Disc Degeneration: Can Hydration Help Relieve Pain? - Orthopedics

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Doctor, what if the moisture in my bone marrow has been depleted?


Doctor: Hello, I suffered a herniated disc due to work in June of last year and underwent an MRI at Hsinchu City Hospital.
The doctor mentioned that it is slightly mild, but it seems that the water content in my fifth lumbar disc has dried up, as indicated by the black appearance on the report.
Can you tell me if my current soreness is due to the loss of water in that area? Also, would taking supplements like glucosamine help with my pain? Here is the MRI I uploaded online: http://ming123.myweb.hinet.net/LB001.jpg.
There are no viruses! Thank you!

A-Sheng, 20~29 year old female. Ask Date: 2007/01/17

Dr. Shi Guozheng reply Orthopedics


In adults, the water content of intervertebral discs gradually decreases over time.
When the water content diminishes, the discs may appear dark on MRI, but this does not necessarily indicate a problem.
Muscle soreness is not always related to this condition.
If a herniated disc compresses a nerve, pain may radiate from the buttocks down to the back of the thigh, calf, and foot.
In more severe cases, this can lead to foot weakness, an inability to lift the big toe, or general weakness while walking.
Some individuals may also experience numbness and abnormal sensations in the calf and foot.
Taking glucosamine supplements may not necessarily be effective.

Reply Date: 2007/01/17

More Info


Understanding disc degeneration and its relationship to pain can be quite complex, especially when considering factors such as hydration and nutritional supplements. Based on your description, it appears that you have experienced a disc herniation, which is often associated with pain due to nerve compression or inflammation. The mention of your disc appearing "black" on the MRI suggests that it may be dehydrated, as healthy intervertebral discs typically have a hydrated, more uniform appearance.

Intervertebral discs are composed of a gel-like substance called the nucleus pulposus, which is surrounded by a tougher outer layer known as the annulus fibrosus. The nucleus pulposus is primarily made up of water, and hydration is crucial for maintaining the disc's structural integrity and function. When discs lose hydration, they can become less effective at absorbing shock and may lead to increased wear and tear, contributing to pain and discomfort.

Your question about whether hydration can help relieve pain is pertinent. While drinking adequate water is essential for overall health and can support the hydration of your body, including your discs, it is important to note that simply increasing water intake may not directly alleviate pain associated with disc degeneration or herniation. However, maintaining proper hydration can help support the overall health of your spinal structures.

As for the use of supplements like glucosamine (often referred to as "維骨力" in Chinese), there is some debate in the medical community regarding their effectiveness. Glucosamine is thought to support cartilage health and may have anti-inflammatory properties, which could potentially benefit individuals with joint and disc issues. However, scientific evidence on the effectiveness of glucosamine for disc degeneration specifically is limited and mixed. Some individuals report subjective improvements in pain and function, while clinical studies have not consistently demonstrated significant benefits.

In addition to hydration and supplements, there are several other strategies you might consider to manage your pain and support your spinal health:
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles surrounding your spine, improve flexibility, and promote better posture. This can alleviate pressure on the affected disc and reduce pain.

2. Exercise: Low-impact exercises, such as swimming or walking, can help maintain mobility and reduce stiffness without putting excessive strain on your spine.

3. Pain Management Techniques: Depending on the severity of your pain, your healthcare provider may recommend medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), or other pain management techniques, including heat or cold therapy.

4. Lifestyle Modifications: Maintaining a healthy weight, practicing good ergonomics at work, and avoiding activities that exacerbate your pain can also be beneficial.

5. Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. These approaches may help reduce muscle tension and improve overall comfort.

6. Surgical Options: If conservative treatments fail to provide relief and your quality of life is significantly affected, discussing surgical options with a spine specialist may be warranted.

In conclusion, while hydration is important for overall health and may play a role in maintaining disc integrity, it is unlikely to be a standalone solution for pain relief in cases of disc degeneration. A comprehensive approach that includes physical therapy, exercise, and possibly dietary supplements, along with medical guidance, is likely to yield the best results in managing your condition. Always consult with your healthcare provider before starting any new treatment or supplement regimen to ensure it is appropriate for your specific situation.

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