Conditions We Treat
Degenerative Disc Disease
If your back or neck has ached on and off for a long time, and sitting or bending makes it worse, worn spinal discs may be part of the reason. An Evolve provider can help you understand it and explore options that may help.

Common signs
- A nagging ache in your lower back or neck that comes and goes
- Pain that’s worse when you sit for long and eases when you walk or shift position
- Stiffness when you first get up or after sitting
- Bad days when a small movement sets off a painful flare
- Pain, tingling or numbness that spreads into your buttocks, legs or arms
- Bending, lifting or twisting hurts more than it used to
What is Degenerative Disc Disease?
Degenerative Disc Disease (DDD) is a condition that affects the intervertebral discs of the spine, leading to pain, discomfort, and potential mobility issues. These discs act as cushions between the vertebrae, allowing for flexibility and movement while absorbing shock. Over time, these discs can deteriorate, causing the spine to lose its flexibility and leading to a range of symptoms that can significantly impact daily life.
At Evolve Medical Group, we understand the profound impact DDD can have on your wellbeing. Our holistic approach to treatment aims to address the root causes and provide you with effective, personalized care to enhance your quality of life.
What Causes Degenerative Disc Disease?
Degenerative Disc Disease is primarily caused by the natural aging process. As we age, the discs in our spine lose water content, making them less flexible and more prone to wear and tear. Several factors can accelerate this degeneration, including:
Genetics
A family history of DDD can increase your risk.
Injury
Trauma to the spine can damage the discs and lead to premature degeneration.
Repetitive Stress
Activities that put excessive strain on the spine, such as heavy lifting or certain sports, can contribute to disc wear.
Obesity
Carrying extra weight puts additional pressure on the spine, accelerating disc degeneration.
Smoking
Nicotine reduces blood flow to the discs, hindering their ability to repair and maintain themselves.
What Symptoms Will I Experience with Degenerative Disc Disease?
The symptoms of Degenerative Disc Disease can vary widely depending on the severity and location of the affected discs. Common symptoms include:
Chronic Pain
Persistent pain in the neck or lower back is a hallmark of DDD.
Radiating Pain
Pain that radiates to the arms, legs, or buttocks, often accompanied by tingling or numbness.
Stiffness
Reduced flexibility and stiffness in the spine, making it difficult to bend or twist.
Muscle Weakness
Weakness in the muscles surrounding the affected area, which can lead to further instability.
Flare-Ups
Periods of intense pain that can be triggered by certain activities or movements.
Best Treatment Options for Degenerative Disc Disease
When home remedies are not enough, professional treatment options are available to manage and alleviate the symptoms of Degenerative Disc Disease. At Evolve Medical Group, we offer a range of treatments tailored to your specific needs:
Non-Surgical Treatments
Physical Therapy
Customized exercise programs to strengthen the muscles around your spine and improve flexibility.
Chiropractic Care
Spinal adjustments to improve alignment and reduce pain.
Acupuncture
Traditional Chinese medicine technique that can help alleviate pain and improve overall wellbeing.
Minimally Invasive Procedures
Radiofrequency Ablation
A procedure that uses heat to reduce nerve pain by targeting specific nerves in the spine.
Laser Therapy
Non-invasive treatment that uses laser light to reduce inflammation and promote healing.
Surgical Options
Discectomy
Removal of the damaged portion of a disc to alleviate pressure on the nerves.
Spinal Fusion
Fusing two or more vertebrae together to stabilize the spine and reduce pain.
Artificial Disc Replacement
Replacing a damaged disc with an artificial one to maintain spine mobility.
What Should I Try at Home Before Seeing a Provider for Degenerative Disc Disease?
Before seeking professional treatment, there are several strategies you can try at home to manage the symptoms of Degenerative Disc Disease:
Exercise
Engage in low-impact exercises such as walking, swimming, or yoga to maintain flexibility and strengthen the muscles supporting your spine.
Heat and Cold Therapy
Alternating between heat and cold packs can help reduce inflammation and alleviate pain.
Over-the-Counter Pain Relief
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can provide temporary relief from pain and inflammation.
Posture Correction
Maintaining good posture can reduce strain on your spine and alleviate symptoms.
Weight Management
Losing excess weight can relieve pressure on your spine and slow the progression of DDD.
Our Process for Treating Degenerative Disc Disease
At Evolve Medical Group, we take a holistic and personalized approach to treating Degenerative Disc Disease. Our process includes:
Comprehensive Evaluation
- We begin with a thorough assessment of your medical history, symptoms, and lifestyle. This may include physical examinations, imaging tests like MRI or X-rays, and consultations with our multidisciplinary team.
Personalized Treatment Plan
- Based on the evaluation, we develop a customized treatment plan tailored to your specific needs. This plan may include a combination of non-surgical treatments, minimally invasive procedures, and wellness therapies to address the root causes of your symptoms.
Integrative Therapies
- Our holistic approach incorporates integrative therapies such as:
- Cryotherapy: Using cold temperatures to reduce inflammation and promote healing.
- Massage Therapy: Alleviating muscle tension and improving circulation.
- Infrared Saunas: Promoting relaxation and reducing pain through heat therapy.
- Nutritional Counseling: Developing a diet plan to support overall spine health and reduce inflammation.
Ongoing Support and Monitoring
- We provide continuous support and monitoring to ensure the effectiveness of your treatment plan. Regular follow-up appointments allow us to adjust your plan as needed and address any new symptoms or concerns.
Wellness and Lifestyle Guidance
- In addition to medical treatments, we offer guidance on lifestyle changes and wellness practices to enhance your overall quality of life. This includes exercise recommendations, stress management techniques, and tips for maintaining a healthy spine.
At Evolve Medical Group, we are committed to helping you manage Degenerative Disc Disease and improve your overall wellbeing. Our expert-curated services and holistic approach ensure that you receive the highest level of care, tailored to your unique needs.
For more information on our treatments and services, explore our website or contact our supportive staff to schedule a consultation.
How Evolve evaluates it
Disc changes show up on many spine scans, so your evaluation focuses on you, not just the picture. Your provider asks how long the pain has been around, what makes it better or worse, and how it affects your work, sleep and activities, and goes over your health history, medications and goals.
A physical exam checks how your spine moves and whether any nerves are involved. X-rays or an MRI may be recommended if they’ll help guide decisions. Your provider then explains the findings, suggests a personalized plan if one fits, and follows up to adjust it over time.
Options your provider may discuss
FAQ
Questions, answered.
Your provider will answer anything else at your consultation.
Is degenerative disc disease really a disease?
Not in the usual sense. The name describes age-related changes in the spinal discs that most people develop to some degree over time. Many people with these changes on a scan have little or no pain, while others live with ongoing symptoms. What matters most is how the changes affect you, and that is what your provider focuses on.
Does it always get worse as I get older?
Not necessarily. Disc changes tend to progress slowly, but pain doesn’t always follow the same path. For many people, symptoms come and go, and some find their pain settles over time. Your provider can talk with you about habits and care that may support your spine over the long run, and adjust your plan as things change.
Is it the same as arthritis of the spine?
They’re related but not the same. Disc degeneration affects the cushions between the vertebrae, while spinal osteoarthritis affects the small facet joints at the back of the spine. The two often show up together, and both can cause stiffness and pain. Your exam, and imaging when needed, helps show which may be contributing to your symptoms.
Can regenerative treatments help degenerative discs?
Possibly, but the research is still developing. Treatments such as PRP are being studied for disc-related pain, and they aren’t right for everyone. They’re not a substitute for conservative care such as exercise and physical therapy. Your provider can go over whether one might fit your situation, along with its risks, benefits and alternatives.
Locations
Six offices across South Texas
Not every office offers every treatment. Call the office you would like to visit to confirm before you book.
- San Antonio area
Stone Oak
20627 Huebner Rd, Suite 101
San Antonio, TX 78258(210) 526-4633 (Stone Oak) - San Antonio area
Dominion
22211 W Interstate 10
San Antonio, TX 78257(210) 783-7333 (Dominion) - San Antonio area
Quarry Market
255 E Basse Rd, Suite 1505
San Antonio, TX 78209(210) 866-3131 (Quarry Market) - San Antonio area
Live Oak
8000 Pat Booker Rd, Suite 104
Live Oak, TX 78233(210) 940-1001 (Live Oak) - Seguin
Seguin
315 N Austin St
Seguin, TX 78155(830) 549-5005 (Seguin) - Corpus Christi
Corpus Christi
5702 S Staples St, Suite E1
Corpus Christi, TX 78413(361) 225-3457 (Corpus Christi)
Your next step
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