The first step the chiropractor will take with degenerative disc disease is to carefully determine if you have a true disc-related problem.
- Degeneration in the spinal joints may be disturbing the mechanics of the spine.
- Thinning and degenerative discs might be bulging and putting pressure on spinal nerves.
- Spinal stenosis can cause back pain and leg pain.
How Does a Chiropractor Diagnose Degenerative Disc Disease?
At your initial exam, you’ll go through your past medical history with the chiropractor, and he or she will determine areas of restricted joint motion, disc injury, muscle spasm, and ligament injury by performing a few simple tests.
Your chiropractor will also look at how you walk as well as your overall posture. Those details will help him or her understand your body mechanics and how your spine moves.
You may also need an imaging test, such as an x-ray or MRI.
After the examination, the chiropractor will diagnose your condition and develop a treatment plan to reduce back pain and other symptoms of DDD.
Chiropractic Treatments for Degenerative Disc Disease
The goal of chiropractic care for DDD is to improve joint mechanics by improving spinal motion and reducing inflammation. The chiropractor may also work on improving the function of the intervertebral discs—but that’s only if you do not have advanced disc degeneration.
To help treat your DDD symptoms, your chiropractor may use spinal manipulation (also called spinal adjustment). There are multiple types of spinal manipulation. Some common ones are:
- specific spinal manipulation: Your chiropractor will identify the joints that are restricted or those that show abnormal motion. He or she will work to restore movement to the joints using a gentle thrusting technique.
- flexion-distraction technique: This type of spinal manipulation uses a gentle, non-thrusting technique; it’s typically used to treat herniated discs and spinal stenosis.
- instrument-assisted manipulation: This technique uses a hand-held instrument. The chiropractor applies gentle force without thrusting directly into the spine.
Manual therapy may also be used to help treat DDD symptoms. Examples of manual therapy techniques are:
- trigger point therapy: The chiropractor identifies tight painful points on a muscle and puts direct pressure on these points to relieve tension.
- manual joint stretching and resistance techniques: Your chiropractor may use one of these techniques to relieve pain and other DDD symptoms.
- therapeutic massage: Massage can help reduce muscle tension.
- instrument-assisted soft tissue therapy: An example of this type of manual therapy is the Graston technique, which uses an instrument to reduce pain and other symptoms.
In addition to spinal manipulation and manual therapy techniques, your chiropractor may use other types of therapy to help reduce inflammation caused by DDD. Examples are:
- interferential electrical stimulation: A low frequency electrical current is used to stimulate your muscles to reduce inflammation.
- acupuncture: Can either use laser (acupressure) or needles to decrease pain and inflammation. Acupuncture can help improve range of motion and releases natural pain killers (endorphins/ enkephalins) to reduce pain and improve function.