@entity615 , is difficult to treat. @entity1 often report transverse @entity1643 that radiates into the sacroiliac joints. Radicular or claudicatory symptoms are generally absent unless there is concomitant nerve compression. Physical examination findings are often unremarkable. Radiographic examination may reveal disk space narrowing, @entity454 , or vacuum phenomenon in the disk; magnetic resonance imaging is useful for revealing hydration of the disk, annular bulging, or lumbar spine end-plate (Modic) changes in the adjacent vertebral bodies. The use of diskography as a confirmatory study remains controversial. Recent prospective, randomized trials and meta-analyses of the literature have helped expand what is known about @entity179 . In most @entity1 with @entity1643 , symptoms resolve without surgical intervention; physical therapy and nonsteroidal anti-inflammatory drugs are the cornerstones of nonsurgical treatment. Intradiskal electrothermal treatment has not been shown to be effective, and arthrodesis remains controversial for the treatment of @entity615 . Nucleus replacement and motion-sparing technology are too new to have demonstrated long-term data regarding their efficacy.

Management of symptomatic XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1643 :: ('MESH:D017116', 'Disease') :: ['low back pain'] @entity615 :: ('MESH:D001416', 'Disease') :: ['discogenic back pain', 'Symptomatic lumbar degenerative disk disease, or discogenic back pain'] @entity179 :: ('MESH:D019636', 'Disease') :: ['degenerative disk disease'] @entity454 :: ('MESH:D007676', 'Disease') :: ['end-plate sclerosis']
@entity179 :: (MESH:D019636,Disease) :: ['lumbar degenerative disk disease']
