Intervertebral Disc Disease

12 min read

Intervertebral disc disease (IVDD) is a condition that affects the discs between the vertebrae in the spine. It is a degenerative condition that can cause pain, stiffness, and other symptoms. The discs act as shock absorbers and provide cushioning between the vertebrae. When the discs become damaged, they can cause pain and other symptoms.

Causes of Intervertebral Disc Disease

IVDD is caused by a variety of factors, including age, genetics, and trauma. As people age, the discs in the spine can become weakened and more prone to damage. Genetics can also play a role in the development of IVDD, as some people are more likely to develop the condition than others. Trauma, such as a fall or car accident, can also cause the discs to become damaged.

Diagnosis of Intervertebral Disc Disease

IVDD is typically diagnosed through a physical examination and imaging tests, such as an X-ray or MRI. During the physical examination, the doctor will look for signs of pain or stiffness in the spine. Imaging tests can help the doctor to identify any damage to the discs.

Complications of Intervertebral Disc Disease

IVDD can lead to a number of complications, including nerve damage, paralysis, and chronic pain. If the condition is left untreated, it can lead to permanent damage to the spine and nerves. It is important to seek medical attention as soon as possible if you are experiencing any symptoms of IVDD.

Take the Intervertebral Disc Disease Assessment

Symptoms

Common Symptoms of Intervertebral Disc Disease

  • Pain in the neck, back, or legs
  • Numbness or tingling in the arms or legs
  • Weakness in the arms or legs
  • Difficulty walking or standing
  • Loss of bladder or bowel control

When to See a Doctor

If you experience any of the above symptoms, it is important to see a doctor as soon as possible. IVDD can cause permanent damage if left untreated, so it is important to get the proper diagnosis and treatment. Your doctor will be able to determine the best course of action for your condition.

Treatment Options

Treatment for IVDD will depend on the severity of the condition. In some cases, rest and physical therapy may be enough to relieve the symptoms. In more severe cases, surgery may be necessary. Your doctor will be able to discuss the best treatment options for your condition.

Conclusion

Intervertebral disc disease can cause pain, numbness, and weakness in the affected area. Knowing the symptoms of IVDD can help you get the treatment you need. If you experience any of the above symptoms, it is important to see a doctor as soon as possible. Your doctor will be able to determine the best course of action for your condition.

Causes

Age

IVDD is more common in older adults, as the discs in the spine naturally wear down over time. As people age, the discs become less flexible and more prone to injury.

Genetics

Some people may be more likely to develop IVDD due to their genetic makeup. Certain genetic conditions, such as Ehlers-Danlos syndrome, can make the discs more prone to injury.

Injury

Injury to the spine can increase the risk of IVDD. This includes injuries from falls, car accidents, or sports-related activities. Repetitive motions, such as lifting heavy objects, can also cause injury to the spine.

Obesity

Being overweight or obese can put extra strain on the spine, which can lead to IVDD. This is especially true if the extra weight is concentrated in the abdomen, as this can cause the spine to curve abnormally.

Smoking

Smoking can reduce the amount of oxygen that reaches the discs in the spine, which can make them more prone to injury. Smoking can also reduce the amount of nutrients that reach the discs, which can make them more prone to degeneration.

Poor Posture

Poor posture can put extra strain on the spine, which can lead to IVDD. Slouching or sitting in an awkward position for long periods of time can cause the discs to become compressed, which can lead to injury.

Getting a Diagnosis

Physical Exam

The first step in diagnosing intervertebral disc disease is a physical exam. During the exam, the doctor will check for signs of pain, numbness, and weakness in the back and legs. They may also check for muscle spasms, tenderness, and range of motion.

Imaging Tests

Imaging tests such as X-rays, CT scans, and MRIs can be used to diagnose intervertebral disc disease. These tests can help the doctor to see the discs between the vertebrae and determine if there is any damage or narrowing of the discs.

Nerve Tests

Nerve tests such as electromyography (EMG) and nerve conduction studies (NCS) can be used to diagnose intervertebral disc disease. These tests measure the electrical activity of the nerves and can help the doctor to determine if there is any nerve damage or compression.

Treatment

Once the diagnosis of intervertebral disc disease is made, the doctor will recommend a treatment plan. Treatment may include physical therapy, medications, injections, or surgery. The goal of treatment is to reduce pain and improve function.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about any symptoms you are experiencing. This includes pain, numbness, tingling, or weakness in the arms or legs. Also, let your doctor know if you have difficulty walking or standing. It is important to provide as much detail as possible so your doctor can make an accurate diagnosis.

Treatment Options

Your doctor will likely discuss treatment options with you. Depending on the severity of your condition, you may be prescribed medications, physical therapy, or surgery. Be sure to ask your doctor about the risks and benefits of each option so you can make an informed decision.

Lifestyle Changes

Your doctor may also recommend lifestyle changes to help manage your IVDD. This could include avoiding activities that put strain on your spine, such as lifting heavy objects or participating in contact sports. Your doctor may also suggest exercises to strengthen your core muscles and improve your posture.

Follow-Up Appointments

Your doctor may recommend follow-up appointments to monitor your progress. During these appointments, your doctor will assess your symptoms and make any necessary adjustments to your treatment plan. Be sure to keep all of your follow-up appointments to ensure the best possible outcome.

Questions

Be sure to ask your doctor any questions you may have about your condition. This could include questions about the cause of your IVDD, the long-term outlook, or any other concerns you may have. Your doctor is there to help, so don't hesitate to ask questions.

Treatment

Non-Surgical Treatments

Non-surgical treatments are the first line of defense against IVDD. These treatments can include:

  • Physical therapy: Physical therapy can help strengthen the muscles around the spine and improve flexibility. This can help reduce pain and improve mobility.
  • Medication: Pain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), can help reduce pain and inflammation.
  • Heat and cold therapy: Applying heat or cold to the affected area can help reduce pain and inflammation.
  • Corticosteroid injections: Corticosteroid injections can help reduce inflammation and pain.
  • Acupuncture: Acupuncture can help reduce pain and improve mobility.

Surgical Treatments

If non-surgical treatments are not effective, surgery may be recommended. The type of surgery will depend on the severity of the IVDD. Common surgical treatments include:

  • Discectomy: This procedure involves removing a portion of the disc to relieve pressure on the nerves.
  • Spinal fusion: This procedure involves fusing two or more vertebrae together to stabilize the spine.
  • Artificial disc replacement: This procedure involves replacing a damaged disc with an artificial one.

Conclusion

Intervertebral disc disease can be a painful and debilitating condition. Fortunately, there are a variety of treatments available to help manage the symptoms. Non-surgical treatments, such as physical therapy and medication, are usually the first line of defense. If these treatments are not effective, surgery may be recommended.

Drugs & Medications

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs (NSAIDs) are a type of medication used to reduce inflammation and pain. Common NSAIDs used to treat IVDD include ibuprofen, naproxen, and celecoxib. These medications can help reduce pain and inflammation in the affected area.

Muscle Relaxants

Muscle relaxants are medications that help to relax the muscles in the affected area. Common muscle relaxants used to treat IVDD include cyclobenzaprine, carisoprodol, and tizanidine. These medications can help reduce muscle spasms and pain.

Opioids

Opioids are a type of medication used to treat severe pain. Common opioids used to treat IVDD include oxycodone, hydrocodone, and morphine. These medications can help reduce pain in the affected area, but they can also be habit-forming and have serious side effects.

Antidepressants

Antidepressants are medications used to treat depression and anxiety. Common antidepressants used to treat IVDD include amitriptyline, duloxetine, and venlafaxine. These medications can help reduce pain and improve mood in the affected area.

Corticosteroids

Corticosteroids are medications used to reduce inflammation and pain. Common corticosteroids used to treat IVDD include prednisone and methylprednisolone. These medications can help reduce inflammation and pain in the affected area.

Conclusion

Intervertebral disc disease (IVDD) is a condition that affects the discs between the vertebrae in the spine. Treatment for IVDD typically includes medications, physical therapy, and sometimes surgery. Common drugs used to treat IVDD include non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, opioids, antidepressants, and corticosteroids. These medications can help reduce pain and inflammation in the affected area.

Diet

Nutrients to Focus On

When managing IVDD, it is important to focus on eating a balanced diet that is rich in essential nutrients. Foods that are high in calcium, magnesium, and vitamin D are especially beneficial for people with IVDD. These nutrients help to strengthen the bones and muscles in the spine, which can help reduce pain and inflammation. Additionally, foods that are high in omega-3 fatty acids, such as salmon, can help reduce inflammation and improve joint health.

Foods to Avoid

Certain foods can worsen the symptoms of IVDD and should be avoided. Foods that are high in saturated fats, such as red meat and processed foods, can increase inflammation and worsen pain. Additionally, foods that are high in sugar and refined carbohydrates can cause inflammation and should be avoided. Caffeine and alcohol can also worsen the symptoms of IVDD and should be limited.

Conclusion

Eating a healthy diet is an important part of managing the symptoms of intervertebral disc disease. Focusing on foods that are high in essential nutrients, such as calcium, magnesium, and vitamin D, can help reduce pain and inflammation. Additionally, avoiding foods that are high in saturated fats, sugar, and refined carbohydrates can help reduce inflammation and improve joint health. By following a healthy diet, people with IVDD can manage their symptoms and reduce the risk of further complications.

Lifestyle

Exercise

Regular exercise is important for people with IVDD. Low-impact activities such as swimming, walking, and yoga can help strengthen the muscles in your back and improve your flexibility. It’s important to talk to your doctor before starting any exercise program to make sure it’s safe for you.

Posture

Maintaining good posture is essential for people with IVDD. When sitting, make sure your back is straight and your shoulders are relaxed. When standing, keep your feet shoulder-width apart and your knees slightly bent. Avoid slouching or leaning forward for long periods of time.

Stretching

Stretching can help reduce pain and improve flexibility. Gentle stretches such as the cobra pose, cat-cow pose, and child’s pose can help relieve tension in the back and improve range of motion. Talk to your doctor or physical therapist about which stretches are best for you.

Heat and Cold Therapy

Heat and cold therapy can help reduce pain and inflammation. Heat therapy can be applied with a heating pad or hot water bottle. Cold therapy can be applied with an ice pack or cold compress. Talk to your doctor about which type of therapy is best for you.

Sleep

Getting enough sleep is important for people with IVDD. Aim for 7-8 hours of sleep each night. If you have trouble sleeping, try using a body pillow or sleeping on your side with a pillow between your knees. Avoid sleeping on your stomach, as this can put extra strain on your back.

Conclusion

Living with IVDD can be challenging, but there are lifestyle changes you can make to help manage your symptoms and improve your quality of life. Exercise, posture, stretching, heat and cold therapy, and getting enough sleep can all help reduce pain and improve your overall wellbeing.