Degenerative Disc Disease: Strategies for Reducing Pain
Degenerative disc disease refers to the symptoms of back or neck pain caused by wear-and-tear on a spinal disc. Despite its name, it is not a progressive, disease-like condition, but rather a term used to describe the normal changes in your spinal discs as you age.
Symptoms:
Symptoms of Degenerative disc disease can include pain that:
• Varies, depending on the severity and location of the degenerated disc(s).
• Is often worse when sitting or after bending, lifting, or twisting.
• Might improve when walking or moving.
• Can extend to the hips, buttocks, legs, or neck, depending on the location of the degenerated disc.
Treatment Options:
Epidural Steroid Injections: For patients grappling with the chronic pain associated with degenerative disc disease, Epidural Steroid Injections (ESIs) serve as a vital tool for managing symptoms. Degenerative disc disease describes the natural deterioration of spinal discs, which can lead to inflammation and nerve irritation as the discs lose hydration and elasticity over time.
In the case of degenerative disc disease, ESIs are particularly effective because they deliver powerful anti-inflammatory medication directly into the epidural space around the affected spinal nerves. This method targets inflammation at its source, offering relief from pain, numbness, and other discomforts that radiate from the degenerated discs, especially when the condition causes lower back or neck pain.
The steroid used in the injections can significantly reduce inflammation and swelling within the spinal column, alleviating pressure on the nerves and surrounding tissues. While the injections do not cure the underlying degeneration of the discs, they can provide significant pain relief for extended periods—ranging from a few weeks to several months—thereby improving the patient’s quality of life and ability to engage in daily activities. This treatment is often used in conjunction with a physical therapy program to strengthen the supportive muscles around the spine, enhance flexibility, and further alleviate pressure on the discs.
Radiofrequency Ablation: Radiofrequency Ablation is another effective treatment modality used for managing chronic pain associated with degenerative disc disease. This procedure is typically recommended when patients experience persistent pain that does not respond well to more conservative treatments.
RFA works by using heat generated from radio waves to target specific nerves that are transmitting pain signals from the degenerated discs to the brain. Under the guidance of imaging technology, a needle is inserted near the affected nerves, and a radiofrequency current is passed through the electrode in the needle, creating a heat lesion. This lesion effectively disables the nerve fibers’ ability to transmit pain signals to the brain.
The advantages of RFA include a significant reduction in pain and an improvement in function, often allowing patients to reduce or eliminate the use of pain medications. The effects of RFA can last from six months to several years, depending on the individual’s condition and response to the treatment. Because the nerves eventually regenerate, the procedure can be repeated as necessary. This approach is particularly appealing for its minimally invasive nature and the potential to provide long-term relief without the complications associated with surgery.
Living with degenerative disc disease can be challenging, but there are ways to manage the pain and maintain a healthy lifestyle. Request a consultation with Dr. Goel to discuss your options.