Review: Discogenic Back Pain: Update on Treatment

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...

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Bibliographic Details
Published in:Orthopedic Reviews 2023-01, Vol.15, p.84649
Main Authors: Remotti, Edgar, Nduaguba, Chinoso, Woolley, Parker A, Ricciardelli, Ryan, Phung, Anh, Kim, Rosa, Urits, Ivan, Kaye, Alan David, Hasoon, Jamal, Simopoulos, Thomas, Yazdi, Cyrus, Robinson, Christopher L
Format: Article
Language:English
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Summary: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. 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). 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.
ISSN:2035-8164
2035-8237
2035-8164
DOI:10.52965/001c.84649