Faculty, Staff and Student Publications
Publication Date
1-1-2023
Journal
Orthopedic Reviews
Abstract
Purpose of review: Lower back pain (LBP) has a lifetime prevalence of 80% in the United States population. Discogenic back pain (DBP), a subcategory of LBP, occurs as a result of the interverbal disc degeneration without disc herniation. Diagnosis relies on history, physical exam, and imaging such as MRI, provocative discography, or CT discography.
Recent findings: Treatment of DBP involves a multifaceted approach with an emphasis on conservative measures including behavioral modification, pharmacologic management, and other non-pharmacologic interventions with invasive therapy reserved for select patients. Due to the paucity of data on the treatment of DBP, treatment also relies on data derived from treatment of chronic LBP (CLBP).
Summary: Despite the scarcity of data for the treatment of DBP, treatments do exist with varying efficacy for DBP. Novel techniques such as the use of biologics may provide another avenue for treatment though further studies are needed to better evaluate the most efficacious regimen for both novel and existing treatments.
Keywords
Discogenic back pain, chronic lower back pain, discography, biologics, allogeneic disc tissue
DOI
10.52965/001c.84649
PMID
37641793
PMCID
PMC10460631
PubMedCentral® Posted Date
8-25-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes