Understanding and Managing this common yet painful condition

Today I am talking about low back pain, specifically “discogenic” pain.

What is Low Back Pain or Disc Pain?

Discogenic pain originates from mechanical damage to the intervertebral disc, the shock absorber that sits between each of the vertebrae from C1 (cervical piece #1) to S1 (sacrum piece #1). This type of pain is common among young adults, particularly those in their 20s to 40s. Research indicates that 5-15% of people with low back pain experience discogenic pain.

Symptoms of Discogenic Low Back Pain

In my practice, I often see patients with severe pain that disrupts their sleep, causes discomfort when turning over in bed, and results in stiffness when transitioning from sitting to standing. These symptoms may occur with or without radicular symptoms—pain or other sensations extending into the arms (cervical discs) or legs (lumbar discs). Thoracic disc issues are rare.

Causes of Discogenic Low Back Pain

Patients typically report a recent unique movement that combined lifting and twisting, such as moving boxes, raking, gardening, or shoveling. Other triggers include sleeping in a different bed, long drives in an unfamiliar vehicle, changes in exercise routines, or recent weight changes. Pain when coughing, sneezing, or laughing is also common.

Diagnosis and Physical Exam

During the physical exam, patients often struggle to rise from a chair, bend over, or put on socks and shoes. Leaning back may also be difficult. Clinicians look for a cluster of pain-provoking movements and positive orthopedic tests to confirm the diagnosis and rule out other conditions. Explaining the diagnosis with pictures or models helps patients understand their condition and can reduce pain levels NIH Study on Discogenic Pain.

Treatment Options for Discogenic Low Back Pain

Patients may feel confused and frustrated by the severity of their pain despite being young, healthy, and active. It’s important to reassure them that most discogenic pain will heal and to avoid aggravating the condition. Treatment ranges from soft tissue work and electrotherapy to acupuncture and spinal manipulation Mayo Clinic – Low Back Pain. These injuries often heal, even without treatment, but proper passive therapy and rehabilitative exercises can speed recovery.

Recovery and Prognosis

Discogenic injuries are some of my favorite to treat because patients usually return to normal activities within a few weeks and are very happy with their recovery. Many treatment options are available, from ice packs to acupuncture, and if conservative treatments fail, there are pharmacological and surgical options. However, in my experience, most patients recover without surgery.

When to Seek Professional Help

If you or someone you know suffers from low back pain, find a care provider who discusses treatment options openly and welcomes feedback. Ensure you are progressing through the treatment plan and that your pain is reducing. It’s okay to seek a second opinion or try a different clinician.

Book an Appointment with Origin Integrated Health

If you’re experiencing discogenic low back pain or any other type of back pain, the team at Origin Integrated Health is here to help. Our experienced clinicians will work with you to create a personalized treatment plan to alleviate your pain and get you back to your normal activities. Book an appointment with us today and take the first step towards a pain-free life.