00:00 lombard degenerative disc disease or ddd 00:04 is defined simply as the wear and tear 00:06 of intervertebral discs that act as 00:08 cushions for the spine this wear and 00:11 tear may result from normal aging or may 00:13 be due to long-standing trauma DDD 00:17 typically begins with tears in the outer 00:19 ring of the disc or annulus and can lead 00:22 to a decrease in the water content of 00:24 the soft gel center of the disc or 00:26 nucleus pulposus 00:31 disk degeneration can 00:33 two discs bulging 00:35 development of bone spurs or osteophytes 00:37 and loss of disk base height and/or 00:41 alignment this can lead to nerve 00:43 impingement and result in pain caused by 00:46 pinched nerves 00:48 with advanced DDD the loss of disk 00:51 height can lead to segmental instability 00:53 resulting in degenerative 00:55 spondylolisthesis or asymmetric disc 00:59 height loss resulting in degenerative 01:01 scoliosis 01:04 the advanced degenerative changes 01:06 affecting the discs facet joints and 01:09 surrounding soft tissues can result in 01:11 foraminal or canal narrowing also known 01:14 as degenerative stenosis 01:17 symptoms of DDD may include pain at the 01:21 site of the injury pain numbness or 01:23 tingling in the legs strong pain that 01:26 tends to come and go pain that worsens 01:29 when bending twisting and or sitting 01:32 pain is relieved when lying down if you 01:35 feel that you are experiencing any of 01:37 these symptoms you should see a 01:38 physician for an accurate diagnosis 01:44 if ddd is established as a diagnosis 01:47 your doctor may recommend one or more of 01:49 the following treatments based on your 01:51 individual condition physical therapy 01:54 and strengthening exercises rest and a 01:56 restriction of physical activity 01:58 injections to help reduce the pain and 02:01 swelling medications and analgesics to 02:04 reduce pain and swelling typical 02:06 medications include non-steroidal 02:08 anti-inflammatory drugs 02:12 if your symptoms do not improve with 02:14 other methods your physician may suggest 02:16 spinal surgery surgical solutions for 02:19 DDD may include the following 02:29 you 02:31 to learn more about DDD and novation 02:34 procedural solutions please visit the 02:37 new vasive website