Emerald Coast Pain Services


Degenerative Disc Disease (DDD)

Nucleous Proposus
Disc are located between the bones of the spine. They act as shock absorbers and add height to the spine. The disc consists of two parts. The inner nucleus pulposus is an area of stringy fibrous material of high water content. it is solid, but weak in structure. The outer fibrous annulus is a strong ligamentous structure that helps contain the disc.
disc structure
Degenerative disc disease to some extent is hereditary. Often one will have family members with similar back pain problems. Discs gradually decay with aging and the fibrous annular tissue can fracture and lead to herniations of the inner nuclear material. These herniations can cause pain locally in the neck or back, or they can cause pain down the extremity due to nerve compression. 

Many people have chronic back pain due to DDD. This pain is due to the fact that the annular region of the disc is highly innervated. The nuclear material contains chemicals which irritate these nerves that innervate the disc's annular region. The pain associated with DDD is commonly referred to as deep achy pain, with occasional sharp  jolts.

lumbar disc disease
normal lumbar disc

A normal spine has a disc that maintains a normal space between the vertebra and has no herniations.





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