Top of spine and lower back highlighted to show where back pain can occur.
Degenerative Disc Disease (DDD)

Approximately 60% of Americans over age 65 are affected by osteoarthritis, which is the main cause of degenerative disc disease (DDD). 

The main factor for degenerative spine disease is aging. It is a gradual process and it happens over time. 

DDD is a gradual process that usually begins with cracks and tears in the annulus, followed by arthritis in the facet joints, and/or spondylolisthesis, intervertebral disc herniation, development of bone spurs (osteophytes), and a collapse of one or more spinal segments. 


Sciatica is a term used to collectively describe low back pain that radiates through the left or right buttock into usually one leg sometimes including the foot. Its usually back pain caused by a problem with the sciatic nerve. This is a large nerve that runs from the lower back down the back of each leg. When something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, and leg. 

Arthritis of the Facet Joints

 Enlargement of these joints in the back can cause common symptoms including joint stiffness and pain.


Spondylolisthesis occurs when one vertebral body slips forward on the adjacent vertebrae. Typical symptoms include low back pain, sciatica, muscle spasms, leg weakness, and problems walking.

Lumbar Spinal Stenosis and Neurogenic Claudication

Spinal stenosis refers to a narrowing of the spinal canal and may involve the central canal, foramen, or lateral recess. 
Symptoms can make standing, walking, sitting, and other everyday activities difficult.

Symptoms typically include: Typical symptoms include low back pain, sciatica, muscle spasms, leg weakness, and problems walking.


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  • lower back pain
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