{"id":243030,"date":"2024-12-20T15:45:49","date_gmt":"2024-12-20T15:45:49","guid":{"rendered":"https:\/\/rafaelportela.pt\/degenerative-disc-disease\/"},"modified":"2025-10-16T15:10:51","modified_gmt":"2025-10-16T15:10:51","slug":"degenerative-disc-disease","status":"publish","type":"page","link":"https:\/\/rafaelportela.pt\/en\/pathologies\/degenerative-disc-disease\/","title":{"rendered":"Degenerative Disc Disease"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; admin_label=&#8221;Hero&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;e68aa8c9-06e1-48cb-b82b-29ec720aed4c&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;#ffffff 50%|rgba(255,255,255,0) 50%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(0,0,0,0.5)&#8221; background_color_gradient_end=&#8221;rgba(0,0,0,0.75)&#8221; 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This is known as lumbar discopathy, which is the progressive degeneration of one or more intervertebral discs. <\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Text &#038; Image&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;5138c454-be54-4233-bd3b-f8e6a8747976&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; z_index=&#8221;500&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Evolution of Lumbar Spinal Stenosis&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;f0c675ea-2574-4d0e-b725-30f8550a8550&#8243; title_level=&#8221;h3&#8243; title_font=&#8221;&#8211;et_global_heading_font|Cormorant Garamond_weight||on|||||&#8221; title_text_color=&#8221;#007BB5&#8243; title_font_size=&#8221;40px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||10px||false|false&#8221; title_font_size_tablet=&#8221;25px&#8221; title_font_size_phone=&#8221;25px&#8221; title_font_size_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22#05668d%22:%91%22title_text_color%22%93}&#8221;][\/et_pb_heading][et_pb_text quote_border_color=&#8221;#b68b4c&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;2c55a9c4-feed-423b-9edb-ae0b5b365cac&#8221; text_font=&#8221;&#8211;et_global_body_font|Proza Libre_weight|||||||&#8221; text_text_color=&#8221;rgba(0,0,0,0.64)&#8221; text_line_height=&#8221;1.75em&#8221; link_font=&#8221;|Proza Libre_weight|||||||&#8221; link_text_color=&#8221;#05668d&#8221; quote_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; quote_text_color=&#8221;#111111&#8243; header_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_text_color=&#8221;#111111&#8243; header_font_size=&#8221;72px&#8221; header_line_height=&#8221;1.15em&#8221; header_2_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_2_text_color=&#8221;#111111&#8243; header_2_font_size=&#8221;50px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_3_text_color=&#8221;#111111&#8243; header_3_font_size=&#8221;32px&#8221; header_3_line_height=&#8221;1.3em&#8221; header_4_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_4_text_color=&#8221;#111111&#8243; header_4_font_size=&#8221;24px&#8221; header_4_line_height=&#8221;1.4em&#8221; header_5_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_5_text_color=&#8221;#111111&#8243; header_5_font_size=&#8221;18px&#8221; header_5_line_height=&#8221;1.4em&#8221; header_6_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_6_text_color=&#8221;#111111&#8243; header_6_line_height=&#8221;1.5em&#8221; custom_margin=&#8221;||||false|false&#8221; text_font_size_tablet=&#8221;17px&#8221; text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;40px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;22px&#8221; header_3_font_size_phone=&#8221;17px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22%93}&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<p>Discopathy can manifest as acute lumbar blockages (lumbago), which often appear after an incorrect movement or physical exertion. These episodes tend to disappear naturally within a few days, or, sometimes, a few weeks. For the majority of people, these episodes are isolated or spaced out over time. However, in 5% of cases, low back pain intensifies, occurring with increasingly smaller efforts, until it becomes permanent. The affected disc cracks, dehydrates, and gradually collapses. Sometimes, a fragment of the disc can be expelled, compressing the nerve roots located just behind: this is the phenomenon of a disc herniation, responsible, among other things, for sciatica pain in the legs. In some cases, a disc herniation appears suddenly at the beginning of the evolution of discopathy, in individuals who had never suffered from back pain. In other cases, the herniation appears after a long history of low back pain. The more compressed the disc is, the smaller the space around the nerve roots will be, and, in some cases, the simple removal of the disc herniation will not be sufficient to completely release a compressed root.        <\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/images.unsplash.com\/photo-1598555763574-dca77e10427e?ixid=M3w1ODkyNzF8MHwxfHNlYXJjaHw5fHxzcGluZSUyMGhlYWx0aHxlbnwwfDB8fHwxNzM3NzM5MTI3fDA&#038;ixlib=rb-4.0.3&#038;fm=webp&#038;fit=crop&#038;crop=entropy&#038;w=800&#038;h=600&#038;q=20&#038;dpr=2&#8243; title_text=&#8221;800&#215;600&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;1cc6152f-565c-4c4d-b0c9-cf8c9576c341&#8243; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|6px|6px|6px|6px&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;40px&#8221; 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button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;on&#8221; button_text_color__hover=&#8221;#2f3854&#8243; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;on&#8221; button_bg_color__hover=&#8221;#ffffff&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<p>Lumbar discopathy can cause two main types of symptoms: back pain (low back pain) and leg pain (sciatica or cruralgia). Simply put, disc degeneration causes low back pain, while disc herniation or protrusion can compress the nerve roots and cause sciatica. In cases of very compressed, protruded, or inflamed discs, sciatica may occur even without the presence of a herniation. Low back pain related to lumbar discopathy presents as a band-like pain in the lower part of the back. Sitting or standing for prolonged periods quickly becomes uncomfortable. The pains are sensitive to effort, often leading to a reduction in activities, whether sporting or professional. Morning pain and stiffness are common, requiring a period of &#8216;warming up&#8217; before starting daily activities. In some people, the situation worsens with increased frequency, duration, and intensity of the episodes. The pain can become permanent, day and night, significantly affecting social and family life and potentially leading to feelings of frustration or depression. Sciatic pain is described in the paragraph about disc herniation.         <\/p>\n<p>[\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_video_mp4=&#8221;off&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(0,0,0,0.04)&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;TESTS&#8221; _builder_version=&#8221;4.27.4&#8243; header_font=&#8221;&#8211;et_global_heading_font||||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;40px&#8221; header_line_height=&#8221;1.4em&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#000000&#8243; body_line_height=&#8221;1.75em&#8221; use_background_color=&#8221;off&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;9px&#8221; button_text_color=&#8221;#ffffff&#8221; button_bg_color=&#8221;#6caf3f&#8221; button_border_width=&#8221;10px&#8221; button_border_color=&#8221;rgba(47,56,84,0)&#8221; button_border_radius=&#8221;60px&#8221; button_letter_spacing=&#8221;1px&#8221; button_font=&#8221;|700||on|||||&#8221; button_use_icon=&#8221;off&#8221; button_alignment=&#8221;left&#8221; text_orientation=&#8221;left&#8221; max_width=&#8221;800px&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;100px|60px|100px|60px|false|false&#8221; custom_padding_tablet=&#8221;|||60px|false|false&#8221; custom_padding_phone=&#8221;|||60px|false|false&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; header_font_size_tablet=&#8221;30px&#8221; header_font_size_phone=&#8221;30px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;17px&#8221; body_font_size_phone=&#8221;17px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; button_text_color_hover=&#8221;#2f3854&#8243; button_border_radius_hover=&#8221;66px&#8221; button_letter_spacing_hover=&#8221;1px&#8221; button_bg_color_hover=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;on&#8221; button_text_color__hover=&#8221;#2f3854&#8243; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;on&#8221; button_bg_color__hover=&#8221;#ffffff&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<p>Lumbar discopathies are accurately diagnosed through a magnetic resonance imaging (MRI) of the lumbar spine, which is the most suitable exam to assess the state of the disc. Full spine X-rays are often important for the spine surgeon, providing a global view of the shape of the spine, which can influence the therapeutic decision. In cases where disc degeneration has already reached the stage of osteoarthritis, a computed tomography (CT) scan of the lumbar spine may be necessary to better evaluate the bony contours of the vertebrae.  <\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/01\/doctor-with-patient-s-x-ray-film-scaled.jpg&#8221; background_enable_video_mp4=&#8221;off&#8221; background_video_width=&#8221;auto&#8221; background_video_height=&#8221;auto&#8221; background_video_pause_outside_viewport=&#8221;off&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_image=&#8221;off&#8221; background_enable_video_webm=&#8221;off&#8221; height=&#8221;458px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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custom_margin=&#8221;||||false|false&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;17px&#8221; text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221; header_font_size_tablet=&#8221;40px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;22px&#8221; header_3_font_size_phone=&#8221;17px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22#05668d%22:%91%22link_text_color%22%93,%22#0e0c19%22:%91%22header_text_color%22,%22header_4_text_color%22,%22header_3_text_color%22,%22header_2_text_color%22,%22header_5_text_color%22,%22header_6_text_color%22,%22quote_text_color%22%93,%22#3c3a47%22:%91%22text_text_color%22%93,%22#b68b4c%22:%91%22quote_border_color%22%93,%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22%93}&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>The treatment for low back pain is initially medical. It is managed by the attending physician, often in collaboration with a rheumatologist, a rehabilitation specialist, or a pain specialist. This treatment may include rest during episodes, analgesic and anti-inflammatory medications, physical therapy, and, in some cases<a href=\"https:\/\/rafaelportela.pt\/en\/non-surgical-treatments\/\"> <strong>infiltrations <\/strong><\/a>or immobilizations with braces. The majority of back pain cases respond well to these treatments, even if the episodes do not disappear completely. A more in-depth evaluation and a consultation with a spine surgeon are recommended when the pain does not respond adequately to treatments and the symptoms, persisting for more than 6 to 12 months, and\/or significantly compromise the quality of life.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;5138c454-be54-4233-bd3b-f8e6a8747976&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Principles of Surgical Treatment&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;f0c675ea-2574-4d0e-b725-30f8550a8550&#8243; title_level=&#8221;h4&#8243; title_font=&#8221;&#8211;et_global_heading_font|Cormorant Garamond_weight||on|||||&#8221; title_text_color=&#8221;#b68b4c&#8221; title_font_size=&#8221;14px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||10px||false|false&#8221; title_font_size_tablet=&#8221;13px&#8221; title_font_size_phone=&#8221;13px&#8221; title_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22#b68b4c%22:%91%22title_text_color%22%93}&#8221;][\/et_pb_heading][et_pb_heading title=&#8221;Criteria for Degenerative Disc Disease Surgery&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;c33f07d9-41e0-421a-8799-5799df695cce&#8221; title_level=&#8221;h2&#8243; title_font=&#8221;&#8211;et_global_heading_font|Cormorant Garamond_weight|||||||&#8221; title_text_color=&#8221;#007BB5&#8243; title_font_size=&#8221;40px&#8221; title_line_height=&#8221;1.2em&#8221; custom_margin=&#8221;||10px||false|false&#8221; 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text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221; header_font_size_tablet=&#8221;40px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;22px&#8221; header_3_font_size_phone=&#8221;17px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22#05668d%22:%91%22link_text_color%22%93,%22#0e0c19%22:%91%22header_text_color%22,%22header_4_text_color%22,%22header_3_text_color%22,%22header_2_text_color%22,%22header_5_text_color%22,%22header_6_text_color%22,%22quote_text_color%22%93,%22#3c3a47%22:%91%22text_text_color%22%93,%22#b68b4c%22:%91%22quote_border_color%22%93,%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22%93}&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Surgery for chronic low back pain is only considered after the failure of a complete and prolonged medical treatment. The spine surgeon bases the decision for surgery on the correlation between symptoms and the abnormalities found on imaging exams. In cases without paralysis, surgery will never be mandatory, but rather an additional option to treat low back pain. Surgery consists of the total removal of the affected disc (including herniation, if present) and its replacement with a mobile implant (disc prosthesis) or definitive fixation (cage and screws for fusion\/arthrodesis). The choice of implant depends on the degree of disc degeneration. After the onset of osteoarthritis, the placement of a disc prosthesis is no longer recommended.<\/p>\n<p>One of the techniques I use most for the treatment of this pathology is the <a href=\"https:\/\/rafaelportela.pt\/en\/specialties\/lumbar-disc-prosthesis\/\"><strong>Lumbar Disc Prosthesis<\/strong><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Text &#038; Image&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;rgba(255,255,255,0) 35%|#05668d 35%&#8221; background_last_edited=&#8221;on|tablet&#8221; background_color_gradient_direction_tablet=&#8221;180deg&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22background_color_gradient_stops%22%93,%22#05668d%22:%91%22background_color_gradient_stops%22%93}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; 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This minimally invasive method allows the surgeon to restore the height of the intervertebral space and relieve pressure on adjacent nervous structures. Using advanced techniques and modern technology, the procedure provides pain relief and improved patient mobility. Recovery is generally fast, allowing patients to resume their daily activities with more comfort and functionality.   <\/span><\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/rafaelportela.pt\/en\/specialties\/lumbar-disc-prosthesis\/&#8221; button_text=&#8221;Learn More About the Procedure&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;ab15fb74-61a3-43aa-96b3-41e09aeef654&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;17px&#8221; button_text_color=&#8221;#B68B4C&#8221; button_bg_color=&#8221;#FFFFFF&#8221; button_border_width=&#8221;0px&#8221; button_border_radius=&#8221;100px&#8221; button_font=&#8221;&#8211;et_global_body_font|500|||||||&#8221; custom_padding=&#8221;12px|24px|12px|24px|true|true&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; min_height=&#8221;406px&#8221; custom_padding=&#8221;0px|0px|0px|0px||&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#f6f6f6&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;POST-OPERATIVE CARE&#8221; _builder_version=&#8221;4.27.4&#8243; header_level=&#8221;h3&#8243; header_font=&#8221;&#8211;et_global_heading_font|&#8211;et_global_heading_font_weight|||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;40px&#8221; header_line_height=&#8221;1.3em&#8221; body_font=&#8221;&#8211;et_global_body_font|&#8211;et_global_body_font_weight|||||||&#8221; body_text_color=&#8221;#2F4858&#8243; body_line_height=&#8221;1.75em&#8221; use_background_color=&#8221;off&#8221; button_alignment=&#8221;left&#8221; text_orientation=&#8221;left&#8221; background_layout=&#8221;light&#8221; max_width=&#8221;580px&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;right&#8221; custom_padding=&#8221;100px|60px|100px|60px&#8221; header_font_size_tablet=&#8221;25px&#8221; header_font_size_phone=&#8221;25px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;17px&#8221; body_font_size_phone=&#8221;17px&#8221; body_font_size_last_edited=&#8221;on|phone&#8221; button_border_radius_hover=&#8221;66px&#8221; button_letter_spacing_hover=&#8221;1px&#8221; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<p>After surgery, the patient is encouraged to stand up a few hours after the procedure. A physical therapist teaches the proper movements for daily activities, such as standing up, lying down, and picking up objects from the floor. The use of a brace may be necessary in cases of arthrodesis, but not in surgeries involving a disc prosthesis. The return home usually occurs 24 to 48 hours after the intervention. Guidelines for wound care, medication, and rest until the follow-up appointment are provided upon hospital discharge.    <\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2024\/12\/kine_02.jpg&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.16&#8243; height=&#8221;400px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_video_mp4=&#8221;off&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; sticky_limit_bottom=&#8221;section&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2024\/12\/velo.jpg&#8221; background_position=&#8221;top_center&#8221; background_enable_video_mp4=&#8221;off&#8221; background_video_width=&#8221;auto&#8221; background_video_height=&#8221;auto&#8221; background_video_pause_outside_viewport=&#8221;off&#8221; custom_padding=&#8221;|||&#8221; sticky_limit_bottom=&#8221;section&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; height=&#8221;400px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(0,0,0,0.04)&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;CONVALESCENCE&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x35;||divi||400&#8243; icon_color=&#8221;#B68B4C&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;40px&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;65059203-12d3-44f6-8371-3f5cf61a0475&#8243; header_font=&#8221;&#8211;et_global_body_font|Cormorant Garamond_weight|||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;34px&#8221; header_line_height=&#8221;1.4em&#8221; body_font=&#8221;&#8211;et_global_body_font|Proza Libre_weight|||||||&#8221; body_text_color=&#8221;rgba(0,0,0,0.64)&#8221; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.75em&#8221; body_link_text_color=&#8221;#05668d&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;40px|25px||25px|false|false&#8221; animation=&#8221;off&#8221; header_font_size_tablet=&#8221;25px&#8221; header_font_size_phone=&#8221;25px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-f2943306-fa6c-45f0-b632-5fc00151366a%22:%91%22icon_color%22,%22icon_color%22%93}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_body_font||||||||&#8221; text_line_height=&#8221;1.75em&#8221; custom_padding=&#8221;25px|60px|25px|60px|false|false&#8221; text_font_size_tablet=&#8221;17px&#8221; text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>At home, the ideal is to alternate rest in a comfortable position (semi-reclined, with legs slightly bent) with light walking on flat surfaces. 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toggle_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; border_width_all=&#8221;2px&#8221; border_color_all=&#8221;rgba(255,255,255,0.4)&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22open_toggle_text_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22open_toggle_text_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22%93,%22gcid-828accbb-1ed2-407d-95be-20ab4e191566%22:%91%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22%93,%22gcid-7cadd8b3-5228-48e4-90c4-212d09232f7b%22:%91%22toggle_text_color%22%93}&#8221;][et_pb_accordion_item title=&#8221;What is Degenerative Disc Disease?&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>It is a condition characterized by the progressive wear and tear of the intervertebral discs of the spine, which lose elasticity and shock-absorbing capacity, potentially causing pain and stiffness.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the most common symptoms?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Symptoms include lumbar or cervical pain, stiffness, limited movement, tingling or numbness in the limbs, and, in advanced cases, muscle weakness.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the causes of degenerative disc disease?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>The main causes are natural aging, genetic predisposition, sedentary lifestyle, smoking, obesity, and activities that overload the spine.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;How is the diagnosis made?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>The diagnosis is made through clinical evaluation and imaging tests, such as X-rays and magnetic resonance imaging, which identify changes in the intervertebral discs.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the available treatment options?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Treatment may include physical therapy, strengthening exercises, analgesic and anti-inflammatory medications, and, in severe cases, surgery.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Is degenerative disc disease serious?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>In most cases, it is not considered serious and can be managed with conservative treatment. However, in advanced cases, it can lead to complications that require medical intervention. <\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What is the difference between degenerative discopathy and disc herniation?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Degenerative discopathy refers to the wear and tear of the intervertebral disc, while disc herniation occurs when the disc material projects outwards, potentially compressing nervous structures.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Does drinking water prevent the dehydration of intervertebral discs?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">There is no scientific evidence to prove that water intake prevents the dehydration of intervertebral discs.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Can degenerative disc disease worsen over time?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Yes, without proper treatment, the condition can progress, increasing pain and functional limitation.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Is surgery always necessary?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>No. Surgery is only considered when conservative treatments do not provide adequate relief of symptoms or in cases of severe complications. <\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<script type=\"application\/ld+json\"><!-- [et_pb_line_break_holder] -->{<!-- [et_pb_line_break_holder] -->  \"@context\": \"https:\/\/schema.org\",<!-- [et_pb_line_break_holder] -->  \"@type\": \"FAQPage\",<!-- [et_pb_line_break_holder] -->  \"mainEntity\": [<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"O que \u00e9 a doen\u00e7a degenerativa do disco?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"\u00c9 uma condi\u00e7\u00e3o caracterizada pelo desgaste progressivo dos discos intervertebrais da coluna vertebral, que perdem elasticidade e capacidade de absorver impactos, podendo causar dor e rigidez.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o os sintomas mais comuns?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Os sintomas incluem dor lombar ou cervical, rigidez, limita\u00e7\u00e3o de movimento, formigamento ou dorm\u00eancia nos membros e, em casos avan\u00e7ados, fraqueza muscular.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o as causas da doen\u00e7a degenerativa do disco?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"As principais causas s\u00e3o o envelhecimento natural, predisposi\u00e7\u00e3o gen\u00e9tica, sedentarismo, tabagismo, obesidade e atividades que sobrecarregam a coluna.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Como \u00e9 feito o diagn\u00f3stico?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"O diagn\u00f3stico \u00e9 realizado por meio de avalia\u00e7\u00e3o cl\u00ednica e exames de imagem, como radiografias e resson\u00e2ncia magn\u00e9tica, que identificam altera\u00e7\u00f5es nos discos intervertebrais.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o as op\u00e7\u00f5es de tratamento dispon\u00edveis?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"O tratamento pode incluir fisioterapia, exerc\u00edcios de fortalecimento, medica\u00e7\u00f5es analg\u00e9sicas e anti-inflamat\u00f3rias, e, em casos graves, cirurgia.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A doen\u00e7a degenerativa do disco \u00e9 grave?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Na maioria dos casos, n\u00e3o \u00e9 considerada grave e pode ser controlada com tratamento conservador. No entanto, em casos avan\u00e7ados, pode levar a complica\u00e7\u00f5es que requerem interven\u00e7\u00e3o m\u00e9dica.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Qual a diferen\u00e7a entre discopatia degenerativa e h\u00e9rnia de disco?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"A discopatia degenerativa refere-se ao desgaste do disco intervertebral, enquanto a h\u00e9rnia de disco ocorre quando o material do disco se projeta para fora, podendo comprimir estruturas nervosas.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Beber \u00e1gua previne a desidrata\u00e7\u00e3o dos discos intervertebrais?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"N\u00e3o h\u00e1 evid\u00eancias cient\u00edficas que comprovem que a ingest\u00e3o de \u00e1gua previna a desidrata\u00e7\u00e3o dos discos intervertebrais.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A doen\u00e7a degenerativa do disco pode piorar com o tempo?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Sim, sem tratamento adequado, a condi\u00e7\u00e3o pode progredir, aumentando a dor e a limita\u00e7\u00e3o funcional.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A cirurgia \u00e9 sempre necess\u00e1ria?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"N\u00e3o. A cirurgia \u00e9 considerada apenas quando os tratamentos conservadores n\u00e3o proporcionam al\u00edvio adequado dos sintomas ou em casos de complica\u00e7\u00f5es graves.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    }<!-- [et_pb_line_break_holder] -->  ]<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Degenerative disc disease is the wear and tear of the intervertebral discs, causing pain and limited movement.Although common low back pain (backaches) can have multiple causes (muscular, ligamentous, articular, psychological), severe, chronic, and disabling low back pain in young individuals often has a disc origin. This is known as lumbar discopathy, which is the progressive degeneration of one or more intervertebral discs. Discopathy can manifest as acute lumbar blockages (lumbago), which often appear after an incorrect movement or physical exertion. These episodes tend to disappear naturally within a few days, or, sometimes, a few weeks. For the majority of people, these episodes are isolated or spaced out over time. However, in 5% of cases, low back pain intensifies, occurring with increasingly smaller efforts, until it becomes permanent. The affected disc cracks, dehydrates, and gradually collapses. Sometimes, a fragment of the disc can be expelled, compressing the nerve roots located just behind: this is the phenomenon of a disc herniation, responsible, among other things, for sciatica pain in the legs. In some cases, a disc herniation appears suddenly at the beginning of the evolution of discopathy, in individuals who had never suffered from back pain. In other cases, the herniation appears [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":243045,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-243030","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243030","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/comments?post=243030"}],"version-history":[{"count":5,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243030\/revisions"}],"predecessor-version":[{"id":243215,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243030\/revisions\/243215"}],"up":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243045"}],"wp:attachment":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/media?parent=243030"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}