July 16th, 2010
Sex/Age Pain associated with degenerative disc disease affects men and women equally. Spine pain secondary to degenerative disc disease most often affects young to middle-aged people with peak incidence at around 40 years old. However, I have seen teenagers with significant degenerative disc disease. Factors such as genetics, trauma, environment can contribute to an earlier presentation. And of course, radiologic evidence of disc disease increases with age to nearly 100% by age 60. However, not all degenerative discs are painful. Frequency Up to an astonishing 90% of people will experience low back pain at some time in their lives. According to the National Center for Health Statistics, over 14% of new visits to primary care physicians are for low back pain. by Nathan S. Walters, MD . To learn more about Center for Spine Care, visit our website!
July 7th, 2010
Two of the most common pain generators in the lumbar spine are 1) the disc, and 2) the facet joints. Typically, the disc bears more weight in all positions, but increases to around 90% of forces transmitted through the lumbar spine in SITTING. Rotation and lifting, when added to lumbar flexion (bending at the waist), naturally will increase the forces on the disc. As the degenerative process progresses, the disc-facets force transmission approaches parity; with facet mediated pain being more common the older you get, and discogenic pain being more common overall. However, this is a generalization. Persistent, recurrent, and/or excessive forces to the spine lead to microtrauma of the disc and facet joints, triggering and continuing the degenerative process. The degenerative cascade, described by Kirkaldy-Willis, is the widely accepted pathophysiologic model describing the degenerative process as it affects the […]
June 30th, 2010
Descriptions of treatment for low back pain date all the way back to Hippocrates (460-370 BCE), who described joint manipulation and use of traction and decompression. As we age, we endure both macrotraumas and repetitive microtraumas and undergo changes in body habitus that alter and redistribute biomechanical forces unevenly on the lumbar spine. Much like your knee, the padding or cartilage is mostly water-based and will progressively degenerate the longer we spend in gravity. Factors such as weight, nutrition, genetics, trauma (macro or repetitive micro), and environment may contribute to accelerated degeneration. Degeneration is universal to structures that comprise the functional spinal unit, composed of 2 adjacent vertebral bodies (the bones) and the disk in between them. The disk and 2 facet joints at the same level function as a trijoint complex. This degeneration of the lumbar segment progresses with […]
May 20th, 2010
Welcome to the Center for Spine Care blog! We look forward to disseminating relevant, up to date information on modern treatments for back pain. John Peloza, M.D., Medical Director of the Center for Spine Care, is a pioneer in many modern technologies for the spine. . . Nathan Walters, M.D., CSC’s Pain Management physician, focuses on conservative treatments such as physical therapy, medications, and spinal injections to diagnose and treat pain. . Dr. Peloza & his colleagues at CSC will share important, evidence-based medical information here. . To learn more about Center for Spine Care, visit our website!
Center for Spine Care offers stem cell therapy as a conservative treatment to promote natural healing for back or neck pain. Utilizing mesenchymal stem cells, this new method is used to treat patients with neck and back pain caused from degenerative disc disease.