Review: Discogenic Back Pain: Update on Treatment.

Orthop Rev (Pavia)

Beth Israel Deaconess Medical Center, Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA.

Published: August 2023

AI Article Synopsis

  • * Treatment for DBP primarily focuses on conservative methods like behavior changes, medications, and non-drug therapies, while invasive treatments are reserved for specific cases; there's not much specific data for DBP, so chronic LBP treatment data is often referenced instead.
  • * Although there are different treatments for DBP with varying results, new methods like biologics show potential, but more research is needed to determine the best treatment strategies.

Article Abstract

Purpose Of Review: 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.

Recent Findings: 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).

Summary: 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460631PMC
http://dx.doi.org/10.52965/001c.84649DOI Listing

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