Pathophysiology, diagnosis, and treatment of discogenic low back pain. World J Orthop ... with surgical spinal fusion for the treatment of single-level degenerative disc disease: a meta-analysis of 5-year outcomes from randomized controlled trials.
Lumbar disc disease refers to a collection of degenerative disorders that can lead to low back pain as people age. It is also known as lumbar spondylosis. There are three main processes that make up lumbar disc disease: Internal disc disruption; Degenerative disc disease; Segmental instability
What Are the Symptoms of Lumbar Disc Disease?
Spinal disc displacement most often occurs in the lumbar spine or lower back. Symptoms of lumbar disc displacement can include: sharp pain in the lower back ; leg pain and weakness; extreme pain in the hips or buttocks; numbness from the buttocks down to the foot or any portion of that area; and foot drop, which is “the inability to lift the ...
36 Other intervertebral disc degeneration, lumbar region.
Lumbar disk disease may occur when a disc in the low back area of the spine bulges or herniates from between the bony area of the spine. Lumbar disk disease causes lower back pain and leg pain and weakness that is made worse by movement and activity.
Other intervertebral disc displacement, thoracolumbar region The 2022 edition of ICD-10-CM M51. 25 became effective on October 1, 2021.
How is degenerative disc disease diagnosed? A diagnosis is based on a medical history and a physical examination, as well as the symptoms and the circumstances where the pain started. Magnetic resonance imaging can show damage to discs, but it alone cannot confirm degenerative disc disease.
A lumbosacral spine x-ray is a picture of the small bones (vertebrae) in the lower part of the spine. This area includes the lumbar region and the sacrum, the area that connects the spine to the pelvis. This is the spine and the sacrum with the cervical (neck), thoracic (mid-back), and lumbar (lower back) vertebra.
The L4-L5 disc is at a high risk of degeneration. This risk may be due to increased loads at the L4-L5 motion segment and decreased movement in the segments below this level. A change in disc height due to degeneration may affect the lordosis of the lumbar spine.
"A bulging disc is like letting air out of a car tire. The disc sags and looks like it is bulging outward. With a herniated disc, the outer covering of the disc has a hole or tear. This causes the nucleus pulposus (jelly-like center of the disc) to leak into the spinal canal."
ICD-10 Code M54. 5 for Chronic Low Back Pain | CareCloud.
Other intervertebral disc disorders, lumbar region The 2022 edition of ICD-10-CM M51. 86 became effective on October 1, 2021.
Discs often degenerate with age causing vertebrae to sit closer together. This is part of the reason we shrink with age. Degenerative discs can lead to pain via multiple pathways. Spinal stenosis is another condition of the spine where the central canal diameter is reduced much like a pipe that becomes clogged.
However, degenerative disc disease and osteoarthritis are different conditions and can occur separately: one can have degenerative discs without any facet osteoarthritis; or one can have facet osteoarthritis without degenerative discs.
A computerized tomography (CT) scan or or a magnetic resonance imaging (MRI) test may be required. These tests are more effective than x-rays at showing the soft tissues in your spine and can help to identify problems such as a bulging disc or a herniated disc.
Though it is not specifically mentioned, “thoracolumbar” likely only includes T12-L1, and “lumbosacral” probably only refers to the L5-S1 interspace. There is a strange rule for cervical disc disorders indicating that you should code to the most superior level of the disorder.
Myelopathy means that there is some sort of neurologic deficit to the spinal cord, whereas radiculopathy means that there is a deficit to nerve roots. Don’t code radiculitis (M54.1-) separately if you use thefourth character of “1” with radiculopathy for the disc disorders (M50.1- or M51.1-). It is already included in the code.
It is already included in the code. Likewise, don’t code sciatica (M54.3-) if you code for lumbar disc with radiculopathy. It would be redundant. On a side note, lumbar radiculopathy (M54.16) might be used if pain is not yet known to be due a disc, but it radiates from the lumbar spine.
Spinal cord lesion. Clinical Information. A non neoplastic or neoplastic disorder that affects the spinal cord. Pathologic conditions which feature spinal cord damage or dysfunction, including disorders involving the meninges and perimeningeal spaces surrounding the spinal cord.
Pathologic conditions which feature spinal cord damage or dysfunction, including disorders involving the meninges and perimeningeal spaces surrounding the spinal cord. Traumatic injuries, vascular diseases, infections, and inflammatory/autoimmune processes may affect the spinal cord.