Degenerative Disc Disease Treatment
Comprehensive care for degenerative disc disease using advanced motion-preserving and fusion techniques. Dr. Greenberg offers personalized treatment plans to restore function and reduce pain.
Experiencing symptoms of degenerative disc disease?
Schedule a consultation with Dr. Marc Greenberg to explore minimally invasive options.
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Degenerative disc disease (DDD) is a condition where spinal discs lose their flexibility, elasticity, and shock-absorbing characteristics due to aging and wear and tear. Despite its name, DDD is not actually a disease but rather a natural part of the aging process. However, when disc degeneration causes significant pain or functional limitations, treatment may be necessary.
At Greenberg Spine, we understand that degenerative disc disease affects each patient differently. Our approach focuses on preserving motion when possible through advanced disc replacement techniques, while also offering fusion options when stabilization is needed. We work closely with each patient to develop a personalized treatment plan that addresses their specific symptoms and lifestyle goals.
Symptoms
Chronic Back Pain
Persistent aching or burning pain in the affected disc area, often worse in the morning.
Pain with Sitting
Increased pain when sitting for extended periods, as sitting puts more pressure on the discs.
Stiffness
Reduced flexibility and range of motion, particularly noticeable after periods of inactivity.
Pain Relief with Movement
Symptoms often improve with walking or changing positions, unlike other spine conditions.
Causes
Natural Aging
Discs naturally lose water content and elasticity as we age, typically beginning in the 30s.
Genetics
Family history plays a significant role in determining susceptibility to disc degeneration.
Smoking
Tobacco use reduces blood flow to discs, accelerating the degeneration process.
Repetitive Stress
Occupational or recreational activities that stress the spine can accelerate disc wear.
Diagnosis
Clinical History
Dr. Greenberg will review your symptoms, pain patterns, and how activities affect your discomfort to identify characteristic signs of disc degeneration.
- Pain pattern analysis
- Activity correlation
- Symptom progression
Imaging Studies
MRI and X-rays reveal disc height loss, dehydration, and other degenerative changes that confirm the diagnosis and guide treatment planning.
- MRI for disc detail
- X-rays for alignment
- Flexion/extension views
Discography
In select cases, discography may be performed to determine if a specific disc is the source of pain before considering surgical intervention.
- Pain source identification
- Surgical planning
- Treatment selection
Conservative Treatment
Initial treatment for degenerative disc disease focuses on managing symptoms and maintaining function through non-surgical approaches. Many patients achieve significant improvement with conservative care.
Physical Therapy
Core strengthening and flexibility exercises to support the spine and reduce disc stress.
Pain Management
Anti-inflammatory medications and pain relievers to manage symptoms.
Weight Management
Maintaining healthy weight to reduce stress on degenerative discs.
Smoking Cessation
Quitting smoking to improve disc nutrition and slow degeneration.
Activity Modification
Adjusting daily activities and work habits to minimize disc stress.
Injections
Epidural or facet joint injections to provide targeted pain relief.
When to Consider Surgery
Surgery may be considered when conservative treatments have failed to provide adequate relief and symptoms significantly impact quality of life or when there is progressive neurological deterioration.
Surgical Indications
- Chronic pain lasting more than 6 months
- Significant functional impairment
- Failed conservative treatment
- Progressive neurological symptoms
Why Greenberg Spine
Dr. Greenberg offers advanced surgical options including:
- Motion-preserving disc replacement
- Minimally invasive fusion techniques
- Robotic-assisted precision surgery
- Personalized treatment planning
Recovery Expectations
Conservative Treatment
Weeks 1-4
Pain management and activity modification
Weeks 4-12
Physical therapy and gradual strengthening
3-6 Months
Ongoing maintenance and lifestyle modifications
Surgical Recovery
Weeks 1-2
Initial healing and pain management
Weeks 2-6
Gradual activity increase and physical therapy
3-6 Months
Return to full activities and long-term recovery
Frequently Asked Questions
What is degenerative disc disease?
Degenerative disc disease is a condition where spinal discs lose their flexibility, elasticity, and shock-absorbing characteristics due to aging and wear and tear. It's a natural part of aging that can sometimes cause significant pain.
Is degenerative disc disease progressive?
While disc degeneration is a natural part of aging, the progression varies greatly between individuals. Many people with disc degeneration on imaging never experience significant symptoms, while others may have severe pain from minimal changes.
What are the best treatments for degenerative disc disease?
Treatment typically begins with conservative options like physical therapy, medications, and lifestyle modifications. For severe cases that don't respond to conservative care, surgical options include disc replacement or fusion procedures, depending on the specific situation.
Ready to Address Your Degenerative Disc Disease?
Schedule a consultation with Dr. Greenberg to explore both motion-preserving and fusion treatment options.
Schedule ConsultationMedical Disclaimer: The information provided on this page is for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare provider for proper diagnosis and treatment recommendations. Individual results may vary.
Source: American Association of Neurological Surgeons (AANS) and North American Spine Society (NASS) clinical guidelines.