Discogenic low back pain refers to lower back pain due to one or more disc lesions. That is, disc lesions are the cause of low back pain. Discogenic low back pain symptoms As we age, the body begins to undergo a series of changes, such as people’s hair slowly turning gray and white, and the human spine undergoes similar changes. Early degeneration of the disc may not cause symptoms, but when it reaches a certain point it can lead to low back pain or leg pain. Typical discogenic low back pain manifests itself as increased pressure within the disc, which worsens when seated, bending forward, coughing, or sneezing, and decreases after lying down or resting. When the protruding tissue compresses the nerve roots, it can lead to leg pain. How discogenic low back pain occurs The intervertebral disc consists of the annulus fibrosus (the outer annular structure) and the nucleus pulposus (the inner jelly-like structure). The nucleus pulposus has no innervation and the outer 3/3 of the annulus fibrosus is richly innervated. When the body undergoes degeneration (aging), the annulus fibrosus ruptures, the nucleus pulposus exits and comes into direct contact with the nerves, producing an inflammatory response that stimulates the nerve diaphoresis pain. Diagnosis of discogenic low back pain MRI (magnetic resonance imaging) is the most ideal diagnostic method. If there are multiple degenerated discs, the determination of the disc responsible for low back pain requires discography. The contrast is injected into the disc, and the disc pattern can be clearly seen on X-ray, while the pressure in the disc rises, replicating the patient’s “homogenous” pain, which is low back pain of the same nature. Treatment of discogenic low back pain 1.Conservative treatment. 2.Medication, physical therapy, nerve block therapy, pillar therapy, and lifestyle adjustment. 3.Minimally invasive treatment.