Mild multilevel degenerative disc disease of the thoracic spine

My doctor says I have degenerative changes in my spine. Does this mean I have arthritis?

Answer From April Chang-Miller, M.D.

Yes. The phrase "degenerative changes" in the spine refers to osteoarthritis of the spine. Osteoarthritis is the most common form of arthritis. Doctors may also refer to it as degenerative arthritis or degenerative joint disease.

Osteoarthritis in the spine most commonly occurs in the neck and lower back. With age, the soft disks that act as cushions between the spine's vertebrae dry out and shrink. This narrows the space between vertebrae, and bone spurs may develop.

Gradually, your spine stiffens and loses flexibility. In some cases, bone spurs on the spine can pinch a nerve root — causing pain, weakness or numbness.

If you have osteoarthritis, your doctor will work with you to develop a treatment and pain management plan, which may include exercise, medications and measures to protect your joints. Your doctor may also refer you to a rheumatologist, physical therapist or orthopedic surgeon.

From Mayo Clinic to your inbox

Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health.

To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail.

Feb. 08, 2022

  1. Osteoarthritis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/Health_Info/Osteoarthritis/default.asp. Accessed Dec. 9, 2016.
  2. Doherty M. Clinical manifestations and diagnosis of osteoarthritis. http://www.uptodate.com/home. Accessed Dec. 9, 2016.
  3. Goode AP, et al. Low back pain and lumbar spine osteoarthritis: How are they related? Current Rheumatology Reports. 2013;15:305.
  4. Imboden JB, et al. Osteoarthritis. In: Current Diagnosis & Treatment: Rheumatology. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com. Accessed Dec. 9, 2016.

See more Expert Answers

See also

  1. 3D Printer Helps Hip
  2. Arthritis creams
  3. Bone spurs
  4. Cortisone shots
  5. Elbow Replacement
  6. Elbow replacement surgery
  7. Glucosamine: Does it protect cartilage in osteoarthritis?
  8. Golf and Wrist Pain
  9. Hip replacement
  10. Hip resurfacing: An alternative to conventional hip replacement?
  11. Hip Surgery Overview
  12. Hockey Coach Gets Hip
  13. Knee replacement
  14. MRI
  15. Opioids and arthritis
  16. Osteoarthritis
  17. Outpatient joint replacement
  18. Pain Management
  19. Partial shoulder replacement
  20. Robotic-arm assisted knee resurfacing
  21. Seeing inside the heart with MRI
  22. Shoulder replacement surgery
  23. Cane tips
  24. Stem Cells Get Hip
  25. Stickler syndrome
  26. Symptom Checker
  27. Tai chi
  28. Tailbone pain
  29. Integrative approaches to treating pain
  30. Nutrition and pain
  31. Pain rehabilitation
  32. Self-care approaches to treating pain
  33. Thumb Reconstruction
  34. Total shoulder replacement options
  35. MRI
  36. Tai chi
  37. Wrist pain
  38. X-ray

.

Case Reports

Treatment of multilevel degenerative disc disease with intradiscal electrothermal therapy

K Malik. Anaesth Intensive Care. 2007 Apr.

Free article

Abstract

Intradiscal electrothermal therapy is a frequently performed procedure for the pain of internal disc disruption. It is typically performed on one to two discs; the discal treatment is followed by a long period of rest and rehabilitation. In patients with multilevel disc disease, intradiscal electrothermal therapy is either not contemplated or only one to two discs are treated at a time. This approach therefore either denies these patients the potential benefits of intradiscal electrothermal therapy or significantly prolongs the period of pain and disability. A 25-year-old female patient presented with internal disc disruption at four lumbar disc levels, diagnosed by provocative discography and post discography CT scan. All these discs were treated simultaneously by intradiscal electrothermal therapy. The patient tolerated the procedure well and responded favourably with significant and prolonged decrease in her symptoms. She reported sustained reduction in her pain and showed no clinical evidence of early neurological or infectious complications during 18 months of follow-up. This report indicates that intradiscal electrothermal therapy can be performed at multiple levels at a single sitting, compared to intradiscal electrothermal therapy performed at one to two discs at a time, this approach may obviate the need for surgery and may reduce the duration of pain and disability incurred. However, the influence of multilevel intradiscal electrothermal therapy on long-term complications or outcome is not known.

Similar articles

  • Acute biomechanical and histological effects of intradiscal electrothermal therapy on human lumbar discs.

    Kleinstueck FS, Diederich CJ, Nau WH, Puttlitz CM, Smith JA, Bradford DS, Lotz JC. Kleinstueck FS, et al. Spine (Phila Pa 1976). 2001 Oct 15;26(20):2198-207. doi: 10.1097/00007632-200110150-00009. Spine (Phila Pa 1976). 2001. PMID: 11598508

  • Intradiscal electrothermal therapy used to manage chronic discogenic low back pain: new directions and interventions.

    Wetzel FT, McNally TA, Phillips FM. Wetzel FT, et al. Spine (Phila Pa 1976). 2002 Nov 15;27(22):2621-6. doi: 10.1097/00007632-200211150-00043. Spine (Phila Pa 1976). 2002. PMID: 12436005 Review.

  • Nucleoplasty with or without intradiscal electrothermal therapy (IDET) as a treatment for lumbar herniated disc.

    Cohen SP, Williams S, Kurihara C, Griffith S, Larkin TM. Cohen SP, et al. J Spinal Disord Tech. 2005 Feb;18 Suppl:S119-24. doi: 10.1097/01.bsd.0000127823.54485.3f. J Spinal Disord Tech. 2005. PMID: 15699797

  • Intradiscal electrothermal treatment for chronic discogenic low back pain: a prospective outcome study with minimum 1-year follow-up.

    Saal JA, Saal JS. Saal JA, et al. Spine (Phila Pa 1976). 2000 Oct 15;25(20):2622-7. doi: 10.1097/00007632-200010150-00013. Spine (Phila Pa 1976). 2000. PMID: 11034647

  • Intradiscal electrothermal annuloplasty: the IDET procedure.

    Heary RF. Heary RF. J Spinal Disord. 2001 Aug;14(4):353-60. doi: 10.1097/00002517-200108000-00013. J Spinal Disord. 2001. PMID: 11481560 Review.

Publication types

MeSH terms

LinkOut - more resources

  • Full Text Sources

    • Atypon
    • Australian Society of Anaesthetists
    • Ovid Technologies, Inc.
  • Medical

    • MedlinePlus Health Information

What does mild multilevel degenerative disc disease mean?

The “disease” is nothing more than the gradual deterioration and thinning of the shock-absorbing intervertebral discs in the spine. When it happens at multiple discs or levels throughout the spine, this is known as multilevel degenerative disc disease.

What is multilevel degenerative disc disease of the thoracic spine?

The vertebrae (bones of the spine) are stacked on top of one another and separated by intervertebral discs. Degenerative disc disease develops as the intervertebral discs experience degenerative changes; when this occurs at multiple levels of the spine, this is multilevel degenerative disc disease.

How is multilevel degenerative disc disease treated?

Physical therapy can help stretch and strengthen the right muscles to help the back heal and reduce the frequency of painful flare-ups. Lifestyle modifications, such as changing your posture, losing weight or giving up smoking, can sometimes help reduce stress on the damaged disc and slow down further degeneration.

Is mild multilevel degenerative disc disease a disability?

Degenerative disc disease by itself is not recognized as a listed disability by the Social Security Administration (SSA). Why? For one reason, the pain caused by disc degeneration is usually intermittent, and often goes away after a few months of conservative treatment.