title: [Low back pain and degenerative disc disease].
abstract: BACKGROUND
  Various clinical conditions can cause low back pain, and in most cases it is of a degenerative origin. Degenerative disc disease is a common condition which affects young to middle-aged men and women equally. Changes in the mechanical properties of the disc lead to degenerative arthritis in the intervertebral joints, osteophytes, and narrowing the intervertebral foramen or the spinal canal.
  
  
  METHODS
  Degenerative cascade, described by Kirkaldy-Willis, is the widely accepted pathophysiologic model describing the degenerative process as it affects the lumbar spine in 3 phases.
  
  
  METHODS
  There are two forms of low back pain secondary to degenerative disc disease: a) lumbalgia and b) lumbar radiculopathy. Limitation of movement, problems with balance, pain, loss of reflexes in the extremities, muscle weakness, loss of sensation or other signs of neurological damage can be found on physical examination. For accurate diagnosis, it is often necessary to combine clinical examination and sophisticated technology.
  
  
  METHODS
  Coservative treatment consists of rest, physical therapy, pharmacological therapy and injection therapy. Physical rehabilitation with active patient participation is a key approach to treatment of patients with discogenic pain. Physical therapy, occupational therapy and kinesitherapy are important for improving muscle strength, endurance, and flexibility. Disc surgery is performed if surgical intervention is required.
authors.affiliation: Zavod za rehabilitaciju "Dr Miroslav Zotović", Banja Luka, Vojnomedicinska akademija, Beograd.
authors.forename: Slavica
authors.initials: S
authors.lastname: Jandrić
authors.forename: Branislav
authors.initials: B
authors.lastname: Antić
mesh_terms: D006801:Humans; D007403:Intervertebral Disc; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy*; D013122:Spinal Diseases / Q000150:complications / Q000628:therapy*