Typically, the initial step in the IDD process is for the disc to be weak and brittle from degenerative disc disease or DDD since this weakness might allow reparative trunk motion or trauma to start a tear in the inner annulus. But be aware also that full thickness annular tears can likewise begin in the periphery of the disc, working their way in.
Brief History Of IDD
IDD was first discovered by Crock in 1970 and again in 1986. Then, it was described as a disruption of the internal architecture of the disc without any signs of disc protrusion or signs for nerve root compression.
Dr. Crock told the members of the international spine society during his presidential address in 1986 that internal disruptions may cause back pain and even lower limb pain without any spinal nerve compression. And he termed this as Internal Disc Disruption (IDD).
Conservative care is always the initial and proven way of treating IDD. Conservative treatment options will include medication, gentle traction treatments, non-dynamic spinal stabilization training, and a slant board. Today, osteopathic treatments are also being considered.
When these treatment options fail, provocation discography will be advised before proceeding to a more aggressive options.
Trivia Info Resource: sydneyosteopathicmedicine.com.au