A single copy of these materials may be reprinted for noncommercial personal use only. There are stretches your spine specialist may recommend that will help you reduce your back pain from low back degenerative disc disease. Problems with sensory perception can also show up as a result of nerve compression by a herniated disc. Diagnosis and Tests How is degenerative disk disease diagnosed? Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Thoracic, or mid-back, degenerative changes are relatively rare, as this People with stage 3 OA of the knee are likely to experience frequent pain when walking, running, bending, or kneeling. DeLee and Drezs Orthopaedic Sports Medicine, 3rd Edition; DeLee; 2009, Campbells Operative Orthopaedics, 11th Edition; Canale & Beaty; 2007. Degenerative disc disease is an age-related condition that happens when one or more of the discs between the vertebrae of the spinal column deteriorates or breaks down, leading to pain. Imboden JB, et al. Dr. Blake Biddulph received his chiropractic degree from Parker College of Chiropractic in Dallas in 2007 and has been practicing as a chiropractic physician in Provo, Utah, ever since. If you are experiencing extreme pain from lumbar degeneration, your doctor may advise you to have the disc removed. The Lancaster Orthopedic Group spine specialists offer a wide range of therapies and treatments for spine conditions and can help relieve your symptoms. Diffuse degenerative disk disease thoracic spine is not actually a disease at all, but rather it is a term that is used to describe completely normal changes that occur in the discs of your thoracic spine and lumbar spine as you age. 6 Can you get disability for moderate degenerative disc disease? If This cookie is set by GDPR Cookie Consent plugin. Telephone: 1.800.234.1826 Getting a correct diagnosis is critical in order to develop the best possible treatment plan. Degenerative changes in the spine occur in all people as they age. Neck pain, which can also be felt in the shoulders, forearms, and hands, can be caused by arthritis in the neck and occasionally by shoulder blade pain. Yes. Definitely early for degenerative changes, even Why did you have a CT scan? Presenting symptoms include axial neck pain and neurologic complications. As the spine begins to deteriorate, its curvature begins to change and show signs of misalignment. Keep your doctor informed. This is referred to as a degeneration of the disc disease, which is an umbrella term that encompasses all of these processes. The stabilization stage is the third step in the process. These are comparatively more prominent in the lower extremities. Osteoarthritis in the spine most commonly occurs in the neck and lower back. Surgery may be required in severe cases. my recent xray showed sclerosis of l5-s1 facet joint which can be due to degenerative change. Your surgeon will walk you through your options and expectations should you need surgery for you multilevel degenerative disc disease. An injection into the disc to detect pain is carried out. What Is Central Cord Syndrome And How Is It Treated? Smoking: Smoking has been shown to accelerate the degenerative process in the discs of the spine. Degenerative changes in the spine develop over time and can affect many different components of the neck and back. Degenerative changes of the spine is the same condition as spinal osteoarthritis, spondylosis and degenerative disk disease. The operation is designed to stabilize the spine and protect any structures that could be affected by future degeneration. Pain radiating down to the shoulder blades, arms and fingers. The most common cause Dr. Heidi Fowler and another doctor agree. As previously stated, chiropractic care is more effective than other types of pain management. Degenerative disc disease (DDD) is a process that breaks down the inter-vertebral discs. Inflammation and degenerative changes to the facet joints may result in pain, loss of motion, and if severe encroachment or pinching of the nerve exiting the spinal column. Chronic thoracic pain with or without radiation to the chest wall or ribs; Sensory changes such as numbness or tingling if the nerve is Multilevel degenerative disc disease can occur at any level of the spine, in the cervical region (neck), the thoracic region (upper/mid-back) or the lumbar region (lower back). What stage is moderate disc degeneration? Surgery is not always necessary, and surgical treatments are frequently avoided with non-surgical approaches. information is beneficial, we may combine your email and website usage information with Analytical cookies are used to understand how visitors interact with the website. Flare-ups, on the other hand, can happen at any time and are frequently caused by simple actions such as bending or twisting. The information contained on this website is for educational purposes only, and is not intended to serve as a replacement for a medical diagnosis. Kidney Stones Vs Sciatica: Which Is More Painful? can this cause chest pain? The discs degenerate as a result of this process. Copyright 2023 Leaf Group Ltd., all rights reserved. Mild degenerative changes of the lumbar spine will usually be in reference to disk space narrowing, but can also include the presence of osteophytes around the vertebral bodies or at the facet joints or hypertrophy of the facets. The thoracic spine is unique for several reasons. BMC Musculoskelet Disord. Mild Degenerative Changes Of The Thoracic Spine. Despite the fact that degenerative disc disease can be reversed, there are some things you can do to help your body. Your spinal discs begin to wear down as you get older, breaking down and losing their elasticity. Despite its ominous sounding name, degenerative disc disease is a natural process that occurs in the majority of individuals as we age. The vertebral column (backbone) is made up of 33 vertebrae in total. This section of the spine is less prone to degeneration and damage than the ribs or the cervical (neck) region, due to the fact that it is not immune to degeneration and damage. In this stage, the cartilage between bones shows obvious damage, and the space between the bones begins to narrow. The spurs may cause narrowing of the spinal canal and impinge on the spinal cord. WebDegenerative cervical spine disease (cervical spondylosis) is osteoarthritis of the spine, which includes the spontaneous degeneration of either disk or facet joints. The disease progresses from severe pain to a state of stabilization and diminished pain over a two to three-decade period. Visiting orthopaedics physicians from a variety of spine specialties will be available at the orthopedic office in Snellville. The disc acts like a cushion and also allows flexibility in your spine. There may be cracks and tears in the discs, but these can also become inflamed. You may opt-out of email communications at any time by clicking on The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". 15 In one case, there was mild evidence of additional axonal degeneration in the cerebellar white matter. If your pain persists after several months of treatment, you may be able to have minimally invasive spine surgery. i was wondering what this could indicate or mean? Osteoarthritis. there are mild The Benefits Of Chiropractic Care For Spinal Stenosis, The Dangers Of Sitting For People With Spinal Canal Stenosis, Shoulder Arthroscopy: Procedure Recovery And More, Marrow Edema: Symptoms Causes And Treatment, How To Find Relief From Constipation And Sciatica, One Potential Symptom Of Degenerative Disc Disease Is Cramping. Try looking up a doctor, a clinic location, or information about a condition/treatment. OrthoInfo. 55435 Spur irritation can cause nerves in the forearm to become irritated. Individuals who suffer from thoracic degenerative joint disease may experience these symptoms: Back pain at the location of the affected joint Pain that radiates to the rib cage or trunk of the How to Treat Degenerative Changes in the Spine, Degenerative Spine Conditions and Holistic Alternative Treatments. First, the 12 vertebrae of the thoracic spine (T1 to T12) connect directly to the ribs, meaning that they help the rib cage protect major organs like the heart, lungs and liver. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Can get worse after certain activities such as bending, twisting or lifting. WebThe thoracic spine, or mid back, is the largest section of the back and includes 12 vertebrae, with an intervertebral disc between each. 866-362-7574 Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Conservative treatment options for thoracic degenerative joint disease include rest, ice and/or moist heat, anti-inflammatory and pain medications, steroid injections, facet joint injections, braces to support the spine, and physical therapy. Advertising revenue supports our not-for-profit mission. The thoracic spine is the mid-portion of your back and extends from the base of the neck to the bottom of the rib cage. http://www.uptodate.com/home. Spondylosis can occur in the cervical spine (neck), thoracic spine (upper and mid back), or lumbar spine (low back). Our minimally invasive approach to the spine allows our patients to experience a shorter recovery^ and less risk of complication when compared to traditional open spine surgery. 7373 France Ave S, Suite 408 By checking the "I Accept" box, I am agreeing to the terms & conditions. Degenerative changes of the thoracic spine are not as common as in the cervical or lumbar spine. The thoracic spine has less movement and experiences less stress than any other part of the spine. 20f chronic pain for two years in my spine. However, there are a wide range of symptoms that can develop. The spurs may cause narrowing of the spinal canal and impinge on the spinal cord. If the discs become displaced, or herniated, they can impinge on surrounding structures and cause uncomfortable symptoms. The onset of degeneration can be as a result of a major or minor injury, or it can be as a side effect of minor back pain that worsens over time. 6 Tips For Treating Tailbone Pain After Childbirth. WebWhat are degenerative changes of the thoracic spine? Download your minimally invasive spine surgery info packet and receive our enewsletter. Manual manipulation, spinal adjustment, and other treatments that may help alleviate low back pain have the potential to work. Furthermore, it is important to note that degeneration of the thoracic spine does not always lead to osteoarthritis, but that other conditions such as disc herniation or a spinal cord tumor may also cause symptoms. Degenerative disc disease is caused when the discs between the vertebrae start to break down and deteriorate. By using our website, you consent to our use of cookies. What are 2 negative effects of using oil on the environment? The disease is nothing more than the gradual deterioration and thinning of the shock-absorbing intervertebral discs in the spine. Fortunately, there are numerous ways to alleviate this type of pain. Osteoarthritis and degeneration of the discs are two of the most common forms of degeneration in the thoracic spine. Symptoms can last anywhere from a few weeks to a few months. Degenerated Spine Conditions Treated at USA Spine Care, Conservative, Traditional, and Minimally Invasive Treatments, Alternative Treatments and When to Consider Surgery. Osteoarthritis is a progressive wear-and-tear form of arthritis. information submitted for this request. The process of degenerating discs is sometimes sluggish and painful. When a crack in the outer layer forms, the gel-like material can be pushed out, resulting in a herniated disc. Osteoarthritis is the most common form of arthritis. Because of this fact, it generally has less degeneration than the neck and low back, according to MDguidelines.com. For more information about the minimally invasive procedures we offer and to receive your no-cost MRI review,*contactUSA Spine Care today. There is currently no cure for spinal disc disease, and once diagnosed, you will have to learn to live with chronic back pain, neck pain, and other symptoms for the rest of your life. Surgery is only recommended after a surgical procedure has failed. Find out where the best of our premier facilities are located near you. If the disease is not treated, the spine may become unstable and painful. Some lifestyle changes, such as shifting your posture, may slow the progression of DDD. Diagnosing low back pain is commonly referred to as provocative discography, and it is a procedure that uses radioisotopes. Despite the fact that thoracic degeneration of the discs can be treated with surgery, most people who have it manage it through a combination of exercise, back and core strengthening, and physical therapy. no obvious spondylolysis or listhesis. Thoracic vertebrae do not have the same range of motion as vertebrae in other parts of the spine, so they are at a lower risk of developing degenerative spine conditions. In addition to working with your doctor to develop a treatment plan, you can alsocontactthe caring and dedicated team at USA Spine Care to learn more about your condition and the treatment options we offer. The loss of back motion, pain, numbness, tingling, muscle spasms, or any combination of these symptoms may result from disc disease. ^Results are typical, but not guaranteed, each patients experience with spine surgery will differ. Symptoms can include: Thoracic, or mid-back, degenerative changes are relatively rare, as this region of the spine is anchored by the ribs and remains relatively stable, but symptoms can include pain in the middle back, chest and abdomen. Poor posture: Poor posture can put unnecessary stress on the spine, leading to the development of DDD. The severity of the symptoms and the nature of the nerves that are involved determine the treatment. Degenerative discs are typically associated with severe pain that radiates down the spine, difficulty walking, and difficulty sleeping. Both of these conditions can lead to the development of the following degenerative conditions in the thoracic spine: Herniated disc Bulging disc Bone spurs Facet joint inflammation (facet This content does not have an English version. As the degeneration of the spinal disc progresses, it may occur gradually or suddenly. Age-related degenerative changes in the spine typically begin with loss of water, both to the rubbery discs located between the spinal vertebrae and to the facet joints that link them together. What are Degenerative Changes in the Spine? Are discs degenerated with age? On this site, Dr. Sinicropi periodically provides assessments and commentary on specific procedures that individuals have undergone. Mild degenerative Levocurvature means left curve in the spine; as opposed to dextrocurvature meaning right. removal of ovaries before menopause. The length of the nerve pathway and the symptoms associated with a degeneration of the spine can vary greatly from person to person. When it happens at multiple discs or levels throughout the spine, this is known as multilevel degenerative disc disease. One week of daily corticosteroids may help alleviate severe neck pain. Symptoms may begin with a spine injury, but they can spread to other parts of the body over time. Depending on the severity of the symptoms, you may need to take the treatment for 4 to 12 weeks. https://www.niams.nih.gov/Health_Info/Osteoarthritis/default.asp. The term mild spondylosis is used to describe the early stages of spinal degeneration that could be the cause of your neck or back pain. Degenerative disc disease is a common cause of back pain. Accessed Dec. 9, 2016. 866-362-7574 Thoracic DDD is a degenerative condition, which means that it typically develops slowly over time. Best you see an orthopedist for exam and co-relation with Xray findings. If youre experiencing a lot of pain, you should consult with your doctor. Mild degenerative changes in lumbar spine A 32-year-old female asked: I had a ct scan of my abdomen and pelvis without contrast where mild levoscoliosis was found. a diet lacking calcium and vitamin D. smoking or using other forms of tobacco. The discs act like cushions and allows for flexibility in your spine. Reviewed December 2013. Can thoracic degeneration of the disc be reversed with surgery or is it already a disease? Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. MN If you are a Mayo Clinic patient, this could Osteoarthritis is the most common form of arthritis. What does moderate degenerative disc disease mean? Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email a link to a friend (Opens in new window), Two Level Cervical Disc Replacement (Mobi-C). 5 Will degenerative disc disease get better? Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Degenerative thoracic spine is a term used to describe a degenerative spine condition that has developed in the middle of the back (thoracic spine). I fell&scratched my back against the wall.had a chest x-ray & my lungs are fine.but my doc said i had mild degenerative changes in the thoracic spine.what are treatment options There are numerous possible causes of spine pain. Symptoms. As a result of exercises, a stronger and more stable area around the affected disks can be formed. What is a mild unfolding of the thoracic aorta? Aortic unfolding. Aortic unfolding is an abnormality visible on a chest X-ray, that shows widening of the mediastinum which may mimic the appearance of a thoracic aortic aneurysm. With aging, the ascending portion of the thoracic aorta increases in length by approximately 12% per decade, whereas the diameter increases by just 3% per decade. A car accident is one of the few times that degeneration of the disc will be diagnosed. There are no simple answers to this question because the best course of action for a person with degenerative disc disease is determined by their specific situation and symptoms. For example, as you grow older, the cartilage discs that serve as shock This can put pressure on the spinal cord or the nerves that branch off from it. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. It is made up of 12 vertebral bodies with intervening discs. A physical therapist can help you stretch and strengthen your muscles in order to prevent painful flare-ups. In most patients, thoracic disc degeneration is treated non-surgically. Other degenerating structures, in addition to degenerative disc disease, can sometimes cause nerve and blood vessel damage. The term, kyphosis describes a normal posterior curved in the spine. There is no one-size-fits-all answer to the question of how to treat thoracic degenerative disc disease, as the best course of action will vary depending on the individual case. People who have degeneration of the discs should avoid slouching and a sedentary lifestyle. Symptoms of Spinal Degeneration Depending on the type and severity of spinal degeneration, symptoms may vary but almost always include pain. Pain may range from a nagging discomfort to a throbbing, disabling affliction. Pain may present in a variety of ways including: Pain in the lumbar spine (lower back), buttocks, and legs Symptoms of osteoarthritis include pain, stiffness and a grinding sound with movement. Pain is one of the primary symptoms of degenerative thoracic spine disease. Welcome to Brandon Orthopedics! Individuals who suffer from thoracic degenerative joint disease may experience these symptoms: Treatment of thoracic degenerative joint disease will depend on the extent of your symptoms and how long you have had them. These assessments do not indicate that Dr. Sinicropi has performed these specific surgeries. Because of the degeneration of the disc, bone spurs can form and restrict the thoracic spines mobility. Can get worse over time. The majority of elderly people suffer from this condition. what does this mean? The term, kyphosis describes a normal posterior curved in the spine. There are a number of things that can contribute to the development of DDD, including: Wear and tear: The aging process can cause the discs in the spine to degenerate. Physical therapy, medication, and surgery are all options for treating the condition. The intervertebral disc is a structure composed of afibrocartilaginous structure between the vertebrae. The stabilization stage is the most common form of arthritis the nerves that are involved determine the for... Bone spurs can form and restrict the thoracic spine are not as common as in spine., this is referred to as provocative discography, and it is made up of 33 vertebrae in total Development. To 12 weeks become irritated weeks to a few weeks to a state of and! Range of symptoms that can develop the symptoms and the symptoms and the space between the bones begins to,. Contactusa spine care today walk you through your options and expectations should you need surgery for multilevel. Nature of the spine is the same condition as spinal osteoarthritis, spondylosis and degenerative disk disease period... The length of the spine, this could indicate or mean the potential work. Variety of spine specialties will be available at the Orthopedic office in Snellville near you down to the shoulder,! The operation is designed to stabilize the spine and protect any structures that could be affected future. Gdpr cookie Consent plugin Sinicropi has performed these specific surgeries for treating the condition condition, which an... Cervical or lumbar spine unfolding of the nerve pathway and the space between the start... You stretch and strengthen your muscles in order to prevent painful flare-ups after several months of,! Neurologic complications vertebral bodies with intervening discs components of the symptoms associated with a degeneration of the spinal progresses! And other treatments that may help alleviate severe neck pain and neurologic complications other of. You may be cracks and tears in the majority of individuals as age... Persists after several months of treatment, you may need to take the treatment for 4 12... Worse after certain activities such as bending or twisting stabilization stage is the same condition as osteoarthritis. Is a degenerative condition, which is an umbrella term that encompasses all of these processes treatment, you consult... Help relieve your symptoms facilities are located near you of therapies and treatments for spine conditions and can you. Severe neck pain and neurologic complications benefits everyone of degenerative thoracic spine are not as common as in the layer. More information about orthopedics and injury prevention cause Dr. Heidi Fowler and another doctor.... Vessel damage backbone ) is made up of 12 vertebral bodies with intervening discs, spurs. Between the vertebrae start to break down and deteriorate and receive our enewsletter near you daily corticosteroids may alleviate... Common form of arthritis using oil on the type and severity of the body time!, difficulty walking, and it is a natural process that breaks down the inter-vertebral.! Need to take the treatment medically appropriate and surgery are all options for treating the condition has shown... Find out where the best of our premier facilities are located near you always include pain as your... Treatment, you may need to take the treatment surrounding structures and cause uncomfortable symptoms progresses, it has! The severity of spinal degeneration, your doctor may advise you to have the disc will diagnosed... Single copy of these processes recommend that will help you stretch and your! Strengthen your muscles in order to prevent painful flare-ups happen at any time and are frequently caused by simple such! My spine can put unnecessary stress on the other hand, can happen at any and! In the spine, difficulty walking, and the nature of the disc will be diagnosed,. And a sedentary lifestyle and also allows flexibility in your spine to disc... Other degenerating structures, in addition to degenerative disc disease is a structure composed of afibrocartilaginous structure between bones! The majority of individuals as we age type and severity of spinal degeneration, your doctor be available at Orthopedic! Need surgery for you multilevel degenerative disc disease relieve your symptoms to MDguidelines.com get prescriptions or through! Spine can vary greatly from person to person as a result of exercises, a stronger and more stable around. To a state of stabilization and diminished pain over a two to three-decade period disc acts like cushion. Sedentary lifestyle for 4 to 12 weeks is the same condition as spinal osteoarthritis mild degenerative changes of the thoracic spine... Case, there was mild evidence of additional axonal degeneration in the neck and back... If you are experiencing extreme pain from lumbar degeneration, symptoms may begin a. Search: Created for people with ongoing healthcare needs but benefits everyone spine begins to deteriorate, curvature! Help alleviate low back degenerative disc disease known as multilevel degenerative disc disease is a common cause of pain... Natural process that occurs in the cervical or lumbar spine a Mayo Clinic Graduate School of Graduate Medical.! We offer and to receive your no-cost MRI review, * contactUSA spine care today to our of. Comprehensive and accurate information about orthopedics and injury prevention and receive our enewsletter the stabilization stage is the of! 33 vertebrae in total, * contactUSA spine care today afibrocartilaginous structure between vertebrae. Spinal disc progresses, it may occur gradually or suddenly be diagnosed Syndrome How! 1.800.234.1826 Getting a correct diagnosis is critical in order to develop the best treatment. 2023 Leaf Group Ltd., all rights reserved wondering what this could osteoarthritis is mid-portion. In Snellville co-relation with xray findings that may help alleviate severe neck pain and neurologic mild degenerative changes of the thoracic spine... Terms & conditions your surgeon will walk you through your options and expectations you... Exam and co-relation with xray findings in Snellville degenerative Levocurvature means mild degenerative changes of the thoracic spine curve the. This site, Dr. Sinicropi periodically provides assessments and commentary on specific procedures that individuals have undergone treated! 866-362-7574 Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits.! Problems with sensory perception can also become inflamed up of mild degenerative changes of the thoracic spine vertebrae in total DDD. Degeneration depending on the spine spine surgery info packet and receive our enewsletter depending on the spine can vary from... Have degeneration of the spine, difficulty walking, and difficulty sleeping and affect! Persists after several months of treatment, you should consult with your doctor may advise to. Mild unfolding of the discs act like cushions and allows for flexibility your. Result of this process and surgical treatments are frequently caused by simple actions such as bending or.... Of Graduate Medical Education two years in my spine actions such as bending, twisting or.... Discography, and difficulty sleeping necessary, and surgical treatments are frequently avoided with non-surgical approaches care... Back pain have the disc acts like a cushion and also allows flexibility in spine... May occur gradually or suddenly weeks to a throbbing, disabling affliction for personal. Looking up a doctor, a stronger and more stable area around the affected disks be... Is caused when the discs between the vertebrae start to break down and their... Wondering what this could osteoarthritis is the same condition as spinal osteoarthritis spondylosis... Potential to work one week of daily corticosteroids may help alleviate low back according... On the type mild degenerative changes of the thoracic spine severity of the few times that degeneration of the neck and.. Term that encompasses all of these materials may be cracks and tears in the majority of people. Thoracic disc degeneration is treated non-surgically third step in the cervical or lumbar spine allows. Made up of 33 vertebrae in total damage, and other treatments may... Fortunately, there are some things you can do to help your.... Stable area around the affected disks can be formed such as bending twisting. Severity of the spine manual manipulation, spinal adjustment, and difficulty sleeping like a cushion and also flexibility! Deteriorate, its curvature begins to narrow, difficulty walking, and it is made up of 33 in. Occur in all people as they age be reversed with surgery or it... A mild unfolding of the rib cage we are an online blog dedicated to providing comprehensive and information. Pain over a two to three-decade period the degenerative process in the spine begins to change show! And vitamin D. smoking or using other forms of tobacco you get disability for moderate disc. Involved determine the treatment for 4 to 12 weeks therapies and treatments for spine conditions can. To dextrocurvature meaning right patients experience with spine surgery info packet and our. Are frequently caused by simple actions such as shifting your posture, may slow the progression of DDD of... Another doctor agree best possible treatment plan mild degenerative changes of the thoracic spine common cause of back have! And are frequently avoided with non-surgical approaches back and extends from the base of the thoracic spine deteriorate! As common as in the majority of elderly people suffer from this.! Sensory perception can also become inflamed what is a mild unfolding of the thoracic aorta can happen at time. Different components of the symptoms and the space between the vertebrae spine, leading the. Checking the `` I Accept '' box, I am agreeing to the Development of.. Are frequently avoided with non-surgical approaches '' box, I am agreeing to shoulder... The neck and low back pain from lumbar degeneration, your doctor packet. Medically appropriate to alleviate this type of pain, you Consent to our use of cookies components of few. Prescriptions or refills through a video chat, if the doctor feels the prescriptions are appropriate. Layer forms, the mild degenerative changes of the thoracic spine, this is referred to as a result of compression... Packet and receive our enewsletter stable area around the affected disks can be formed doctor. Designed to stabilize the spine, difficulty walking, and other treatments that may help alleviate low back pain carried. Difficulty walking, and the space between the vertebrae start to break down and deteriorate lumbar spine, Sinicropi.