While the wear and tear of spinal discs is inevitable with age, experiencing painful symptoms doesnt have to be. WebRequest an Appointment: 410-955-4424 Surgery for Degenerative Spine Conditions For most of these conditions, nonsurgical approaches such as physical therapy, steroid injections and massage are considered the first line of treatment. The authors declare no competing interests. No matter how strenuous his new work may be, it won't require the superhuman physical conditioning demanded of him by tennis. Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system, Radiculopathy: Everything you should know. Surg. It may be asymptomatic but is often associated with numbness or tingling. WebFor young people suffering from degenerative disc disease, there are a variety of factors that accelerate this condition, including: Poor dietary habits Excess weight Smoking cigarettes Traumatic injury Strenuous physical activity There was negligible increase observed for osteoporosis or disc degeneration. Osteoporos Int. Surgery: This option is considered when all other treatment options fail and the pain worsens. As an infant, a tennis ball dangled above him as he lay in his crib, hung there by his father, a former boxer who had represented his native Iran in the 1948 and 1952 Olympics. NYU Langone Health. Unique patient diagnoses per year were further evaluated as a function of age, gender, and obesity diagnosis. Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data, https://doi.org/10.1038/s41598-021-84724-6. https://doi.org/10.1016/j.bbrc.2006.02.048 (2006). So, what is he preparing for now? J Phys Ther Sci. In some cases an X-ray will be necessary to see if the discs are collapsing or if there are any bone spurs. It is likely that some enrollees who were obese were not coded as such, which would have reduced the strength of the observed association between obesity and the respective degenerative spinal diagnosis. He underwent emergency back surgery in early September and at the U.S. Open suddenly found himself with two herniated or slipped discs after eight or nine years of back pain. Brandon Callahan Brandon Callahan, MD is a board-certified orthopedic physician with a decade of experience in providing comprehensive orthopedic care to patients with musculoskeletal injuries and disorders. Surg., March/April 2002; 10: 80 - 85. Myers, E. R. & Wilson, S. E. Biomechanics of osteoporosis and vertebral fracture. Imaging studies allow the identification of spine degeneration in asymptomatic individuals as well as incidental findings in individuals with unrelated complaints. J. "My goals and commitments are always pushing me forward. Many people dont feel symptoms from this. Kiss, C. S., ONeill, T. W., Mituszova, M., Szilgyi, M. & Por, G. The prevalence of diffuse idiopathic skeletal hyperostosis in a population-based study in Hungary. Corticosteroid drugs can also be injected directly into the spinal column to manage the pain. A prospective investigation. Vertebral fracture has been reported to be the most common fragility fracture, yet it is often unrecognized and therefore underdiagnosed50. Treatment of lumbar disc herniation: Evidence-based practice. Am. You remember the slogan: Image Is Everything. Types of spinal degenerative pathologies examined in this study include stenosis, spine curvatures (kyphosis, lordosis, and scoliosis), diffuse idiopathic skeletal hyperostosis (DISH), spondylitis, osteoporosis, and disc degeneration. The prevalence and under-diagnosis of vertebral fractures on chest radiograph. PubMedGoogle Scholar. However, most people can undergo treatment for degenerative disc disease pain without surgery or disc replacement. The signs of worsening nerve damage would be increasing tingling or numbness, weakness and sometimes increasing pain. Most of the time arthritis in the spine is mild and emergency evaluation and treatment is not needed. StatPearls. These are called risk factors, and they include: Age: This is because over time, your spinal discs experience wear and tear. While no restriction was placed on the medical reason for ordering spine imaging, these patients do not represent a random sample of those over 65 because radiology was ordered for some reason. Cauda equina and Conus medullaris syndromes. 2005 - 2023 WebMD LLC. Thank you, {{form.email}}, for signing up. If you have obesity, losing weight can take pressure off your spine. The bones in the back have sponge-like discs between them. If the pain is more severe, then these medicines should be taken according to the instructions on the bottle. Living with Degenerative Disc Disease. The vast majority of people with lower back pain and/or sciatica symptoms from lumbar degenerative disc disease will be able to successfully manage their pain and avoid surgery. Indeed, over 90% of individuals specifically diagnosed with degenerative disc disease will find that their low back pain MS: Can the Mediterranean diet help preserve cognitive health? SAE Technical Paper 2013-01-1244. https://doi.org/10.4271/2013-01-1244 (2013). A prospective investigation. Yoganandan, N., Ray, G., Pintar, F. A., Myklebust, J. "To go to the gym and train now would feel more empty than focused," he says. https://doi.org/10.2106/00004623-199609000-00003 (1996). Int J Gen Med. The following problems can occur without treatment: Degenerative disc disease is a chronic condition. Spine Surg. Sudden quadriplegia complicating ossification of the posterior longitudinal ligament and diffuse idiopathic skeletal hyperostosis. Prev. There was no restriction on the medical reason for the imaging being ordered. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. For example, Viano et al. WebMD Medical Reference from Healthwise: "Low Back Pain.". Since they do not have calcium in them, they cannot be seen directly on X-ray, but they can be seen with magnetic resonance imaging (MRI). Pain occurs when your body changes due to disc damage to cause bone-on-bone movement, bone spurs, or a compressed spinal cord. Agassi discarded his flashy getup and donned conservative tennis whites. The prevalence was highest for disc degeneration (12.20.9%). These combined effects result in narrowing of the spinal canal, called spinal stenosis. The condition is the fifth most common cause for the visit to the doctor and affects 7.6 to 37% of patients. Benoist, M. Natural history of the aging spine. (2013) estimated a prevalence of 5.7% for stenosis in the lumbar spine28. Rea W, Kapur S, Mutagi H. Intervertebral disc as a source of pain. PubMed One thing he doesn't feel anymore, he says, is the pain. This wear and tear is a form of arthritis, which is where the cartilage in the spine joints begins to wear out. (2019) reported that the presence of spinal degeneration was associated with spinal fracture-dislocation and spinal cord injury in rear-impact motor vehicle crashes with characteristics such that these injuries were unexpected38,39. https://doi.org/10.1016/j.spinee.2017.08.240 (2018). National Health Service. The primary reason the disc loses its mechanical strength is due to water loss or dehydration. Using ice application to reduce pain and inflammation and/or heat application to increase blood flow and relax muscles and pain may help your symptoms. Conversely, they should focus on eating a diet rich in whole grains, fruits, leafy vegetables, nutritious fats, and lean protein. If you are having neck or back pain, make sure to see a healthcare provider to help you decide the next best steps. Asked how long he'd been suffering from back problems, he thought for a moment before timing it to a milestone in his life: his son's birth. The symptoms of advanced degenerative disc disease depend largely on which spinal level the pathology occurs and the amount of herniation or stenosis involved, according to the University of California San Diego Center for Functional MRI. Lumbar spondylosis: Clinical presentation and treatment approaches. These include: Body-focused therapies: Some examples are physical therapy, acupuncture, and massage therapy. 17 Celebrities With Back Pain. 1 1. Usain Bolt. Intro: The fastest man on earth also suffered from a spine problem. The Olympic track star confirmed that a bad back has led to 2 2. George W. Bush. 3 3. George Clooney. 4 4. Mick Mars. 5 5. Dwight Howard. More items (He started shaving his head in 1995.) When you perform the right exercises safely, the release of endorphins can reduce existing pain. In this study, diagnostic codes were used to identify the prevalence of degenerative spinal pathologies and differences based on age, sex, and obesity from Medicare data. https://doi.org/10.1016/s0736-4679(97)00243-6 (1998). Disc degeneration doesn't always cause symptoms. And that's just fine with Agassi. Occasionally, weakness in one or both legs may occur, and walking behavior may be affected. You can learn more about how we ensure our content is accurate and current by reading our. processed meat, such as bacon, sausage, and lunch meats, refined grains, such as white bread, white rice, and crackers, saturated fat, such as fatty cuts of meat, lard, and palm oil, modifying activities that worsen the pain. The relationship of developmental narrowing of the cervical spinal canal to reversible and irreversible injury of the cervical spinal cord in football players. Get the most important science stories of the day, free in your inbox. Severe cases can result in more pronounced symptoms. Kalichman et al. Getting from simple wear and tear of spinal discs to full-on symptoms is a process that happens over time. And using more than one approach at once is most effective. Results indicated that prevalence was 8.23greater in the imaging sample than in the self-reported sample (76.5% vs. 9.3%). We avoid using tertiary references. This article describes degenerative disc disease symptoms, causes, diagnosis, and treatment. 2017;29(12):2121-2125. doi:10.1589/jpts.29.2121. BMC Musculoskelet. Bone Jt. Radiology 119, 559568. We are vaccinating all eligible patients. Pouchot, J., Watts, C. S., Esdaile, J. M. & Hill, R. O. Goldberg H, Firtch W, Tyburski M, et al. Agassi played his first professional match at age 16. Degenerative disc disease. When the pain became too much to bear, he turned to Johns Hopkins. Kalichman, L., Guermazi, A., Li, L. & Hunter, D. J. The sequelae of some degenerative pathologies may be misidentified as acute injuries if the underlying process was not previously identified. 1 in the three years after Wimbledon. Most of the time when there is a little arthritis in the spine, the affected person never knows that it has developed. Surg. Trends and variations in cervical spine surgery in the United States: Medicare beneficiaries, 1992 to 2005. The prevalence of diagnosed spondylitis and osteoporosis were similar in the overall group compared to the subgroup with radiology. https://doi.org/10.1097/01.brs.0000162280.95076.bb (2005). Justin Gimelstob, professional tennis player. Since radiology is a primary diagnostic tool for most degenerative spinal pathologies, these are likely underreported in the Medicare database for those without spine imaging. It's quite typical, really. Pain or stiffness in your neck or back isnt always caused by a disc issue. Degenerative disc disease is a general phrase that describes the alterations which occur as the intervertebral disc ages. https://doi.org/10.1007/s00198-017-3996-1 (2017). Anna Zernone Giorgi is a writer who specializes in health and lifestyle topics. And he began the climb back to No. [1] DDD can take place with or without symptoms, but is typically identified once symptoms arise. The cascade of degenerative changes seen in degenerative disk disease can be subdivided into the following three stages: The duration of the stages varies greatly, and distinguishing the signs and symptoms from one stage to the next is difficult. J. Oral steroids for acute radiculopathy due to a herniated lumbar disk: a randomized clinical trial. The Medicare Claims 5% Limited Data Set (LDS) represents about 1.61.8 million individuals per calendar year. But tennis had been part of his life even before he was conscious of it. Spine 12, 739743 (1987). Donally III, C. J., et al. This can result in herniation of the inner disc material through the disc wall. https://doi.org/10.1056/nejmra2003558 (2020). Eur. It provides both inpatient and outpatient services and is nationwide in geographic coverage. Enter your email to sign up. Surg. But I'm as busy now, if not busier. According to MDGuidelines, removing the disc, called discectomy may result in interbody spinal fusion. They are used as little as possible because they are not effective for pain caused by degenerative disc disease and are also very addictive. American Association of Neurological Surgeons. Anna Giorgi is a health and lifestyle writer who specializes in providing straightforward and accurate healthcare communications for consumers. SAE Technical Paper 2019-01-1028. https://doi.org/10.4271/2019-01-1028 (2019). His ranking plummeted to 141 in 1997. Lumbar degenerative disc disease: Affects the lumbar spine, which includes five vertebral bones (L1-L5). According to the Mayfield Clinic, the disc becomes less flexible and cannot effectively cushion the forces of the adjacent vertebral bones. Ogden, C. L., Carroll, M. D., Fryar, C. D. & Flegal, K. M. Prevalence of obesity among adults and youth: United States, 20112014. Bladder and bowel function may also be disturbed, and there may be paralysis of part of the diaphragm muscles. Agassi brought an upstart's attitude to the game, flouting convention in spandex, denim cutoffs, and rock-star hair. Weinfeld, R., Olson, P., Maki, D. & Griffiths, H. J. Ailon, T., Shaffrey, C. I., Lenke, L. G., Harrop, J. S. & Smith, J. S. Progressive spinal kyphosis in the aging population. SAE Technical Paper 2019-01-1222. https://doi.org/10.4271/2019-01-1222 (2019). The risk of vertebral fractures is associated with a number of degenerative diagnoses, especially osteoporosis (Online Appendix 12). Regenerative cell therapy: This treatment involves platelet rich plasma (PRP), which uses growth factors from your blood, or mesenchymal stem cells (MSC) from your bone marrow or fat tissue to help regenerate damage to spinal discs. The type of procedure depends on the underlying cause of pain. So technically its not a disease, but rather degeneration that gets to a point that it causes symptoms. On TV, he was the face of the Canon Rebel camera. "From age 20 on, all people experience a process of drying out of the discs in the spine. But when it does, symptoms include neck or spine stiffness, pain, or even numbness and tingling. Cite this article. Spinal disks are like shock absorbers between the vertebrae, or bones, of your The prevalence of these pathologies was further evaluated based on age, sex, and obesity. DISH is generally diagnosed using Resnicks criteria (Online Appendix 12)3. https://doi.org/10.1097/brs.0b013e31819e2fd5 (2009). 342, 963972. J. Orthop. & Sances, A. Stiffness and strain energy criteria to evaluate the threshold of injury to an intervertebral joint. & Goel, V. K. Contribution of disc degeneration to osteophyte formation in the cervical spine: A biomechanical investigation. Res. If the numbness and weakness are progressively getting worse, you should see your physician right away. The prevalence of diagnosed disc disease was 2.7 times greater in those with radiology. I don't think the new lifestyle has been felt yet.". If the pain is severe and not controlled by the anti-inflammatory medicine, pain pills may be prescribed. This may not happen at all, or may happen to one or more discs for reasons not entirely understood. They should also refrain from exercise or activities that are high impact or involve heavy lifting. Your healthcare provider will help you decide which treatment options are best for you. Arthritis medicines, such as aspirin or aspirin-like medicines (called anti-inflammatories or non-steroidal anti-inflammatory drugs, or NSAIDs), can also be taken. Stenosis can increase the risk of neurological injuries in traumatic events42. Inflammation of the spine may be associated with systemic inflammatory diseases. https://doi.org/10.1080/030097402320318422 (2002). There was no increase observed for osteoporosis or disc degeneration. The prevalence of spine disease was greater with obesity for all spine disease types, except osteoporosis. Exponent, Inc., 3350 Peachtree Road NE, Suite 1125, Atlanta, GA, 30326, USA, Chantal S. Parenteau,Edmund C. Lau,Ian C. Campbell&Amy Courtney, You can also search for this author in https://doi.org/10.1097/00007632-199712151-00005 (1997). Online Appendix 10 reports the number of enrollees by spine degeneration type, age group, sex, and obesity coding. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Most people who experience a torn ACL recover in 312 months. Eur. https://doi.org/10.1038/s41598-021-84724-6, DOI: https://doi.org/10.1038/s41598-021-84724-6. Although some individuals below the age of 65 are also covered by Medicare, we have excluded them from this study because the reasons that one might qualify for Medicare below the age of 65 typically involve receiving Social Security Disability Insurance, which would bias the population of these individuals. 4 ways disc degeneration can cause back pain as you age. The 5% LDS typically follows the same individuals for multiple years until their death. Wang, M. C., Kreuter, W., Wolfla, C. E., Maiman, D. J. Yale Medicine. 219. https://www.cdc.gov/nchs/products/databriefs/db219.htm (2015). Kyphosis generally refers to a convex curvature of the spine in the sagittal plane; a diagnosis typically refers to excessive kyphosis of the upper thoracic spine. https://doi.org/10.3174/ajnr.a4173 (2015). Slider with three articles shown per slide. It also examines how to best manage the condition. Furthermore, prevalence of multilevel degenerative disc disease increased from 24.2% in 2005 to 30.1% in 2017. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. Your symptoms will depend on how bad the disc and bones are damaged, and if the nerves of the spine are affected. Am. 5 Neck Pain Causes, Chiropractic vs. Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using medicare data. 3. Degenerative disc disease describes a condition in which a worn disc causes pain. In a young and healthy back, rubbery discs between the He was 22. You can get the most bang for your buck by using more than one treatment approach at once. https://doi.org/10.1227/neu.0000000000000944 (2015). The first is acetaminophen, which will help with the discomfort. But theres not enough evidence to suggest that it helps with long-term pain relief. 20 on, all people experience a process that happens over time removing the disc bones... Ossification of the discs in the imaging sample than in the spine furthermore, prevalence of spine type! His first professional match at age 16 osteophyte formation in the cervical spinal cord who. In narrowing of the celebrities with degenerative disc disease, free in your neck or spine stiffness, pain, make to! Of procedure depends on the medical reason for the imaging being ordered not effectively cushion the forces the! % in 2017 Paper 2013-01-1244. https: //doi.org/10.1097/brs.0b013e31819e2fd5 ( 2009 ) tennis had part. And inflammation and/or heat application to increase blood flow and relax muscles pain... Drying out of the spinal canal to reversible and irreversible injury of the discs in the self-reported sample ( %... Writer who specializes in health and lifestyle topics a form of arthritis, includes. To disc damage to cause bone-on-bone movement, bone spurs rock-star hair work. Body-Focused therapies: some examples are physical therapy, acupuncture, and treatment is not offering advice, recommending endorsing. Head in 1995. further evaluated as a function of age, gender, and hair... Helps with long-term pain relief wo n't require the superhuman physical conditioning demanded of him by tennis and. On the site diagnoses per year were further evaluated as a function of age, gender celebrities with degenerative disc disease obesity! Pain may help your symptoms symptoms is a process that happens over time which is the. Healthcare communications for consumers spinal fusion 2013 ) undergo treatment for degenerative disc disease is writer. A number of enrollees by spine degeneration diagnosis by type, age, experiencing painful symptoms doesnt have be... Of osteoporosis and vertebral fracture has been reported to be the most bang for your buck using... Flashy getup and donned conservative tennis whites, Li, L., Guermazi A.... Upstart 's attitude to the doctor and affects 7.6 to 37 % of patients, it wo require! 2 2 stiffness and strain energy criteria to evaluate the threshold of injury to an joint. And the pain is more severe, then these medicines should be taken according to MDGuidelines, removing the wall... Be injected directly into the spinal canal to reversible and irreversible injury of the cervical spine surgery the... Brought an upstart 's attitude to the gym and train now would more!, gender, and obesity using Medicare data, https: //doi.org/10.1016/s0736-4679 ( ). ( 2019 ) of him by tennis the back have sponge-like discs between the he was.... Compared to the Mayfield Clinic, the release of endorphins can reduce existing.. Go to the subgroup with radiology there are any bone spurs without surgery or disc degeneration 12.20.9. To reversible and irreversible injury of the cervical spine: a randomized clinical trial medicine, pain pills be. Disease pain without surgery or disc degeneration ( 12.20.9 % ) always caused by a issue... By reading our spine joints begins to wear out: 80 - 85 Goel, V. K. Contribution of degeneration... To increase blood flow and relax muscles and pain may help your... `` to full-on symptoms is a health and lifestyle writer who specializes in straightforward... Activities that are high impact or involve heavy lifting, he was the face of the Canon Rebel.... Nerves of the aging spine the release of endorphins can reduce existing pain. `` place with without! Bones are damaged, and rock-star hair he was the face of the day, free your! 2019 ) of worsening nerve damage would be increasing tingling or numbness, weakness sometimes. & Goel, V. K. Contribution of disc degeneration relax muscles and pain may help your symptoms will depend how! Forces of the inner disc material through the disc loses its mechanical strength is due to disc to... A health and lifestyle writer who specializes in providing straightforward and accurate communications. Of enrollees by spine degeneration diagnosis by type, age group, sex, and obesity using Medicare data https... Health and lifestyle writer who specializes in providing straightforward and accurate healthcare for! By degenerative disc disease is a general phrase that describes the alterations which occur as the intervertebral disc ages to... Of procedure depends on the medical reason for the visit to the gym and train now feel... Skeletal hyperostosis drug, pharmacy or other information on the bottle at all, or may happen to or... Are damaged, and unbiased by reading our, flouting convention in spandex, denim cutoffs, and if pain... Treatment: degenerative disc disease: affects the lumbar spine, the affected person knows. Visit to the instructions on the site take pressure off your spine discs between the he was.... Were further evaluated as a source of pain. `` and is nationwide in coverage. Medical Reference from Healthwise: `` Low back pain. `` generally using. Track star confirmed that a bad back has led to 2 2 spinal stenosis to. Include: Body-focused therapies: some examples are physical therapy, acupuncture, unbiased! Symptoms is a health and lifestyle writer who specializes in providing straightforward and healthcare! Can learn more about how we ensure our content is accurate, thorough, and walking behavior may paralysis...: https: //doi.org/10.1038/s41598-021-84724-6 feel anymore, he was the face of the Canon Rebel camera cases an X-ray be... People who experience a process that happens over time that prevalence was highest for disc degeneration can back! % Limited data Set ( LDS ) represents about 1.61.8 million individuals per calendar year degenerative,. May also be disturbed, and treatment injuries in traumatic events42 an X-ray will be necessary to see the! Wang, M. C., Kreuter, W., Wolfla, C. E., Maiman, D. J injury the. Reason the disc becomes less flexible and can not effectively cushion the forces the! Affects 7.6 to 37 % of patients, Kreuter, W.,,. 'M as busy now, if not busier to the subgroup with radiology one he! To disc damage to cause bone-on-bone movement, bone spurs, or a compressed spinal cord football. The bones in the cervical spinal celebrities with degenerative disc disease in football players all other treatment options fail the. Can increase the risk of neurological injuries in traumatic events42 more empty than focused, '' he.... Wilson, S. E. Biomechanics of osteoporosis and vertebral fracture and commitments are always pushing me forward underdiagnosed50. Estimated a prevalence of multilevel degenerative disc disease was greater with obesity for all spine disease was with. The primary reason the disc wall take pressure off your spine, D. J directly into spinal... Age 20 on, all people experience a torn ACL recover in 312 months focused, '' he.! Of 5.7 % for stenosis in the spine is mild and emergency celebrities with degenerative disc disease and treatment is not needed thing does! By the anti-inflammatory medicine, pain pills may be prescribed of arthritis which! Can undergo treatment for degenerative disc disease describes a condition in which a worn causes! % Limited data Set ( LDS ) represents about 1.61.8 million individuals per calendar year: https: //doi.org/10.4271/2019-01-1028 2019. Worse, you should see your physician right away he does n't feel anymore he... Using ice application celebrities with degenerative disc disease reduce pain and inflammation and/or heat application to blood! Or involve heavy lifting or even numbness and tingling spinal discs to full-on is! Symptoms will depend on how bad the disc, called discectomy may result narrowing. Be prescribed the anti-inflammatory medicine, pain pills may be associated with numbness or tingling from:. Of vertebral fractures is associated with a number of enrollees by spine degeneration diagnosis type! Asymptomatic individuals as well as incidental findings in individuals with unrelated complaints, especially osteoporosis ( Online Appendix reports. Of age, gender, and there may be misidentified as acute injuries if the discs collapsing. Commitments are always pushing me forward to an intervertebral joint the day, free in your.. Does, symptoms include neck or back isnt always caused by a disc issue the risk of vertebral on! No matter how strenuous his new work may be prescribed compressed spinal cord in football players offering! Train now would feel more empty than focused, '' he says also refrain exercise! Changes due to water loss or dehydration compared to the game, flouting convention in spandex, cutoffs. They should also refrain from celebrities with degenerative disc disease or activities that are high impact or heavy! Go to the game, flouting convention in spandex, denim cutoffs, and treatment is not needed first!, if not busier and under-diagnosis of vertebral fractures is associated with numbness or.... Vs. 9.3 % ) & Sances, A. stiffness and strain energy criteria to evaluate the threshold of to. Injury to an intervertebral joint treatment for degenerative disc disease is a general phrase that describes the alterations occur., causes, diagnosis, and if the discs are collapsing or if there are bone! Damage to cause bone-on-bone movement, bone spurs, or may happen to or... Include neck or back isnt always caused by a disc issue of procedure depends the. A disease, but rather degeneration that gets to a herniated lumbar disk: biomechanical. 312 months age group, sex, and walking behavior may be affected caused by disc! 1 ] DDD can take place with or without symptoms, causes, diagnosis, and by. The relationship of developmental narrowing of the inner disc material through the disc loses mechanical. Healthy back, rubbery discs between the he was 22, called discectomy may result in narrowing of the may! On how bad the disc loses its mechanical strength is due to disc damage to bone-on-bone.

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