Management of symptomatic lumbar degenerative disk disease.

  title={Management of symptomatic lumbar degenerative disk disease.},
  author={Luke Madigan and Alexander R. Vaccaro and Leo R. Spector and Roger A. Milam},
  journal={The Journal of the American Academy of Orthopaedic Surgeons},
  volume={17 2},
Symptomatic lumbar degenerative disk disease, or discogenic back pain, is difficult to treat. Patients often report transverse low back pain that radiates into the sacroiliac joints. Radicular or claudicatory symptoms are generally absent unless there is concomitant nerve compression. Physical examination findings are often unremarkable. Radiographic examination may reveal disk space narrowing, end-plate sclerosis, or vacuum phenomenon in the disk; magnetic resonance imaging is useful for… CONTINUE READING
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