What is the degenerative lumbar spondylosis outpatient treatment?

What is degenerative lumbar spondylosis?

Degenerative lumbar spondylosis is an age-related alteration in the lumbar spine that can lead to the formation of bone spurs (also called osteophytes), or to back pain caused by a deformity of the spine. As the deformity progresses, it may transition to spinal stenosis and other conditions.

What is degenerative lumbar spondylosis?What is degenerative lumbar spondylosis?

Causes of degenerative lumbar spondylosis

Degenerative lumbar spondylosis is mainly caused by the effects of age, the work environment and physical exercise.
These factors may result in the following:
・Disc degeneration.
・Lumbar spine instability
・Bone deformity and formation of bone spurs due to repeated contact between the lumbar vertebrae
The progression of these deformities and degeneration may cause damage to bones, discs, and nerves, all causing inflammation, which in turn causes pain. Along with this degeneration and deformation, the degeneration also spreads to the surrounding joints and ligaments. As the deformity progresses, the narrowing of the spinal canal and nerve pathways may lead to spinal stenosis, spondylolisthesis, and scoliosis, among other conditions.

Causes of degenerative lumbar spondylosisCauses of degenerative lumbar spondylosis

Symptoms of degenerative lumbar spondylosis

Symptoms such as dullness, sluggishness and heaviness in the lower back and buttocks when you wake up in the morning, when you try to get up from bed, or when you are tired may occur, as well as pain and other symptoms as far as the thighs and calves. You may also experience pain if you remain seated for long periods of time. If the deformity is advanced, neurological symptoms such as intermittent claudication due to spinal stenosis, numbness, paresthesia, or movement disorders may also occur.

Treatments for Lumbar spondylosis of the Lumbar Spine

Conservative treatments

There are two types of treatment: drug therapy and therapeutic exercise.
In some cases, symptoms caused by an impeded blood flow can be relieved by improving the blood circulation, and medication for this purpose may be prescribed.
We use therapeutic exercises to prevent aggravation of the stresses caused by the deformity and to correct the lifestyle-induced imbalances in the muscles and joints back into a stress-free state.
If no improvement is seen with these methods, surgical treatment may be considered.

Surgical procedures

Surgical procedures are often used to reduce pressure on the nerves, and in the case of spinal stenosis, it involves a procedure called spinal fusion, in which muscles and ligaments are removed in order to secure the unstable bones and, using an endoscope, parts of the lumbar vertebrae and the enlarged ligaments are shaved off in order to suppress the pressure.
However, sometimes the inflammation does not go away after the surgery or does not even improve, or the pain may also recur. In this case, factors others than the discs and lumbar spine, such as the physical constitution, muscles, and ligaments, may be involved in the cause of pain, and in this regard, this procedure cannot be considered a root treatment.
At our hospital, we recommend a treatment called DST, which promotes intervertebral disc repair and regeneration, relieves disc inflammation by stopping its degeneration and also reduce the inflammation from the muscles and ligaments through therapeutic exercise, in combination with therapeutic exercises implemented at the ILM International Lumbago medical fitness center, a rehabilitation facility specialized in low back pain that is affiliated with our clinic.

What treatments offered at our clinic are effective for lumbar spondylosis?

In degenerative lumbar spondylosis, pressure on the nerves and the worsening of symptoms are believed to be caused by a deformed intervertebral disc. Therefore, we believe that if we can suppress the deformation of the intervertebral disc, we can prevent inflammation related to nerve compression, as well as bone deformity and ligament enlargement.
In order to achieve this, we perform an intervertebral disc restoration and regeneration treatment using the DST method, which repairs the torn annulus fibrosus and restores intervertebral disc function by replenishing the water content inside the nucleus pulposus.
The treatment can be performed as an ambulatory treatment and under local anesthesia in the lower back, with a needle injecting a medical solution into the intervertebral disc.
The treatment takes about 25 minutes and is followed by a recovery time of about 1 hour, after which you are allowed to go home.

Treatment flow

  • 01 Consultation with one of our doctors

    An MRI and x-ray will be taken, and the doctor will then make a diagnosis.
    If the diagnosis indicates that DST is suitable, you can start the procedure on the afternoon of the same day.

  • 02 Before the procedure

    A local anesthetic is administered to the lower back in the operating room and a needle is inserted into the lumbar disc(s) identified during the examination.
    An examination using a contrast agent is performed to pinpoint the location of the damaged disc.

  • 03 The procedure

    Fluoroscope guidance is then used to locate the disc and administer the drug to the damaged area. Once the drug has penetrated the zone, the needle is removed, and the bleeding is controlled.

  • 03 The procedure

    The patient can go home upon completion of the treatment, after resting in a private room for about an hour and a final routine examination by the doctor.
    *The time of release depends on the patient's symptoms and condition.

Prevention of degenerative lumbar spondylosis after surgery

After surgery, you should refrain from doing sports and heavy work for about a month, but light stretching and walking are possible starting one week after surgery. If you have been avoiding exercising because you were in pain, we recommend instead that you exercise moderately or the pain may worsen, and your muscle strength may decrease.
We are working in association with ILM, our back pain specialist rehabilitation facility, which performs a medical treatment addressing pain inflammation that is not related to the intervertebral discs, such as caused by muscles, ligaments, and tendons, and offers not only guidance on how to improve posture and muscle strength, but also on how to improve one’s physical constitution by implementing detoxification and medical nutrition therapies.
For cases in which it is highly probable that the cause of pain is other than chronic pain or inflammation in the intervertebral discs, incorporating a treatment from the ILM Lumbago Medical Fitness may yield results.
In the longer term, therapeutic exercise and medical nutrition therapy may come to play an important role for the patient as preventive measures to create a body in which degeneration of the intervertebral discs does not easily occur.

Questions and Answers about Lumbar spondylosis

  • question

    What are some everyday precautions to take if I have degenerative lumbar spondylosis?


    If you are diagnosed with degenerative lumbar spondylosis, the first important step is to prevent further degeneration of the disc and bone: reduce the frequency of your movements and tasks, especially if they are strenuous on your lower back, and closely follow your doctor's advice in order to determine the next step.

  • question

    What is the difference between degenerative lumbar spondylosis and a herniated disc?


    Disc herniation is when the nucleus pulposus inside the disc protrudes and compresses the nerve, causing pain. Degenerative lumbar spondylosis is when pain is caused by degeneration of the disc, enlargement of the ligaments, or the apparition of bone spurs. It may evolve from degenerative lumbar spondylosis to disc herniation or spinal canal stenosis.

  • question

    Can lumbar spondylosis be cured without having recourse to surgery?


    Unfortunately, if the bone is deformed, it will not cure by itself.
    By devising a program aimed at improving the patient’s physical constitution, it is possible to reduce inflammation and prevent the aggravation of pain and the progression of symptoms, without having recourse to any treatment tackling the root cause of the problem.

  • question

    Is there any medication that can cure lumbar spondylosis?


    Medication cannot cure the disease thoroughly as it fails to address the root cause.
    However, some medications may be prescribed to relieve pain or to improve blood circulation. In case when the pain is severe, painkillers may be administered. Some patients who have been taking prescribed medication for a long time may experience other ailments and side effects if they stop them abruptly, so continuous improvement through therapeutic exercise and treatment while continuing to take the prescription may be privileged.

  • question

    Will I be able to keep on working if I have lumbar spondylosis?


    Depending on the severity of the symptoms, it may be possible to continue working.
    However, if your job involves a lot of desk work or heavy labor, it would be preferable to avoid such types of work as it will place extra strain on your back.
    If you find changing your work environment overnight difficult, consider improving your physical condition, posture, and muscle strength. If these methods improve your quality of life, we recommend pursuing this program.
    If no improvement is noted, we recommend that you consult a medical facility for a consultation and further diagnosis.

5 Types of Outpatient Treatment for Low Back Pain

  • The DST Method (Discseel™)

    An intervertebral disc treatment that began in the United States in the 2010s. Can be suitable for a wide range of conditions, including problems in patients after surgery. It is the only (※2)treatment that can repair and regenerate intervertebral discs.
    ※2 According to research by Operation Japan (Ltd.)

    Click here for details.
  • The PIDD Method (Implant)

    An implant intervertebral disc treatment that has been conducted since the 2000s. As with PLDD, results without injury to intervertebral discs can be anticipated. This treatment is suitable for herniated discs only.

    Click here for details.
  • Hybrid Laser Treatment

    A treatment that combines the benefits of PLDD and PODD. This treatment is suitable for herniated discs only.

    Click here for details.
  • The PODD Method (Ozone)

    An ozone intervertebral disc treatment that has been conducted mainly in Europe since the 1990s. It can be suitable for a wide range of conditions.

    Click here for details.
  • The PLDD Method (Laser)

    An outpatient, laser intervertebral disc treatment that has been well known worldwide since the 1980s. This treatment is suitable for herniated discs only.

    Click here for details.