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Disc Degeneration Disease

Oct 29, 2020

The spine is a masterpiece in complexity, allowing us to maintain upright posture whilst protecting the spinal cord – a highway for a nervous system and essentially the brain’s pathway to our entire body. The intricate formation of vertebra and over 100 joints allow extreme flexibility and range of motion. So it’s no surprise that things can go wrong. Back pain is extremely common in Australia, with the Australian Institute of Health and Welfare (AIHW) stating that 1 in 6 Aussies (16% of the population) had back problems in 2017/18.  Accounting for 4.1% of Australia’s total disease burden in 2015, the economic impact of back pain is massive, and a majority of this pain is associated with intervertebral disc pathologies.

Let’s take it back for a second and focus on the individual. Say you hurt your back, go to the doctors and after some investigation you’re told you have degeneration of the discs and some other medical jargon. Take a deep breath, you’re not alone – in fact it is extremely common and it estimated that 30% of people between the age of 30-50 years will have some form of degeneration within the spine. So, what exactly is it and what can we do?

Disc Degeneration Disease (DDD) is a pathology thought to be associated with ageing, where the disc loses hydration and height, affecting their ability to provide cushioning and mobility between the vertebrae. A loss in elasticity can lead to a collapse of the disc, with the potential to cause pain and inflame nerves surrounding the region. Early dysfunction can start as young as 20 years of age and whilst considered a ‘disease’, its more of a natural occurrence that comes with ageing. It is important to note that having a disc disorder does not equate to having pain, and often many people continue living totally asymptomatic.

Once diagnosed, disc degeneration is generally managed through conservative treatment, being exercise rehabilitation, passive therapy and medication. The goal of exercise is to reduce pain by increasing the strength of supporting musculature around the spine and mid-section. Stabilisation exercises can increase the spine’s capacity to resist higher loads in the degenerative discs.  By improving coordination between the abdominals and back musculature, one can expect to experience a reduction in pain and increase in mobility. Strength training is particularly important for treatment and further prevention as sedentary people can lose as much as 3% to 5% of their muscle mass each decade after age 30.  Further treatment includes education and behaviour modification. Teaching people about their condition will address fear avoidance and promote consistent exercise, understanding that training will not cause any further damage and alleviate symptoms. Finally, if conservative treatment is not leading to improvements, surgery may be considered.

 

In summary, disc degeneration is relatively common and most people that exhibit symptoms will find it very manageable. Regardless of the severity, exercise should form the cornerstone of a quality treatment plan. Whether surgery is required or not, physical activity can provide a reduction in symptoms and accelerate a return to normal activity. Absolute Balance aims to make exercise the answer for all health conditions. So if you are looking for further information, we recommend you speak to your GP and an Accredited Exercise Physiologist for a tailored programme.

Ed Daccache

B.Ex.SpSc, Grad.Dip.Ex.Sc (AEP, AES) (ESSAM)
Accredited Exercise Physiologist

 

 

References:

Australian Institute of Health and Welfare. (2020). Chronic Musculoskeletal Problems: What are Back Problems. Retrieved from https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/back-problems/contents/what-are-back-problems

Body Works Guru. (2019). Healing a Degenerative Intervertebral Disc. Retrieved from https://bodyworkguru.wordpress.com/tag/spine-health/

Physiopedia. Degenerative Disc Disease. Retrieved from https://www.physio-pedia.com/Degenerative_Disc_Disease#cite_note-36

 

 

 

 

By Alison Absolute Balance 24 Apr, 2024
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Stretching and mobility exercises are indispensable components of both injury prevention and recovery strategies. Incorporating dynamic stretches before physical activity can help prepare the body for movement by increasing blood flow to muscles and enhancing joint flexibility. This dynamic warm-up routine primes the muscles and connective tissues, reducing the risk of injury during subsequent activity. Furthermore, static stretches, performed after physical activity, helps alleviate muscle tension and improve flexibility, thereby minimizing the likelihood of strains and tears. In the realm of injury recovery, stretching and mobility exercises play a crucial role in rehabilitation protocols for individuals recuperating from various musculoskeletal injuries. Following an injury, muscles can become tight and weakened due to disuse or trauma. Gentle stretching exercises aid in maintaining or restoring flexibility, preventing muscle atrophy and contractures. Additionally, targeted mobility exercises assist in restoring range of motion and functional movement patterns, allowing individuals to gradually regain strength and flexibility while reducing the risk of re-injury. Moreover, stretching and mobility exercises promote tissue healing by improving circulation to the injured area. Increased blood flow delivers essential nutrients and oxygen to damaged tissues, facilitating the repair process and reducing inflammation. By incorporating a comprehensive stretching and mobility routine into their regimen, individuals not only safeguard themselves against future injuries but also expedite their recovery journey, enabling them to return to their activities with greater resilience and confidence. Mariah Adolphus Workers Compensation Specialist (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
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Hey, my name is Blake, and I am an Exercise Physiologist, Workers Compensation Specialist and Clinical Team Leader at Absolute Balance. I graduated from Edith Cowan University in 2015 after completed my Bachelor of Science (Exercise Science and Rehabilitation). I grew up on a farm Northeast of Perth past Gingin with my parents and two brothers, both of which are back working on the farm, which has been in our family for generations. My love for sport and interest in the human body initially prompted me to complete my Bachelors in Exercise and Sports Science, and my initial thoughts on a career were either Physiotherapy or Phys Ed Teacher. However, this quickly changed when I commenced my first Exercise Physiology unit in my Sports Science degree as it opened my eyes to exercise rehabilitation, and how important it was to individuals with injuries. Having experienced multiple injuries personally playing football (AFL), basketball and tennis, I can fully empathise with how much injuries can impact your life. Being an EP and being in a role where I can make a positive and meaningful impact on individual’s lives who have sustained an injury is extremely important to me. This doesn’t only extend to the patients I see, but also the team members I lead within Absolute Balance. I guide a team of five in the Northeast region at Absolute Balance, assisting them with their own patients and leading them to grow as Exercise Physiologists and individuals. Although it has its challenges, leadership is extremely rewarding and has helped me grow both personally and professionally. Whilst I am not at work, I am spending my time at the gym, at football training and games during February-September (or in the car travelling to and from comes with the gig of country football), spending time with my wife and our dog Otis. I spend the other half of my weekend manicuring my lawn and watching good shows and sports. Blake Cocking Workers Compensation Specialist ‑ Team Leader North East (AEP, ESSAM) Exercise Rehabilitation Services ‑ WA
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