The discs that provide cushioning between your vertebrae (the bones in your spine) are rubbery. They’re like shock absorbers to help you bend, move, and twist. It is normal for these discs to degenerate as we get older. As these discs wear with time, the vertebrae can start to touch and rub. This causes pain and problems, such as curvature of the spine (adult scoliosis), when discs bulge or slip out of place or rupture (herniated discs), when the spaces surrounding the spine narrow down (spinal stenosis) when vertebrae move out of place (spondylolisthesis).
It’s common in adults over 40. The risk of developing this disease is increased by factors such as acute injuries, such as falling, being overweight, being female, smoking, and working in a physically taxing job.
Physically demanding jobs include:
These types of workers may experience degenerative disc disease and qualify for workers comp or personal injury claim reimbursement.
Pain in the neck and back are the most common symptoms. The pain may come and go, lasting for days, weeks, or months. Tingling and numbness in arms or legs is common. Pain may radiate down your lower back and buttocks. Sitting, lifting, or bending makes the pain worse.
You might begin to have problems if your spinal discs dry out. Discs have a soft core made mostly of water. As we age, they tend to lose some water. Then the discs thin out and don’t function quite as well as shock absorbers like they’re supposed to. Experts also find that minor injuries can lead to small tears or cracks in your discs. These often occur near nerves. That means tears can be painful, even if they’re minor. When the outer wall of your spinal disc cracks open, the disc bulges out. That’s known as a herniated disc, and it may press on a spinal nerve.
The progress of degenerative disc disease typically takes place in several phases that differ from person to person. The common stages are:
In the initial stage, degenerative changes begin within the intervertebral discs, often without the presence of noticeable symptoms. Many individuals remain asymptomatic, meaning they don’t experience pain or discomfort. During this phase, structural alterations in the discs, such as reduced water content and integrity, begin to take place.
As disc disease advances, some individuals become symptomatic and begin to experience pain, discomfort, or other symptoms. These symptoms primarily include back pain, neck pain, and stiffness. Pain may be intermittent or chronic and could intensify with certain activities or movements.
In this phase, symptoms become more pronounced, leading to decreased mobility and functional limitations. Pain might radiate into the arms or legs if the discs are compressing nearby nerves. People may also experience muscle weakness, tingling, and numbness.
Continued degeneration may result in further disc shrinkage and collapse, causing a reduction in disc height and, with it, spinal instability. Bone spurs can develop as the body tries to stabilize the spine, potentially leading to more pain and nerve compression. In this stage, pain and discomfort can be more severe, with potential complications like spinal stenosis or radiculopathy (pinched nerve).
For some individuals, disc disease can progress to a chronic pain phase, with persistent and often debilitating pain. Everyday activities may become challenging, and managing the pain can be difficult.
Not everyone experiences all these phases, and the rate of progression varies from person to person. Lifestyle factors, genetics, and overall spinal health influence the course of disc disease.
Applying heat or cold to the painful area, or methods like electrical stimulation or ultrasound, can provide pain relief and reduce muscle spasms. Consider a visit to a chiropractor who specializes in manual adjustments that align your spine correctly. These adjustments can relieve pain and restore your spine’s normal function. For more severe pain, you might receive corticosteroid injections directly into the painful area of your spine. These injections help reduce inflammation and provide temporary pain relief. Think about making some changes to your daily life, such as maintaining a healthy weight, ensuring good posture, and avoiding prolonged sitting. Regular, low-impact exercises like walking or swimming play a key role in taking care of your spine.
Treatments like acupuncture, massage, or yoga can help relieve pain, reduce stress, and enhance your overall well-being. Additionally, a brace or corset would provide additional support to your spine, which can help alleviate discomfort. Get smart about your condition and learn how to protect your spine through proper body movements and ergonomics. Regular self-care practices, such as staying active, eating healthily, and managing stress, contribute to your overall spinal health.
And finally, you may benefit from counseling and psychological support because living with chronic pain can take an emotional toll. In these times, counseling or support groups become your safe haven for addressing the emotional aspects of disc disease. All the options above depend on the severity of your symptoms, the location of the affected discs, and your overall well-being.
Surgical options come into play when non-surgical methods haven’t alleviated the patient’s symptoms and when the impact of the degenerated disc on their life is significant. The location of the affected discs, the extent of degeneration, and the patient’s overall health affect all the choices described in this section.
Imagine a scenario where a patient is experiencing excruciating pain due to a herniated disc that’s pressing on a nerve root. In such cases, a procedure called discectomy becomes the solution. Surgeons carefully remove either a portion or the entire damaged disc to alleviate the nerve pressure and reduce pain. It’s like releasing the pinched wire of an electronic device to make it work smoothly again.
For others, the wear and tear on the discs in the spine become so severe that it leads to instability. That’s when spinal fusion comes into play. This procedure aims to stabilize the spine by fusing two or more vertebrae together. It’s akin to cementing bricks together to make a structure more solid. Surgeons use techniques like bone grafts or metal hardware to bring about this fusion, essentially putting an end to the movements between the fused vertebrae. The result? Reduced pain and a halt to further degeneration.
Another option, known as artificial disc replacement (ADR), is a bit like giving the spine a mechanical upgrade. When a damaged disc is replaced with an artificial one, the goal is to maintain spinal movement, diminish pain, and preserve some degree of flexibility. However, not everyone qualifies for this procedure; specific criteria must be met.
In situations where the spinal canal becomes crowded and compressed due to a degenerated disc or bone spurs, a laminectomy might be the answer. During this procedure, a portion of the lamina (the bony arch of the vertebra) is carefully removed to create more space. Think of it as enlarging a tunnel to ease traffic flow. This can help when spinal stenosis is causing pain or discomfort.
For those suffering from foraminal stenosis, which happens when the openings where spinal nerves exit the spinal canal become too tight, a foraminotomy may be the solution. During this surgical procedure, the neural foramen is widened to relieve pressure on nerve roots. It’s like widening a narrow road to allow smoother traffic flow.
Additionally, when the issue affects the cervical (neck) region, cervical disc arthroplasty comes into play. This surgical procedure replaces a damaged cervical disc with an artificial one, maintaining mobility while decreasing pain. Choosing the right surgical treatment is a highly individualized decision. It’s a conversation that takes place between the patient and a specialist in spinal conditions or orthopedic surgery.
A knowledgeable workers’ compensation attorney, like the ones at Cohen & Riechelson, can guide you through the many steps you’ll need to take as we fight together for the compensation you deserve. Here are some of the ways we can help: We’ll conduct an initial meeting. A lawyer will talk to you about your work-related injury or illness to understand your situation. We’ll help gather evidence, like medical records and statements from doctors and people who saw your injury. We’ll help you fill out the right forms, make sure everything is done correctly, and file the claim. When it’s time to talk to the insurance company, we’ll negotiate with them to make sure you get the best benefits. If your claim is denied or you don’t get enough money, our lawyers can help you appeal the decision. If the insurance company wants you to see their doctor, our lawyers will make sure it’s fair.
Our experienced lawyers will figure out how much money you should get for medical bills, lost wages, and job training in Bristol, Newton, Langhorne, Doylestown, Fairless Hills, Southampton, and areas throughout Philadelphia and Bucks County, Pennsylvania. We’ll make sure your boss doesn’t treat you badly for filing a claim and explain your rights. If the insurance company offers you a deal, our lawyers will help you decide if it’s fair and negotiate for more money if it’s not. If you have to go to court, our legal team will build your case, show the evidence, and talk to the judge for you. We can also help you settle the case outside of court. If someone else caused your injury, our attorneys can help you file a personal injury claim against them. Hiring our firm can improve your chances of getting the right benefits and support during your recovery. The workers’ comp lawyers at our Pennsylvania office know the rules and can guide you through the process based on our experience. Contact us at (215) 337-4915.
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