Anyone know about Degenerative Disks?

Correctivemind's picture
Posts: 43
Joined: 2008-01-08

Hey everyone. I have been a member here and I can say I am intrigued on what is discussed here. Some people are seeking help with medicines and others are seeking help with their afflictions. This is a very cool site. Anyway, I wanted to know a couple of things about de-generative disks. First, is it hereditary? Second, does it cause pain and lastly, what medicines are indicated for its treatment? I only ask because I was recently given an MRI where I was shown to have 2 herniated disks and the L3 and L4 have de-generative "qualities". I had been on a gammut of conservative treatments like Advil and Physical Therapy but they didn't help. So I was told to go to Pain Management where they started me on opiates. I had been getting ideal relief from Oxycontin but the postings here are right when they say that you become tolerant. So, the doctor put me on Fentanyl Patches and Dilaudid for breakthrough pain. This was helping until one day a patch fell off and I began shaking and uncontrollably. I was so sick I wanted to die. This told me that medications weren't probably the right answer because I wasn't fixing the problem. But, now with this new MRI they have not only found the 2 herniated disks but they found degeneration in my L3 and L4. So they want to do surgery. The way I look at it is this: If i had a rotten tooth, do I just want to take tylenol for the pain or do I want to fix the problem? I am lookin at it as the same for my back surgery: fix the problem.

 

WOW whatta tangent!! LOL. Anyway, I just am here to ask the questions I asked at the beginning of this essay LOL and whether anyone has actually thought the way I do, did the surgery and now either regret or are happy they did it...

Thanks!!





Posts: 37
Joined: 2008-03-24
no but i am not sure if they hurt

no but am sure they hurt, That's like the bones are griding together right?



kirby's picture
Posts: 3372
Joined: 2004-12-26
Degenerative Disc Disease

Here's some info from WebMD:

Degenerative Disc Disease


I'm not a pharmacist or a medical doctor. This message is not medical advice nor is it an offer to provide medical advice. All drug identifications should be validated by a licensed MD or pharmacist.



Posts: 66
Joined: 2007-08-14
Talk to your doctor

About a place that has what are called MEDX machines. These are lumbar isolating exercise pieces, that isolate the muscles in the low back, I will say this, THEY ARE UNCOMFORTABLE AT FIRST AND YOU WILL BE SORE FOR THE FIRST FEW SESSIONS, ESPECIALLY THE STATIC TESTING,but, the end is definitely worth it. Also McKenzie stretches, they are extension exercises for the low back. Extension is a very good way to alleviate pressure put on the discs. Many people have significant amount of back pain because they never use the tiny intrinsic intervertebral muscles in their back.. People use their quads, hamstrings and gluteal muscles , BUT, when those muscles become overloaded, boom, pain...Because the other muscles in the back arent equipped to deal with the forces being applied to them...I used to treat pre and post surgical C and L spine patients and used the MedX equipment and had amazing results with a lot of my patients...AND BE CAREFUL OF SURGICAL INTERVENTION... Many times the scar tissue that remains after the surgery is more of a pain in the back than the original problem...Sorry for the play on words..



Goat's picture
Posts: 469
Joined: 2006-11-21
 Operations can cause other

 Operations can cause other problems to the body...I have Arachnoiditis from a couple operations..maybe.

 

I am not a Dr. I just play one on TV.

 

 

 




Correctivemind's picture
Posts: 43
Joined: 2008-01-08
Very cool

Thanks for the information. It's just that the pain is always there and I am getting a lil tired of the pills. I have heard about the scarring issue too, this is what makes my apprehension greater.

HAHAH! Play on words!!   Thats ok. I am just interested in getting better and its as though as yeah I could keep going to pain management but then that means medication and stigmas and etc... I am interested in moving forward but what can I say, surgery seems like the answer. What does anyone else think?

Thanks a million for the input!!




Posts: 770
Joined: 2007-04-12
You do not mention any

You do not mention any neurologic symptoms or how long you have had pain.  How long have you been treated with conservative therapy (more or less than six months)?  Have you had epidural steroids?

Many people have degenerative changes in their spines as they age or following accumulative trauma which may or may not cause pain.  People can get disc herniation with pain and neurologic symptoms that resolve even without treatment.  

If you are unsure about surgery or if your non-surgical options have been exhausted, consult another spinal surgeon and another pain management specialist. 




Correctivemind's picture
Posts: 43
Joined: 2008-01-08
Yes Dr. Lois

I have had chronic pain for 2 years now. They went conservative until about 2 months into it. It was when I wanted to end it I was dying in pain.  Then they recommended the aggressive medicines. To be honest, they have helped me considerably and have improved the way I live to the point of being able to work again. The injections did not help though.

I have experienced severe shocking pain in my right leg that raidiates from my crotch and very bad pain pain too. They did an MRI and defiantly saw the 2 herniated but they saw the degenerated disks. I am just wondering if surgery is the answer. Oxycontin and Dilaudid work but taking medicine isnt fixing the problem right? So surgery fixes the problem so here I am. All i can tell you is that it has been 2 years and I havent gotten better except with these medicines. Any thoughts?





Posts: 770
Joined: 2007-04-12
Do you have weakness or loss

Do you have weakness or loss of sensation in your leg, or problems with balance?  Have you had an EMG?  Sorry, I know more questions. 

I know some back surgeons who seem to want to operate on everybody, and tell them they need surgery right away.  The guy I like to refer to doesn't operate on everyone I refer to him, and tells people surgery won't make your pain go away, but it will possibly allow you to preserve the function that you have.  If there is no progressive neruologic damage, he does not push people to have surgery right away.  He did neck surgery on both my father and my brother-in-law, he sent my sister to the interventional pain management specialist.  They have all done great!  I wish I could have everyone with chronic back pain who was considering surgery see him. 




Bad2WD's picture
Posts: 54
Joined: 2007-11-30
Surgery may not work

I went to my Doctor today and was told that I am have phase II disk degeneration. This is the exact same thing the Chiro told me also. The Doc said that there is no surgery that can fix degeneration. As it gets bad they can repair some of the damage with fusions or rods but degeneration is just that. It is bone loss and really can't be fixed. Mine was started by a car wreck I was in when I was 17. I was pronounced DEAD by two EMT crews at the scene and left in my car until my Dad got there. He said when he touched me I punched him in head and started screaming at him. Needless to say the Good Lord did not want me yet so he sent me back for some reason. I am now 43 and suffer some degree of pain every day. So, I will use drug therapy and physcial therapy. I am going to start some type of excersize program I guess. I have had one surgery alredy in 2003 to repair a stenosis in my L4 and I don't want to do that again. I am to young for this.




Posts: 37
Joined: 2008-03-24
Yes Dr. Lois

All i know about nerves is that when the doctor hits my right leg, it doesn't jerk. Is that what you mean? I understand what you meen about doctors wanting to rush into surgery though. I had one practically telling me that he wouldnt even do an MRI unless he did surgery. He said, "forget it, if I'm doing an MRI I am going to do the surgery the same night". I was in the ER laying there in pain and he is telling me this. I almost did it too but I underneath it I had sense to tell him no. There I was practically crying and having this doctor do this. He absolultely refused to give me a shot to quell my pain and said that I am wasting his time. THIS ISNT EVEN THE SAME DOCTOR I FIRST SPOKE ABOUT!!    This problem is more serious and prevalent than people really think and I would love the chance to get up and speak to people about this serious problem. I mean its one thing to say, THIS COUNTRY HAS AN UNDER TREATMENT OF PAIN and then go on to the next sentence but seriously, THIS COUNTRY HAS A SERIOUS AND LIFE THREATENING CONDITION OF THE UNDERTREATMENT OF PAIN. I don't mean to sound dramatic but if I had a video camera, you would know exactly what I mean. I am not saying there aren't great doctors, but it seems like there are 2 extremes.

You sound very informed and very knowledgeable. I mean come on, what other doctors would be a member of this group, other than one that wants to understand the "other" side. Ok im being corny. But going on, my condition are what I said before and its scary but seriously, I want to fix the problem. And BAD2WD that is some story man. God bless you,  I hope you play the lotto LOL. Take care all and god bless.

Laughing

 

 




Posts: 770
Joined: 2007-04-12
My suboxone patients would

My suboxone patients would say that it is way to easy to get pain medications from doctors, and it should be harder in order to decrease abuse and diversion.  So what are you going to do!

An MRI by itself will not diagnose the cause of back pain or tell you if you need surgery, and may not be necessary in the absence of neurologic symptoms that are either progressive or have been present for several weeks to months.  I don't know what the surgeon said, but what he probably ment was, "there is no reason to do an MRI at this point unless based on your symptoms and exam, we are planning on doing surgery, in which case the MRI will tell us how badly and how many levels are affected."

In some cases pain medication is not warrented until the medical evaluation is complete. 

 




Correctivemind's picture
Posts: 43
Joined: 2008-01-08
Sure then you get those who really need it

Then you get those who really need it who dont get it. Ehh what he meant was that he wasn't going to touch you until he was sure he was going to get paid..

 Do no (harm) work..until thou gets paid..

Love it



Posts: 4
Joined: 2008-04-11
Hi.  I just turned 30 and I

Hi.  I just turned 30 and I have DDD bigtime, as well as schmorel's nodes/spondelosis.  I have 6 degenerated discs, 3 that are really bad.  (about 70% thinned).   Yes the pain from this is absolutely horrible since when your discs get thinner the space allowed for the nerves to escape the sides of your spine gets narrowed causing crushed nerves.

 I take 2 x 30mg Oxycodone pills every 4 hours but only on really bad days.  Generally I take about 9 or 10 of these a day.

 

I cannot be opperated on right now which stinks because I have spondelosis in 12 vertabrea and that would make fusion after disc replacement a really hard thing to accomplish and would probably have to keep being refused because of the constant changing bone structure.  I go to the Lahey Clinic in Boston which is one of the top 10 spine centers in the whole U.S.  I want to be cut so bad and have them try SOMETHING but everyone refuses to opperate on me because my spine is so ugly.

~Mike G.




Posts: 57
Joined: 2008-03-26
mike jee

whats up mikejee, I too am about to turn 30, well in Sept., and I have DDD and have had it for 3 years now.  yours sound a lot worse than mine, mine is between c3-c6, but only 2 discs are affecting the nerves. So I get the Electric type pain down my arms and my fingers go numb and all that, u know how it is.  Anyways where on your spine are your bad discs?  is it your L T or C? like does the nerve pain effect your arms or legs or both?  I too am also in Mass and wanted to ask u about the place u go.  do u go there just for your pain doc or what?  have u tried Physical therapy?  I am about to try the pain program at the Spalding in Medford, I dont know if u have ever gone there at all.  But their pain program is PT, occupational therapy, and seeing a shrink.  I am not on opiates anymore because I was an addict even before i got hurt, and after i got hurt it just snowballed and I ended up at my worst rock bottom.  now i go to a methadone clinic, not for pain relief, but for the addiction.  But i was on the same oxys you are, just the 15mgs. but i used to eat them like m&ms, and eventually the doc that was giving them to me left his practice, so i was left in the dark. thats when I quit.

But anyways at the Lahey you go to do they do pretty much all kinds of spine treatment, like PT etc?  Cause this Spalding place has not impressed me at all, and the people working there are ...well lets just say not nice at all.  Plus I am on Workmans Comp so it takes long  to get approved for anything.  But anything you can tell me about that place would help. Thanks.