Degenerative Disc Disease

The normal degenerative changes in the spinal discs that cause pain is called degenerative disc disease. The symptoms include lower back pain and pain in the upper thigh. The pain gets worse on bending and sitting down, and you feel better on changing position or on lying down.

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Why do I have sciatica pain while walking and standing, and no problem while sitting?

Query: Hi doctor, I have sciatica on the left side. I have pain when walking or standing for a long period of time. I have no pain when sitting. Bending over to stretch and inversion help take the pain away. I had a problem for multiple years. Physical therapy and weight loss have helped, but there is sti...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to cliniq.com. Thanks for writing to us. I hope you are not in much discomfort. Your MRI (magnetic resonance imaging) lumbar spine shows degenerative vertebral and disc changes in multiple levels, and there is acute edema in the endplates of L5 to S1 vertebral levels. Disc bulges are c...  Read Full »

Does my CT scan show spinal stenosis?

Query: Hi doctor, I feel like there is an ice pick in my back at my T4 and T5 region. I had cervical disc replacement three months back for the C5 and C6 area. Do you see any canal stenosis in this CT scan? Is there a difference in the thickening of the ligamentum flavum and calcification of the ligamentu...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. Thanks for writing to us. I hope you are not in much discomfort. Images (attachment removed to protect patient identity) shared are of the CT (computed tomography) cervical and upper thoracic spine from C1 to T4 vertebral levels. Answers to your questions are following....  Read Full »

What could be the cause of my severe chronic back pain?

Query: Hi doctor, I am 38 years old, and I am not overweight. Can you explain what this letter means, please? Multilevel heterogeneous marrow signal changes note that follow fatty marrow signal in articular lower thoracic, lumbar, and sacral spine follows fat signals. On the lower spine, L5/S1 showed mild...  Read Full »


Dr. Atul Prakash

Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist

Answer: Hello, Welcome to icliniq.com. I can only explain what had been written in the report (attachment removed to protect patient identity). As I do not have the films to see, it is an interpretation of an interpretation (also, I gather that neurologist is not convinced about something and wants to rev...  Read Full »

Can disc hernia cause issues with hands and legs?

Query: Hi doctor, I have a herniated disk in the neck area. Later, my right hand started tingling and the numbness grew more pronounced. I also started having burning pain on the back of both thighs. I have had some muscle twitching down my right arm. I am having accuracy issues with typing now. I had ano...  Read Full »


Dr. Akshay Kumar Saxena

Orthopaedician And Traumatologist, Spine Surgeon

Answer: Hello, Welcome to icliniq.com. You have mentioned herniated disc in your neck region with right upper limb symptoms and also associated bilateral thigh symptoms, which we call as paresthesias. But, my main focus is on the symptom of difficulty in writing, including accuracy issues, which definitely ...  Read Full »

Does my wife require surgery?

Query: Hi doctor, My wife, who is 43 years old, is feeling loss of skin sensation on the lower part of the legs. This feeling has started 4 years ago. But, it did not bother her that time. Two years ago, we consulted a neurologist and he prescribed medicines, which brought her relief. She stopped taking me...  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Family Physician, General Practitioner, Neuro Surgeon, Neurologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com.  I have gone through your query with diligence and would like you to know that I am here to help you. Our body parts undergo wear and tear as we age. This is called degeneration. This degeneration varies from person to person. Some people have degeneration in some organs...  Read Full »

Please suggest the best treatment option for sciatica.

Query: My father has been having sciantica on lower left leg and back pains. This have continuously happened for last 5 months. In the past 2 years it only pains periodically. What are the best options (1) without surgery or (2) minimal invasive surgery? I would be able to share further on the MRI scans o...  Read Full »


Dr. Chandan Mohanty

Neurologist, Neuro Surgeon, Spine Surgeon, Spine Health Specialist

Answer: Hello, Sorry to hear this. The MRI does show degenerative disease of the lumbar spine mainly at L45 L5S1 level. The main indications for surgery are as follows Presence of neurological deficits ( i.e weakness of legs and/or numbness of legs and/or numbness or tingling in the peri anal region an...  Read Full »

Is fusion surgery a good option for disc extrusion?

Query: Hi doctor, Four years before, I met with a car accident with no external injury. After a week, I started getting pain in my right buttock and calf area. Later, I was recommended for an MRI and found it was L4-L5 disc extrusion. I underwent the microscopic discectomy the same year. Now, for the pas...  Read Full »


Dr. Palanikumar Chellamuthu

Orthopaedician And Traumatologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. A few observations are as follows. Your pain is on the right side and the MRI (date of examination not visible) says about the disc with stenosis more on left side (attachment removed to protect patient identity). Kindly inform me about any neurologic defects that your do...  Read Full »

What is the best remedy for back pain?

Query: Hi doctor, I have been battling with back pain since a year. I associated this pain with a kidney stone which I had for a couple of years. I had a ureteroscopy, crushing and removal of the stone a month ago, but however the back pain still persists. An x-ray done today is attached. I had some back...  Read Full »


Dr. Akshay Kumar Saxena

Orthopaedician And Traumatologist, Spine Surgeon

Answer: Hello, Welcome to icliniq.com. I have gone through the investigation reports (attachment removed to protect patient identity). Your blood investigation appears to be fine apart from high CRP (C-reactive protein), which could either be a manifestation of any inflammation or infection somewhere in the...  Read Full »

How is facet hypertrophy treated?

Query: Hi doctor, I am 28 years old and suffering from facet hypertrophy. I have continuous lower back pain. I cannot stand for more than five minutes. I am taking Nuroday daily. I would like to know the treatment.  Read Full »


Dr. Akshay Kumar Saxena

Orthopaedician And Traumatologist, Spine Surgeon

Answer: Hello, Welcome to icliniq.com. You have mentioned that you are 28 years of age and have continuous lower back pain which I think is not responding to the medications and conservative management. Normally at this age, conservative management in the form of anti-inflammatory medications, intensive phy...  Read Full »

I have been having neck pain since I met with an accident. Please help.

Query: Hi doctor, I involved in a car accident seven years ago. I have been having problems with my neck ever since. I recently consulted an orthopedic specialist and had an MRI done last week. The results are as follow: Multilevel degenerative disc disease with straightening of lordosis. Multilevel bul...  Read Full »


Dr. Tony Magana

Neuro Surgeon, Spine Health Specialist, Spine Surgeon

Answer: Hello, Welcome to icliniq.com. The joints of the neck are the discs and the facets. As one ages they wear out. This can be aggravated by accidents. This process can cause pain in two ways. Joint pain in the neck without neurological weakness or numbness. Neurological problems from pressure on the ne...  Read Full »

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