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Degenerative Lumbar Disc Disease in the Mature Athlete: Multimedia
Updated: Jan 7, 2010
Multimedia
![]() | Media file 2: Degenerative lumbar disc disease in the mature athlete. The process of disc degeneration following internal discdisruption and herniation. |
![]() | Media file 3: Degenerative lumbar disc disease in the mature athlete. The various forces placed upon the discs of the lumbarspine that can result in degenerative changes. |
More on Degenerative Lumbar Disc Disease in the Mature Athlete |
| Overview: Degenerative Lumbar Disc Disease in the Mature Athlete |
| Differential Diagnoses & Workup: Degenerative Lumbar Disc Disease in the Mature Athlete |
| Treatment & Medication: Degenerative Lumbar Disc Disease in the Mature Athlete |
| Follow-up: Degenerative Lumbar Disc Disease in the Mature Athlete |
Multimedia: Degenerative Lumbar Disc Disease in the Mature Athlete |
| References |
| Further Reading |
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References
Suratwala SJ, Pinto MR, Gilbert TJ, Winter RB, Wroblewski JM. Functional and radiological outcomes of 360 degrees fusion of three or more motion levels in the lumbar spine for degenerative disc disease. Spine (Phila Pa 1976). May 1 2009;34(10):E351-8. [Medline].
Arnold PM, Robbins S, Paullus W, Faust S, Holt R, McGuire R. Clinical outcomes of lumbar degenerative disc disease treated with posterior lumbar interbody fusion allograft spacer: a prospective, multicenter trial with 2-year follow-up. Am J Orthop (Belle Mead NJ). Jul 2009;38(7):E115-22. [Medline].
Hosea TM, Gatt CJ Jr. Back pain in golf. Clin Sports Med. Jan 1996;15(1):37-53. [Medline].
Saal JS, Saal JA. Management of chronic discogenic low back pain with a thermal intradiscal catheter. A preliminary report. Spine. Feb 1 2000;25(3):382-8. [Medline].
Videman T, Sarna S, Battié MC, Koskinen S, Gill K, Paananen H, et al. The long-term effects of physical loading and exercise lifestyles on back-related symptoms, disability, and spinal pathology among men. Spine. Mar 15 1995;20(6):699-709. [Medline].
Carragee EJ, Tanner CM, Khurana S, Hayward C, Welsh J, Date E, et al. The rates of false-positive lumbar discography in select patients without low back symptoms. Spine. Jun 1 2000;25(11):1373-80; discussion 1381. [Medline].
Khot A, Bowditch M, Powell J, Sharp D. The use of intradiscal steroid therapy for lumbar spinal discogenic pain: a randomized controlled trial. Spine. Apr 15 2004;29(8):833-6; discussion 837. [Medline].
Buttermann GR. The effect of spinal steroid injections for degenerative disc disease. Spine J. Sep-Oct 2004;4(5):495-505. [Medline].
Buttermann GR. Treatment of lumbar disc herniation: epidural steroid injection compared with discectomy. A prospective, randomized study. J Bone Joint Surg Am. Apr 2004;86-A(4):670-9. [Medline].
Gibson JN, Waddell G. Surgery for degenerative lumbar spondylosis: updated Cochrane Review. Spine. Oct 15 2005;30(20):2312-20. [Medline].
Fritzell P, Hägg O, Wessberg P, Nordwall A,. 2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group. Spine. Dec 1 2001;26(23):2521-32; discussion 2532-4. [Medline].
Brox JI, Sørensen R, Friis A, Nygaard Ø, Indahl A, Keller A, et al. Randomized clinical trial of lumbar instrumented fusion and cognitive intervention and exercises in patients with chronic low back pain and disc degeneration. Spine. Sep 1 2003;28(17):1913-21.
Keller A, Brox JI, Gunderson R, Holm I, Friis A, Reikerås O. Trunk muscle strength, cross-sectional area, and density in patients with chronic low back pain randomized to lumbar fusion or cognitive intervention and exercises. Spine. Jan 1 2004;29(1):3-8. [Medline].
Barendse GA, van Den Berg SG, Kessels AH, Weber WE, van Kleef M. Randomized controlled trial of percutaneous intradiscal radiofrequency thermocoagulation for chronic discogenic back pain: lack of effect from a 90-second 70 C lesion. Spine. Feb 1 2001;26(3):287-92. [Medline].
[Best Evidence] Freeman BJ, Fraser RD, Cain CM, Hall DJ, Chapple DC. A randomized, double-blind, controlled trial: intradiscal electrothermal therapy versus placebo for the treatment of chronic discogenic low back pain. Spine. Nov 1 2005;30(21):2369-77; discussion 2378. [Medline].
Pauza KJ, Howell S, Dreyfuss P, Peloza JH, Dawson K, Bogduk N. A randomized, placebo-controlled trial of intradiscal electrothermal therapy for the treatment of discogenic low back pain. Spine J. Jan-Feb 2004;4(1):27-35. [Medline].
Park SY, Moon SH, Park MS, Kim HS, Choi YJ, Lee HM. Intradiscal electrothermal treatment for chronic lower back pain patients with internal disc disruption. Yonsei Med J. Aug 31 2005;46(4):539-45. [Medline].
Boden SD, Swanson AL. An assessment of the early management of spine problems and appropriateness of diagnostic imaging utilization. Phys Med Rehabil Clin N Am. May 1998;9(2):411-7, viii. [Medline].
Bogduk N, Modic MT. Lumbar discography. Spine. Feb 1 1996;21(3):402-4. [Medline].
Buschbacher R. The aging athlete's spine. J Back Musculoskel Rehabil. 1995;5:55-74.
Dawson E, Bernbeck J. The surgical treatment of low back pain. Phys Med Rehabil Clin N Am. May 1998;9(2):489-95, x. [Medline].
Dreisinger TE, Nelson B. Management of back pain in athletes. Sports Med. Apr 1996;21(4):313-20. [Medline].
Gamradt SC, Wang JC. Lumbar disc arthroplasty. Spine J. Jan-Feb 2005;5(1):95-103. [Medline].
German JW, Foley KT. Disc arthroplasty in the management of the painful lumbar motion segment. Spine. Aug 15 2005;30(16 Suppl):S60-7. [Medline].
Goins ML, Wimberley DW, Yuan PS, Fitzhenry LN, Vaccaro AR. Nucleus pulposus replacement: an emerging technology. Spine J. Nov-Dec 2005;5(6 Suppl):317S-324S. [Medline].
Greenan TJ. Diagnostic imaging of sports-related spinal disorders. Clin Sports Med. Jul 1993;12(3):487-505. [Medline].
Hackley DR, Wiesel SW. The lumbar spine in the aging athlete. Clin Sports Med. Jul 1993;12(3):465-8. [Medline].
Hession WG, Stanczak JD, Davis KW, Choi JJ. Epidural steroid injections. Semin Roentgenol. Jan 2004;39(1):7-23. [Medline].
Hickey DS, Hukins DW. Relation between the structure of the annulus fibrosus and the function and failure of the intervertebral disc. Spine. Mar-Apr 1980;5(2):106-16. [Medline].
Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. Jul 14 1994;331(2):69-73. [Medline].
Kahler DM. Low back pain in athletes. J Sport Rehabil. 1993;2:63-78.
Kaul MP, Herring SA. Rehabilitation of lumbar spine injuries in sports. Phys Med Rehabil Clin N Am. 1994;5(1):133-56.
Malanga GA, Nadler SF. Nonoperative treatment of low back pain. Mayo Clin Proc. Nov 1999;74(11):1135-48. [Medline].
Mayer HM. Total lumbar disc replacement. J Bone Joint Surg Br. Aug 2005;87(8):1029-37.
Modic MT. Degenerative disc disease and back pain. Magn Reson Imaging Clin N Am. Aug 1999;7(3):481-91, viii. [Medline].
Nachemson A, Zdeblick TA, O'Brien JP. Lumbar disc disease with discogenic pain. What surgical treatment is most effective?. Spine. Aug 1 1996;21(15):1835-8. [Medline].
Nadler SF, Malanga GA, DePrince M, Stitik TP, Feinberg JH. The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clin J Sport Med. Apr 2000;10(2):89-97. [Medline].
Nadler SF, Wu KD, Galski T, Feinberg JH. Low back pain in college athletes. A prospective study correlating lower extremity overuse or acquired ligamentous laxity with low back pain. Spine. Apr 1 1998;23(7):828-33. [Medline].
Rothman RH. The clinical syndrome of lumbar disc disease. Orthop Clin North Am. Jul 1971;2(2):463-75. [Medline].
Sinaki M, Mokri B. Low Back Pain and Disorders of the Lumbar Spine. In: Braddom RL. Physical Medicine & Rehabilitation. 2nd. Philadelphia, Pa: WB Saunders; 1996:813-50.
Tall RL, DeVault W. Spinal injury in sport: epidemiologic considerations. Clin Sports Med. Jul 1993;12(3):441-8. [Medline].
Further Reading
Related eMedicine topics
Lumbar (Intervertebral) Disk Disorders
Lumbar Disc Disease
Lumbar Degenerative Disk Disease
Lumbar Facet Arthropathy
Lumbar Disk Problems in the Athlete
Clinical trials
Comparison of DISCOVER™ Artificial Cervical Disc and ACDF for Treatment of Cervical DDD (IDE Study)
MAVERICK™ Total Disc Replacement- Pivotal Study
Evaluating The Safety and Effectiveness of The NeoDisc™ Versus ACDF in Subjects With Single-level Cervical Disc Disease
Keywords
lumbar disc syndrome, intervertebral disc displacement, discogenic low back pain, LBP, degenerative disk disease, DDD, herniated disc, spinal stenosis






Multimedia: Degenerative Lumbar Disc Disease in the Mature Athlete