AKARAWIT ASAWASAKSAKUL, M.D.
Spine Surgery
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In recent years, degenerative disc disease has become increasingly common, particularly among young professionals who spend prolonged hours working in front of computer screens. Some individuals spend as much as 8–12 hours a day sitting, often in improper postures, frequently looking up and down at mobile screens without taking breaks to stretch or rest.
These habits place excessive strain on the intervertebral discs, leading to chronic back pain and ultimately contributing to degenerative disc disease. This condition is no longer confined to the elderly, as it was in the past, but is now increasingly prevalent among the younger working population.
Several key factors contribute to the development of degenerative disc disease:
Age is the primary cause of degenerative disc disease. As the body naturally ages, disc degeneration occurs, making it a condition that is difficult to control compared to other contributing factors.
Prolonged poor posture and repetitive stress on the spine can accelerate disc degeneration. Activities such as heavy lifting, prolonged sitting without changing posture, or frequent long-distance driving can all contribute to early onset of the disease.
Smoking, for example, reduces collagen production and decreases blood flow to the intervertebral discs. When these discs receive inadequate nutrients, they deteriorate prematurely.
Individual genetic differences can result in varying structural integrity of the spine. Some individuals may experience early disc degeneration or spinal collapse, even at a young age.
If a physician determines that the patient’s condition is not severe and there is no nerve compression, conservative treatment options may be recommended to alleviate symptoms:
Pain relievers, anti-inflammatory drugs, and muscle relaxants may be prescribed to manage discomfort.
Treatments such as spinal traction or wearing a lumbar support brace for 2–3 months can help relieve pain and, in mild cases, reposition the affected disc.
Patients should avoid prolonged sitting without changing posture, excessive bending of the neck while using mobile devices, heavy lifting, and long-distance driving without breaks.
Physicians may recommend a supervised exercise program with a physical therapist to strengthen the spine. Regular stretching, especially in the morning and before exercising, is crucial. Strengthening the core muscles can also help reduce stress on the intervertebral discs.
For patients with severe spinal degeneration, nerve compression, or those who do not respond to conservative treatments, advanced medical technologies may be considered:
This minimally invasive surgery involves inserting an endoscope through a small incision (no more than 8 millimeters) to remove only the affected portion of the disc. Unlike traditional microscopic surgery, this technique preserves healthy tissue, reduces tissue damage, and minimizes complications, allowing for a faster recovery.
This non-invasive procedure does not require general anesthesia. A small needle is inserted into the affected disc, and radiofrequency energy is used to remove the excess or protruding disc material, relieving nerve compression.
The key benefits of this treatment include minimal recovery time and a quick return to normal activities, making it an ideal option for patients with disc-related back pain.
Wearing a lumbar support belt can help relieve lower back pain by providing stability while sitting, standing, walking, or lifting objects. Before purchasing a lumbar support belt, consider the following factors:
Prevention is key to reducing risk factors for early-onset degenerative disc disease. Maintaining a healthy lifestyle, avoiding activities that strain the spine, and regular check-ups with a specialist are essential for long-term spinal health.
The Spine and Orthopedic Center, Ramkhamhaeng Hospital provides specialized diagnosis and treatment for spinal, spinal cord, and nerve-related disorders using advanced medical technology. Our team of specialists prioritizes minimizing risks and ensuring effective treatment so that patients can return to their normal lives as quickly as possible.
Spine Surgery