Does chronic inflammation contribute to degenerative disc disease by causing degeneration of the endplate, restricting disc nutrition, and leading to dehydration and rupture, particularly when intrinsic spinal muscles, such as the multifidus (multifidae), fail to protect the disc due to impaired communication between the brain and these muscles?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 21, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Chronic inflammation is a contributing factor to degenerative disc disease, but it is not the sole cause, and its role is complex, involving the interplay of various factors including age, genetics, and mechanical stress, as suggested by the most recent study 1. The process of degenerative disc disease involves:

  • Reduced nutrient supply to the disc due to endplate degeneration
  • Accumulation of waste products in the disc
  • Acidic environment in the disc
  • Disc dehydration and weakening
  • Increased vulnerability to rupture Chronic inflammation plays a role in this process, but its connection to brain inflammation and spinal muscle function, such as the multifidus muscle, is less established 2, 3. To maintain spine health, it is recommended to:
  • Engage in regular exercise, especially core-strengthening
  • Practice proper posture and ergonomics
  • Maintain a healthy weight
  • Avoid smoking
  • Stay hydrated If experiencing back pain, it is essential to consult a healthcare provider for a proper diagnosis and treatment plan, which may include physical therapy, anti-inflammatory medications, or in severe cases, surgical intervention 4. The role of inflammatory mediators, such as nitric oxide, interleukins, and tumor necrosis factor alpha, in intervertebral disc degeneration has been implicated in several studies 5, 4, highlighting the complexity of the disease process. Overall, while chronic inflammation is a contributing factor to degenerative disc disease, a comprehensive approach to maintaining spine health and managing back pain is necessary, taking into account the interplay of various factors and the latest evidence from studies such as 1.

References

Research

Inflammation in intervertebral disc degeneration and regeneration.

Journal of the Royal Society, Interface, 2015

Research

Role of inflammation in neurodegenerative diseases.

Current opinion in neurology, 2005

Research

The aging spine: the role of inflammatory mediators in intervertebral disc degeneration.

Cellular and molecular biology (Noisy-le-Grand, France), 2007

Research

Inflammation and the degenerative diseases of aging.

Annals of the New York Academy of Sciences, 2004

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.