woman walking her dog
DANIEL SOUTHERN, M.D.
REGENERATIVE ORTHOPEDICS & SPORTS MEDICINE

About Discogenic Back Pain

Discogenic back pain is pain that originates from one or more damaged vertebral discs and is most often due to degenerative disc disease or a herniated or “slipped disc” in the back region of your spine. Not all degenerated discs cause pain. Disc degeneration occurs naturally with age and is not necessarily a painful process. Discogenic pain usually begins with a disc injury that fails to heal properly over time. This results in a highly sensitive disc that causes pain when pressure is applied to it. This is ironic as healthy discs are designed to cushion large loads in the lumbar and cervical spine and normally handle great pressure applied to them without symptoms.

Symptoms of Discogenic Back Pain

Patients with discogenic back pain, as a rule, are intolerant of sitting. Symptoms of pressure, discomfort, and a dull, deep, aching pain in the midline of the body radiating into the tailbone prevent patients from sitting longer than 5-10 minutes. These symptoms are generally reduced when standing, with activity, and certainly with lying down. Pain is increased when coughing or sneezing and patients learn that they have to brace themselves when doing so to lessen the pain. Pain is worse in the am and is generally better later in the day when activity is greatest.

Causes of Discogenic Back Pain

While discogenic back pain is most often due to degenerative disc disease, any type of disc injury can result in a chronic, degenerative micro-environment inside a disc. This environment is sustained by pro-inflammatory chemicals leaking from the jelly-like nucleus of the disc into the portions of the disc that have a nerve supply that can transmit pain signals to the brain. These chemicals support enzymes that degrade disc cartilage and are toxic to cells in the disc known as chondrocytes that are responsible for keeping disc cartilage healthy. Injury to the disc results from any sudden loading of the disc especially when the supportive musculature is unprepared for such a load. This occurs with poor lifting habits, heavy contact sports including football, hockey, and rugby, accidents including car accidents, falls and with repetitive bending or lifting activities. Even lighter loads can injure a disc especially if combined with a twisting motion of the trunk. Being out of shape or fatigued can increase the risk of these injuries but even highly trained athletes may suffer disc injury if the load is great enough.

Non Surgical Treatment for Discogenic Back Pain

The main goals are to provide pain relief and improved mobility and range of motion. Typical non surgical treatment for discogenic pain includes exercise and changing activities to avoid prolonged sitting. Getting stronger in the middle, neck, and shoulders can provide support to painful discs and help by reducing the load placed on them. A dedicated stretching program can also help to reduce stress on painful discs. Chiropractic treatment, traction, and acupuncture can relieve symptoms for short periods of time. Oral anti-inflammatory and pain medications can help facilitate participation in painful activities but when used on a daily basis carry significant health risks.

To learn more and get help for discogenic back pain please Schedule an Appointment with Regenerative Orthopedic & Sports Medicine Specialist Daniel Southern, M.D. in Danbury or Wilton in Fairfield County Connecticut by calling 203-456-5717.

 203-456-5717

Surgical Treatment for Discogenic Back Pain

Patients who are simply unable to function because of the pain or who are frustrated with their activity limitations may consider spinal fusion surgery or artificial disc replacement. Spinal fusion surgery is designed to reduce the pain because it stops the motion at a painful motion segment. Unfortunately, this results in loss of motion at the fused segment which can result over time in breakdown of disc levels above and below the fusion level. This may require additional surgery to extend the fusion. Artificial disc replacement works to replace the disc, instead of fusing the disc space together, and maintain more of the normal motion in the spine, thereby reducing the chance that adjacent levels of the spine will break down due to increased stress. Recovery time and rehabilitation from surgical treatment of discogenic back pain can be lengthy and uncomfortable requiring careful pain management.

To learn more and get help for discogenic back pain please Schedule an Appointment with Regenerative Orthopedic & Sports Medicine Specialist Daniel Southern, M.D. in Danbury or Wilton in Fairfield County Connecticut by calling 203-456-5717.

 203-456-5717

Regenerative Orthopedic Medicine Treatment for Discogenic Back Pain

Regenerative Orthopedic treatment for discogenic back pain uses you body’s repair mechanisms to heal degenerated or damaged tissues. Sometimes, conservative non surgical or even surgical treatment does not help reduce or eliminate discogenic back pain, stiffness and loss of mobility to an acceptable level to allow a return to normal daily activities or perhaps the athletic and sports activities you wish to enjoy. Some people may not be good candidates for or are concerned about the length of the recovery and rehabilitation period of spine and disc surgery. If you wish to restore comfortable movement and functioning so that you can participate in the athletic or other daily activities you enjoy, it is worth considering non surgical Regenerative Orthopedic Medicine treatments. These are same-day procedures that can be done in as little as one hour resulting in minor post-procedure discomfort and virtually no down time. Using painless harvesting techniques, bone marrow stem cells and/or platelet rich plasma growth factors are injected into highly targeted areas of disc damage under ultrasound and fluoroscopic guidance. Patients can begin to feel improvement in as little as one week but maximal effects take 2-3 months and longer. Regenerative Orthopedic treatments offer the possibility of healing damaged and degenerated discs to help you to a comfortable, active and productive lifestyle by improving pain and disc function.

To learn more about stem cell treatment, platelet rich plasma (PRP) or alpha-2 macroglobulin and get help for Discogenic Back Pain please Schedule an Appointment with Regenerative Orthopedic & Sports Medicine Specialist Daniel Southern, M.D. in Danbury or Wilton in Fairfield County Connecticut by calling 203-456-5717.

 203-456-5717