Doctor's Notes on Lumbar Disc Disease
Lumbar disc disease (also called lumbar spondylosis) refers to a group of degenerative disorders that can lead to lower back pain as people age. There are three main processes that make up lumbar disc disease: internal disc disruption, degenerative disc disease, and segmental instability.Symptoms of lumbar disc disease include chronic low back pain that usually develops between 20 to 50 years of age, pain worsens when sitting or bending forward, localized tenderness in the lower back, and pain that is persistent and lasts longer than six weeks. If there is internal disc disruption, symptoms include a deep ache in the low back that increases over several months and pain that worsens with motion. As lumbar disc disease progresses, pain is felt in the lower back as well as the back of the buttocks and thighs. Once there is segmental instability there is increasing pain radiating down the lower extremities, which increases with movement and walking.
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Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.