Question 1

What is degenerative disc disease?

Accepted Answer

It's not really a 'disease' - it's the normal aging process of spinal discs. As we age, discs lose water content, become flatter, and develop small tears. This is visible on MRI in most people over 40. The key point: disc degeneration on scans doesn't always cause pain. Many people with severe disc degeneration on MRI have no symptoms, while others with mild degeneration have severe pain.

Question 2

Will my discs continue to get worse?

Accepted Answer

Disc degeneration is progressive, but the rate varies hugely between people. Factors that accelerate it include smoking, obesity, heavy physical work, and genetics. Good news: pain doesn't always worsen even if discs continue degenerating. Many people's pain improves over time as they adapt and strengthen supporting muscles.

Question 3

Can discs heal or regenerate?

Accepted Answer

Unfortunately, once disc degeneration occurs, it can't be reversed. Discs have poor blood supply, limiting healing. However, symptoms can improve dramatically even though the disc remains degenerated. Your body adapts - muscles strengthen, pain pathways change, and you learn to manage activities. This is why exercise is so important.

Question 4

Do I need surgery?

Accepted Answer

Probably not. Only about 5-10% of people with degenerative disc disease eventually need surgery. Surgery (fusion) is only considered if: 1) You've had severe, disabling pain for 6-12+ months, 2) Conservative treatments have failed, 3) MRI shows clear disc degeneration at specific level matching your pain, 4) You're a non-smoker (smoking drastically reduces success), and 5) You have realistic expectations. Even then, success rate for pain relief is only 60-70%.

Question 5

Why is exercise recommended when it makes my back hurt?

Accepted Answer

Short-term discomfort for long-term gain. Initially, exercise may cause some soreness as muscles work harder. But consistently, over weeks to months, exercise: strengthens core muscles supporting your spine, improves flexibility, reduces pain sensitivity, and helps you manage flare-ups. It's the single most effective long-term treatment. Start gently and gradually build up.

Medical Disclaimer

Worn Disc (Degenerative Disc Disease)

📖What is Worn Disc (Degenerative Disc Disease)?

🔬What Causes It?

⚠️Risk Factors

You may be at higher risk if:

🛡️Prevention