top of page

Can I Reverse The Degenerative Disc Disease My GP Says Is Causing My Back Pain?

  • Chris Heywood
  • 6 days ago
  • 4 min read

satirical play on degenerative disc disease
Degenerative Disc Disease is not really a disease, it is more a condition simply linked most closely with age and genetics

First and foremost - if you find a way, please contact me as we can make millions together...........


This is one of the most common — and most understandable — questions people ask after being told they have Degenerative Disc Disease (DDD).


Once you hear the word degenerative, it’s natural to think in terms of:


  • damage

  • progression

  • something that needs “fixing” or reversing


and as for the word disease - well that just breeds fear. The fact i that DDD is not really a disease, it is a condition that is broadly likely to aging as is going to be evident is most people over the age of 35-40 in some way.


Because this is never explained however, people still concentrate on and ask :

“Can I reverse this?”“Can I undo the degeneration?”“If I can’t, does that mean I’m stuck like this?”

The answer is more nuanced — and more reassuring — than a simple yes or no.



First: what does “reverse” actually mean?


Before answering the question, it helps to clarify what reverse usually implies.


Most people mean one of three things:


  1. Can the disc look “normal” again on a scan?

  2. Can the disc become pain-free again?

  3. Can I get back to living normally without worrying about my back?


Only one of those really matters.



Can Degenerative Disc Disease be reversed on MRI?


In simple terms: no — not in the way people imagine.


Once discs change with age:


  • water content doesn’t fully return

  • MRI appearance usually doesn’t revert

  • labels like “degenerative” remain on reports


But here’s the critical point:


MRI appearance is not the same as disc function, and it is not the same as pain.


Trying to “reverse” MRI findings is the wrong target.



The more important question: can symptoms improve even if scans don’t?


Absolutely — and this is where most people get misled.


Many people:


  • have ongoing disc degeneration on scans

  • have no pain

  • live active, unrestricted lives


Others:


  • have pain for a period

  • recover fully

  • never think about their discs again


So while scans may not change much, how your back behaves can change dramatically which is why degenerative disc disease needs to be clearly explained to patients.



Why pain improves even when discs don’t “regenerate”


Pain in DDD is rarely caused by the disc structure alone.


It’s influenced by:


  • sensitivity of surrounding tissues

  • nervous system response

  • movement confidence

  • strength and load tolerance

  • stress and sleep


These factors are highly adaptable.


When they improve, pain improves — regardless of what the disc looks like.



Why chasing “disc repair” is often unhelpful


A lot of people go down the path of:


  • supplements

  • injections

  • miracle exercises

  • promises of “disc regeneration”


Most of these:


  • lack good evidence

  • focus on structure rather than function

  • distract from what actually helps


The spine doesn’t need to be “fixed” — it needs to be trusted and trained.


****Being part of major research in the past looking at the genetics and complex mechanisms behind degenerative disc disease, I will say however that there are very interesting developments relating to this. We are many years away from evening primary testing in humans however so for all intention purposes here, the answer is still the same.



What can realistically be improved


While you can’t turn the clock back on disc ageing, you can improve:


  • pain levels

  • movement tolerance

  • strength and stability

  • flare-up frequency

  • confidence and control


For most people, these improvements matter far more than scan findings.



Why many people feel better when they stop trying to “protect” their spine


After a DDD diagnosis, people often:


  • brace constantly

  • avoid bending or lifting

  • move cautiously

  • restrict activity


Ironically, this often maintains pain.


When people gradually:


  • move more normally

  • load their spine progressively

  • rebuild trust


their symptoms often settle — even though the discs themselves haven’t changed.



What actually supports disc health long term


The things most consistently associated with better outcomes are:


  • regular movement

  • progressive loading

  • general fitness

  • maintaining healthy body weight

  • good sleep and stress management


None of these “reverse” degeneration — but all of them improve how your back functions.



Why it’s okay that discs don’t go back to “perfect”


This is a reframing that helps many people.


Discs don’t need to be perfect to work well.They don’t need to look young to be strong.They don’t need to regenerate to stop hurting.


Many people live pain-free with discs that look “degenerate” on MRI.



A more useful goal than reversal


Instead of asking:

“Can I reverse my DDD?”

A better question is:

“Can I build a back that works well, even with disc changes?”

In most cases, the answer to that is yes.



When disc degeneration is not the main issue


Another important point is that DDD is often blamed for pain when:


  • it’s not the primary driver

  • other factors are more relevant

  • the label has become a distraction


Focusing too much on the disc can sometimes slow recovery rather than help it.



The key message


Degenerative Disc Disease cannot usually be reversed on a scan — but that is rarely the goal that matters.


What can be reversed or improved is:


  • pain

  • stiffness

  • fear

  • loss of function


For most people, DDD is a background finding, not a life sentence.


You don’t need a perfect spine to live well.You need a confident, capable one.



Comments


Chris Heywood Physio Ltd is a company registered in England and Wales. Registered number 12948445. Registered Office: Scaldwell, Northants

The Chartered Society of Physiotherapy, The Health and Care Professions Council, and Physio First Logo

Privacy Policy

© COPYRIGHT 2025. ALL RIGHTS RESERVED.
If you try and nick anything I will send the boys round

bottom of page