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Discogenic Back Pain

Conditions

About Discogenic Back Pain

Discogenic back pain refers to pain originating from the intervertebral discs of the spine. It is typically characterized by discomfort in the lumbar (lower back) region and can be exacerbated by movements or prolonged sitting or standing.

Possible Causes of Discogenic Back Pain (with descriptions)

Discogenic back pain can have various causes, including:

  • Disc Degeneration: Degenerative changes in the intervertebral discs, such as loss of hydration and structural integrity, can lead to discogenic pain.
  • Disc Herniation: When the outer layer of a disc tears or ruptures, the inner core may protrude and irritate nearby nerves, causing pain.
  • Disc Tears or Annular Fissures: Tears in the outer layers of the discs, known as annular fissures, can trigger inflammation and pain.
  • Discogenic Disc Disease: Structural abnormalities or pathologies within the discs themselves can contribute to discogenic pain.
  • Overuse or Trauma: Repetitive stress or sudden trauma to the spine can exacerbate existing disc problems and lead to discogenic pain.

Symptoms Linked to Discogenic Back Pain

Common symptoms associated with discogenic back pain include:

  • Localized pain in the lower back that may radiate to the buttocks or thighs
  • Pain aggravated by certain movements, such as bending forward or twisting
  • Stiffness and reduced range of motion in the spine
  • Discomfort exacerbated by prolonged sitting or standing
  • Occasional episodes of sharp or stabbing pain

Diagnosing Discogenic Back Pain

Diagnosing discogenic back pain typically involves a thorough evaluation by a healthcare provider and may include:

  • Medical History Review
  • Physical Examination
  • Diagnostic Imaging Studies (e.g., MRI, CT scan)
  • Discography (to identify painful discs)

Treating Discogenic Back Pain

Treatment for discogenic back pain aims to alleviate symptoms, improve function, and address underlying disc pathology. It may include:

  • Rest and Activity Modification
  • Physical Therapy and Exercise
  • Medications (e.g., pain relievers, muscle relaxants, anti-inflammatories)
  • Epidural Steroid Injections
  • Spinal Decompression Therapy
  • Intradiscal Electrothermal Therapy (IDET)
  • Radiofrequency Ablation
  • Surgery (e.g., Microdiscectomy, Lumbar Fusion)

Possible Treatments

Treatments for discogenic back pain offered by interventional pain management physicians and orthopedic surgeons may include: