Disc Degeneration Causes Abnormal Motion

Disc Degeneration Causes Abnormal Motion

Disc Degeneration Causes Abnormal Motion

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As Physicians,  and especially as Spine Specialists,  we know that disc degeneration is a normal aging process.  We also know that back pain prevalence does correlate to age,  but at the later stages of life,  there is usually less back pain.  While some of the causes of pain,  is not purely physical,  we are getting more information on how the degenerative process may cause specific pain patterns.

In the March 1, 2015 issue of SPINE,  there was a interesting article by Lao, et al,  about the Effects of Disk Degeneration on Segmental Mobility.

In this study, 162 volunteers,  with the average age of 45.5 years  had Kinetic,  or dynamic MRI’s of their lumbar spine.  Each of these consecutive volunteers were known to have back pain,  but without history of spinal surgery.  Their spines were imaged,  and the degree of disk degeneration was catagorized.  Translational  (forward and backward motion) and angular motions were measured.

This study confirmed that during the early stages of disc degeneration,  there was more movement of the spine levels.  As the disc degenerated to the later stages,  there was less mobility.

Based upon this information,  the take away message is consistent with what we have traditionally told patients.  Most patients with chronic back pain are most effected earlier on in the pain cycle.  As patients age,  there seems to be less pain.  We attributed the lessening of the pain  secondary to psychological accommodations,  activity restrictions, and reduced activity levels from normal aging.    This recent study also confirms that the science demonstrates a stabilization of the spinal segment motions as the disc degeneration process progresses.

Once again,  the human body has demonstrated the ability to accommodate and ameliorate the natural degenerative process.

Citations

  • Lee SH, Daffner SD, Wang JC. Does lumbar disk degeneration increase segmental mobility in vivo? Segmental motion analysis of the whole lumbar spine using kinetic MRI. J Spinal Disord Tech. 2014 Apr;27(2):111-6. PubMed PMID: 24795947

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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