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Things to Avoid with Degenerative Disc Disease

Date: March 25, 2025

Degenerative Disc Disease (DDD) is a condition that affects the spine, causing pain and reduced mobility due to the breakdown of spinal discs. While staying active is essential for managing symptoms, certain activities and habits can worsen the condition. 

There are many things to avoid with degenerative disc disease. Avoiding high-impact exercises like running or jumping, heavy lifting, and twisting motions can help prevent further strain on the spine. Also, prolonged sitting, poor posture, smoking, and consuming inflammatory foods can exacerbate symptoms.

Physical Activities to Avoid

Engaging in certain physical activities can worsen Degenerative Disc Disease by placing excessive strain on the spine. Avoiding high-impact exercises, heavy lifting, and improper movements can help prevent further disc damage and reduce pain, promoting better spinal health and mobility.

1. High-Impact Exercises

High-impact exercises such as running, jumping, and contact sports place excessive stress on the spine. Activities like football, basketball, and gymnastics involve sudden movements and jolts that can further compress and damage the already weakened discs. 

Instead, low-impact exercises such as swimming, walking, or cycling are preferable for maintaining mobility and fitness.

2. Heavy Weightlifting

Lifting heavy weights, particularly with improper form, can place undue pressure on the spine and worsen DDD symptoms. 

Deadlifts, squats, and overhead presses involve significant spinal loading, which can lead to increased disc degeneration. If strength training is necessary, opt for resistance bands, lighter weights, and exercises that focus on core stability.

3. Repetitive Twisting Movements

Sports and activities that involve frequent twisting of the spine, such as golf, tennis, and certain yoga poses, can aggravate DDD. Twisting motions put stress on the discs, causing them to wear down faster and leading to increased discomfort. Modifications or alternative exercises should be considered to prevent unnecessary strain.

4. Prolonged Sitting and Sedentary Lifestyles

Sitting for extended periods, especially with poor posture, puts increased pressure on the lumbar spine and contributes to disc compression. Those with desk jobs should ensure they take frequent breaks, use ergonomic chairs, and incorporate standing or stretching exercises throughout the day. A sedentary lifestyle should be avoided, as inactivity can lead to muscle stiffness and weaken the supportive structures of the spine.

5. Activities That Involve Sudden Movements

Movements that require abrupt stops, jerks, or high-speed actions—such as jumping off a high surface or making quick, forceful turns—should be avoided. These actions can cause sudden strain on the discs, leading to increased pain and potential worsening of the condition.

Posture and Lifestyle Habits to Avoid

Poor posture and unhealthy lifestyle habits can accelerate the progression of Degenerative Disc Disease. Making adjustments to daily activities, such as maintaining proper posture, avoiding heavy lifting, and adopting a healthier lifestyle, can significantly reduce discomfort and promote spinal well-being.

1. Poor Sitting Posture

Slouching or sitting with a rounded back places unnecessary pressure on the spine. People with DDD should maintain proper posture by keeping their back straight, shoulders relaxed, and feet flat on the floor. Using lumbar support pillows or ergonomic seating can help alleviate stress on the lower back.

2. Sleeping in Improper Positions

Sleeping in the wrong position can increase pain and discomfort. Stomach sleeping is particularly harmful as it forces the spine into an unnatural arch, leading to increased stress on the discs. The best sleeping positions for individuals with DDD include sleeping on the back with a pillow under the knees or on the side with a pillow between the legs to maintain spinal alignment.

3. Carrying Heavy Bags or Backpacks

Carrying a heavy backpack, handbag, or briefcase on one shoulder creates an imbalance that strains the spine. Over time, this can contribute to postural misalignment and worsening DDD symptoms. If carrying a bag is necessary, opt for a backpack with dual straps to distribute weight evenly or consider a rolling bag to minimize strain.

4. Smoking and Poor Nutrition

Smoking negatively affects circulation, reducing the oxygen and nutrient supply to spinal discs, which can accelerate degeneration. A diet lacking essential nutrients such as calcium, vitamin D, and omega-3 fatty acids can weaken the spine. Maintaining a healthy, balanced diet and quitting smoking can significantly improve spinal health.

5. Ignoring Pain and Overexertion

Pain is the body’s warning sign, and ignoring it can lead to further injury. Overexerting oneself by pushing through discomfort during exercise or daily activities can exacerbate DDD. It's crucial to listen to the body and rest when necessary. 

Pain management techniques such as gentle stretching, heat therapy, and proper hydration can help alleviate discomfort.

6. Wearing Unsupportive Footwear

Wearing high heels or shoes without adequate arch support can lead to improper spinal alignment and increased strain on the lower back. Supportive footwear that promotes even weight distribution is essential for individuals with DDD to maintain stability and reduce unnecessary spinal stress.

7. Stress and Poor Mental Health Management

Chronic stress and anxiety can lead to muscle tension, which may worsen back pain. Stress management techniques such as mindfulness, deep breathing, and relaxation exercises can help reduce tension and improve overall well-being. Engaging in activities that promote relaxation, such as meditation or light yoga, can be beneficial.

Dietary Considerations

Diet plays a crucial role in managing Degenerative Disc Disease (DDD). Proper nutrition can help maintain spinal health, reduce inflammation, and slow the progression of disc degeneration. On the other hand, poor dietary choices can exacerbate symptoms and increase discomfort. Here are some dietary considerations to keep in mind:

1. Avoid Processed and Sugary Foods

Processed foods, including fast food, packaged snacks, and sugary drinks, can contribute to inflammation in the body. Chronic inflammation can worsen pain and stiffness in individuals with DDD. Instead, opt for whole foods such as fruits, vegetables, lean proteins, and whole grains to support overall health.

2. Reduce Excessive Caffeine Intake

While moderate caffeine consumption is generally safe, excessive intake can lead to dehydration, which negatively affects the spinal discs. Since discs require adequate hydration to function properly, limiting caffeinated beverages such as coffee, energy drinks, and sodas can help maintain spinal health.

3. Limit Red Meat and Saturated Fats

Diets high in red meat, fried foods, and saturated fats can contribute to inflammation and weight gain. Excess weight places additional stress on the spine, worsening DDD symptoms. Instead, focus on lean protein sources like fish, chicken, beans, and tofu.

4. Ensure Sufficient Calcium and Vitamin D Intake

Calcium and vitamin D are essential for maintaining bone and spinal health. A deficiency in these nutrients can lead to weakened vertebrae and increase the risk of fractures. Incorporate dairy products, leafy greens, nuts, and fortified foods into your diet. If necessary, consult a healthcare provider about supplements.

5. Increase Omega-3 Fatty Acids

Omega-3 fatty acids, found in fatty fish, flaxseeds, and walnuts, have anti-inflammatory properties that can help reduce pain and stiffness in DDD patients. Including these in your diet can support joint and spinal health while minimizing discomfort.

Other Factors to Avoid

Certain lifestyle choices can worsen DDD symptoms and accelerate spinal degeneration. Being mindful of these factors can help individuals manage their condition more effectively.

1. Smoking

Smoking has been linked to accelerated disc degeneration and increased pain in individuals with DDD. Nicotine restricts blood flow to the spinal discs, depriving them of essential nutrients and oxygen. This can cause discs to deteriorate more quickly, leading to increased stiffness and discomfort. Quitting smoking can significantly improve spinal health and reduce DDD symptoms.

2. Excessive Alcohol Consumption

While moderate alcohol intake may not be harmful, excessive consumption can contribute to back pain and poor bone health. Alcohol can dehydrate the body, interfere with calcium absorption, and weaken bones over time. Reducing alcohol intake can support better spinal health and overall well-being.

3. Dehydration

Spinal discs are composed largely of water, and staying hydrated is essential for their proper function. Dehydration can cause discs to lose their elasticity and cushioning ability, leading to increased pain and stiffness. Drinking enough water throughout the day can help maintain disc health and alleviate symptoms of DDD.

4. Chronic Stress and Poor Mental Health Management

Chronic stress can lead to muscle tension and increased pain perception, making DDD symptoms worse. Stress management techniques such as deep breathing, meditation, and regular exercise can help reduce stress and alleviate discomfort.

5. Poor Sleep Habits

Inadequate sleep or poor sleep posture can exacerbate back pain and stiffness. Ensuring proper sleep hygiene, such as using a supportive mattress, maintaining a consistent sleep schedule, and avoiding screen time before bed, can improve sleep quality and reduce DDD symptoms.

Is Degenerative Disc Disease Hereditary?

Is Degenerative Disc Disease (DDD) hereditary? Well, folks, it turns out that genetics might play a bigger role than we thought! Studies by the Twin Spine Study suggest that DDD can indeed run in families, with some estimates showing a heritability of about 75%. 

If your parents or siblings have DDD, you might be at a higher risk. But don't panic! While genes are a factor, lifestyle choices still matter. Staying active, maintaining a healthy weight, and avoiding smoking can help keep your spine happy. Remember, having a genetic predisposition doesn't mean you're doomed – it just means you should be extra mindful of your spinal health.

About Dr. Sean Ormond
Dr. Sean Ormond in black medical uniform and black fog background
Dr. Sean Ormond is dual board-certified in Anesthesiology and Interventional Pain Management. He completed his anesthesia residency at Case Western University in Cleveland, Ohio where he served as Chief Resident, followed by an interventional pain management fellowship at Rush University in Chicago, IL. Following fellowship, Dr. Ormond moved to Phoenix and has been practicing in the Valley for a few years before deciding to start his own practice.
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