Spinal Cartilage: Causes, Rehabilitation, and Protection Tips - Rehabilitation

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Intervertebral disc cartilage


Hello Doctor: My mother is 60 years old, and sometimes when she gets up or sits for a long time, her lower back feels sore.
An X-ray showed that the doctor said the cartilage is worn down (it looks like it is missing).
May I ask, Doctor: 1.
Can cartilage wear down to the point of being completely gone? 2.
Is rehabilitation effective if there is no cartilage left? 3.
How can we protect the spine in daily life? Thank you!

Xiao Ru, 30~39 year old female. Ask Date: 2006/04/07

Dr. Li Weiqiang reply Rehabilitation


Xiao Ru: Hello! It seems that your mother's issue is related to aging.
The wear and tear of bones is a natural process that occurs with increasing age, similar to the development of gray hair.
However, during this process, bothersome aches and pains can arise.
Pain can be alleviated through medication and rehabilitation.
Most importantly, it is essential to protect the lower back and avoid improper movements like bending over or lifting heavy objects.
Maintaining correct sitting posture and engaging in appropriate lower back exercises are crucial.
Director Li Wei-Qiang, Department of Rehabilitation, Taoyuan Hospital.

Reply Date: 2006/04/07

More Info


Understanding spinal cartilage and its implications is crucial, especially for individuals experiencing discomfort due to conditions like osteoarthritis or degenerative disc disease. In your mother's case, the diagnosis of cartilage wear and tear can lead to significant pain and mobility issues. Let's address your questions one by one:
1. Can cartilage wear down completely?
Yes, spinal cartilage can wear down over time due to various factors, including age, genetics, repetitive stress, and lifestyle choices. This condition is often referred to as degenerative disc disease or osteoarthritis of the spine. As the cartilage deteriorates, it can lead to increased friction between vertebrae, resulting in pain, inflammation, and reduced mobility. In severe cases, the cartilage can become so thin that it appears to be "gone," which can lead to bone-on-bone contact, further exacerbating pain and discomfort.

2. Is rehabilitation effective if cartilage is worn down?
Rehabilitation can still be beneficial even if the cartilage is significantly worn. While it may not regenerate the cartilage itself, physical therapy can help strengthen the muscles surrounding the spine, improve flexibility, and enhance overall function. A well-structured rehabilitation program may include exercises to strengthen the core, improve posture, and increase the range of motion. Additionally, modalities such as heat therapy, ultrasound, and electrical stimulation can help alleviate pain and promote healing in the surrounding tissues. It's essential to work with a qualified physical therapist who can tailor a program to your mother's specific needs and limitations.

3. How can we protect the spine in daily life?
Protecting the spine involves a combination of lifestyle changes, exercise, and ergonomic adjustments. Here are some tips to consider:
- Maintain a Healthy Weight: Excess weight can put additional stress on the spine and its supporting structures. A balanced diet and regular exercise can help manage weight effectively.


- Stay Active: Engage in low-impact exercises such as walking, swimming, or cycling to keep the spine mobile and strengthen the muscles that support it. Incorporating flexibility and stretching exercises can also be beneficial.


- Practice Good Posture: Encourage your mother to maintain proper posture while sitting, standing, and lifting. Using ergonomic furniture and tools can help reduce strain on the spine.


- Use Supportive Devices: If necessary, consider using braces or supports that can help stabilize the spine during activities that may exacerbate pain.


- Avoid Prolonged Sitting or Standing: Encourage regular breaks to move around and stretch, especially if she has a sedentary lifestyle or job.


- Consider Physical Therapy: Regular sessions with a physical therapist can provide guidance on safe exercises and techniques to protect the spine.

- Stay Hydrated and Eat a Balanced Diet: Proper nutrition and hydration can support overall health, including the health of spinal discs and cartilage.

In conclusion, while the wear and tear of spinal cartilage can lead to significant discomfort, there are effective strategies for managing pain and improving function. Rehabilitation plays a vital role in this process, and adopting protective measures in daily life can help maintain spinal health. It is advisable for your mother to consult with her healthcare provider or a physical therapist to develop a personalized plan that addresses her specific condition and needs.

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