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Degenerative Disc and Discogenic Pain

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Musculoskeletal Sports and Spine Disorders

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Abstract

The intervertebral disc can be a common pain generator in acute and/or chronic low back pain. This discogenic pain is commonly caused by internal disc disruption and radial fissures of the annulus fibrosis. Patient history and physical examination are important factors in assessing discogenic pain in patients with low back pain. Additionally, imaging including radiographs, MRI, and discography are often utilized in the workup of degenerative disc disease. Management goals for pain control hinges on improvement in functionality as well as on a pain rating scale. Conservative treatment with pharmacological agents, exercise program, and self-management therapies are employed first. If unsuccessful, interventional treatment with epidural steroid injections and/or intradiscal procedures may be useful.

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Authors and Affiliations

  1. Mount Sinai Hospital, Department of Rehabilitation Medicine, New York, NY, 10029, USA

    Ryan R. Ramsook MD & Thomas N. Bryce MD

Authors
  1. Ryan R. Ramsook MD
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  2. Thomas N. Bryce MD
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Correspondence to Ryan R. Ramsook MD .

Editor information

Editors and Affiliations

  1. Department of Orthopedics, Mount Sinai School of Medicine, New York, New York, USA

    Stuart B. Kahn

  2. Interventional Pain Management, San Antonio, Texas, USA

    Rachel Yinfei Xu

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Ramsook, R.R., Bryce, T.N. (2017). Degenerative Disc and Discogenic Pain. In: Kahn, S., Xu, R. (eds) Musculoskeletal Sports and Spine Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-50512-1_97

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  • DOI: https://doi.org/10.1007/978-3-319-50512-1_97

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50510-7

  • Online ISBN: 978-3-319-50512-1

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