Degenerative Disc Disease
Degenerative Disk Disease (DDD) refers to a process that causes the discs in our spine to decrease in height and move out of
place. This can cause localized pain in the spine that is aggravated by sitting, bending, lifting,
and twisting.
Disc Protrusions
As the degenerative process progresses over time, the stress on the disc can cause some of the gel
like substance in the disc to move into the spinal canal where it inflames and compresses spinal
nerves. This can cause spine pain, numbness, tingling, weakness, or arm/leg pain depending on the spinal segment that is affected.
Disc Extrusions
Is a more severe form of displacement of the nuclear material through the outer ring of the disc, while the nuclear material remains attached. This can cause more spine and extremity pain and take longer to heal.
Facet Arthritis
Facet joints are small spaces in the back of our spine that can develop arthritis. This can cause
pain in the spine that occurs with neck rotation, looking upwards, or low back pain while
standing in one place.

Myofascial Pain Syndrome
A multifactorial degenerative process that leads to damaged muscle fibers. Painful knots called
trigger points form in muscles and negatively impact health and function.
Sprain/Strain
Tendon and ligament damage around the spine that typically occurs during a trauma. Typically
heals with conservative treatment over the course of 1-2 months.
Spinal Stenosis
A narrowing of the spine that can place pressure on the spinal cord or spinal nerves. This can
cause pain, numbness, tingling, weakness, pain in arm or leg, cramping in legs that occurs with
walking and resolves with rest, and bowel/bladder incontinence.
Sacroiliac Joint Dysfunction
The sacroiliac joint is located in the gluteal region where your pelvis and sacral spine join. This
joint bears a lot of stress and is prone to degenerative processes and trauma. Symptoms include butt pain, pain over the outside and inside of the hip, gluteal weakness, gluteal instability, and sciatic like symptoms.
Radiculopathy
This refers to compression of the spinal nerve root related to various spine disorders. Symptoms
include spine pain, numbness, tingling, weakness, pain in the arm or leg, andcramping.
Epidural Fibrosis
Scar tissue that forms in the spine around the spinal nerves usually in response to a history of
spine surgery. This can cause nerve pain which may produce symptoms in the spine, arms, or
legs.

