​Degenerative Disc Disease

Degenerative Disc Disease Diagnosis

The doctor will perform a physical exam and ask the patient about his or her symptoms, previous injury, illness, and physical activities that may be causing pain. The doctor may test range of motion in the affected area and look for tender spots, numbness, weakness, tingling, or changes in reflexes.

Degenerative disc disease symptoms

Symptoms may include:

• Pain in the low back, buttocks, thighs, or neck 
• Pain that worsens when sitting, bending, lifting, or twisting
• Pain that feels better when walking, changing positions, or lying down
• Periods of severe pain that gets better after a few days or months
• Numbness and tingling into the legs or arms
• Weakness in the legs or arms
• Foot drop (inability to raise the foot at the ankle)

If degenerative disc disease is suspected, an MRI can confirm the diagnosis and rule out other potential causes of symptoms. The doctor may also order a discography or x-ray. A discography is an imaging test in which dye is injected into the affected spinal area to get clearer x-ray images.

Degenerative Disc Disease Treatments

Non-surgical treatments for degenerative disc disease

At UPMC, we focus on treating the primary symptom of degenerative disc disease. Ice and non-steroidal anti-inflammatory drugs (NSAIDS) can reduce swelling and alleviate pain. If the damaged disc has resulted from other conditions, such as osteoarthritis, a herniated disc, or spinal stenosis, physical therapy and back strengthening and stretching are often prescribed.

Degenerative disc disease surgery

Surgery may be considered when patients do not respond to conservative treatment and are severely limited in performing activities of daily life. At UPMC, our neurosurgeons specialize in minimally invasive surgical procedures that typically allow for a faster recovery.

Spinal fusion can reduce pain by stopping the motion at a painful segment of the spine. The disc is removed from between two vertebrae, then the vertebrae are fused together. This procedure is performed through a single incision in the back.

Another surgical option is artificial disc replacement. Replacing the disc instead of fusing the vertebrae together may allow for more normal motion in the spine. This reduces the chance that other segments of the spine will break down due to increased stress.