II. Pathophysiology: Chronic disc degeneration (disc space narrows)

  1. Vertebrae move closer
    1. Spurs or Osteophytes form at disc edges, Luschka
  2. Foramen Narrows
    1. Nerve root is compressed
    2. Results in mild root inflammation and Swelling

III. Epidemiology

  1. Chronic disorder in older patients

IV. Symptoms

  1. Degenerative Disk pain
    1. Worse with spine flexion such as sitting
  2. Facet pain
    1. Worse with spine extension such as standing or walking

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