderstandings of degenerative disc disease Degenerative disc disease is commonly misunderstood. Given its name, patients with a diagnosis of degenerative disc disease often believe that they have a condition that is deteriorating their spine and which is inevitably going to get worse.
Despite what its name implies, however, it is neither a disease nor a condition that inevitably worsens. It is not considered a disease because degenerative changes of the spine are normal and common in the general population.
By mid-adulthood, most people will have degenerative changes of the spine. Most degenerative changes are not painful. These facts are consistent findings in research.
More than a third of women aged 18 to 40 had at least one degenerative disc. The percentage was higher for those older than 40 years of age. They found that almost half of the young men and women had at least one degenerative disc.
The results of these studies show that degenerative disc disease is common and it is commonly not painful. Indeed, most of the time, degenerative changes of the spine are not painful. Degenerative disc disease is therefore no longer considered a disease.Spinal Case Studies Here spine specialists present many cases that are challenging and compelling.
Each case provides a patient's history, exam and imaging, treatment, outcome and peer discussion. standard diagnostic study is a bone aspiration of the lesion revealing the organism. (u) B. Septic arthritis can present similarly to acute osteomyelitis, however the affected area is limited to the joint and.
The issue of the Journal of the American Academy of Audiology did a case study on a patient with tinnitus, focusing on normal neck mobility, mobilization of the joints and tissue massage. After 10 sessions, there was a complete reversal of the symptoms. Case Study: Denise H.
Condition: Rheumatoid Arthritis Denise has suffered for three years with rheumatoid arthritis, preventing her from doing normal, daily activities.
Her doctor treated her with the Willow Curve, and she started seeing positive results, with reduced pain and swelling, after the .
Blozik, E. Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practice. BMC Musculoskelet Disord.
Jan. Peng, B. The effectiveness of anterior cervical decompression and fusion for the relief of dizziness in patients with cervical spondylosis: a multicentre prospective cohort study. Bone Joint J. Jan Diet, nutrition and the prevention of osteoporosis A Prentice* MRC Human Nutrition Research, Elsie Widdowson Laboratory, Cambridge, UK Abstract Objective: To review the evidence on diet and nutrition relating to osteoporosis and.