Degenerative disc disease can bring daily pain, stiffness, and frustration. Many people worry it will keep them from doing the things they love. The truth is, with the right care, you can still live an active and fulfilling life.
Physical therapy is one of the best non-surgical ways to manage this condition. It helps reduce pain, improve movement, and protect your spine for the future. You’ll learn how to strengthen the muscles that support your back and keep your body moving safely.
In this guide, we’ll explain what degenerative disc disease is, how it’s treated, and why Salem, Oregon residents trust HWY Physical Therapy for recovery and relief. Your path to a stronger spine starts here.
Learn what degenerative disc disease is, why it happens, and how it impacts your daily life.
Degenerative disc disease, or DDD, happens when the soft discs between your spinal bones lose their cushioning over time. These discs normally absorb shock and help your back move smoothly. The term “disease” can be misleading. DDD is often a natural part of aging, but injuries, repetitive strain, and poor posture can speed it up.
In the early stages, you may only feel mild pain after certain activities. As discs lose height and flexibility, symptoms can become more frequent. Some discs may bulge or tear, pressing on nerves and causing numbness or tingling. Early treatment helps slow this progression and keeps you more mobile.
Knowing your risk factors can guide you toward preventive steps like physical therapy.
An at-a-glance overview to help you understand DDD and how physical therapy can help.
Around 40% of adults over age 40 show signs of disc degeneration, even if they don’t have symptoms.
For those with symptoms, physical therapy can reduce pain in as little as 4–6 weeks.
Early treatment can slow disc changes and help you stay active longer.
Strengthening core muscles protects the spine from further injury.
Home exercises and posture adjustments play a big role in long-term results.
Identify the warning signs of DDD and the steps doctors take to confirm the condition.
Persistent pain in the lower back, neck, or both
Numbness, tingling, or weakness in the arms or legs
Pain that worsens when sitting, bending, or lifting
Stiffness or reduced range of motion
Pain relief when lying down or walking
A physical exam checks posture, movement, and pain response. Your medical history helps determine when symptoms started and what worsens them.
Imaging tests like X-rays show disc height changes, while MRIs can reveal disc tears or nerve pressure. CT scans may be used to get a clearer view of bone and disc structure.
If back or neck pain lasts more than a few weeks, seek professional help. Early intervention can prevent further damage and improve recovery time. Salem residents can access local experts like HWY Physical Therapy for personalized evaluations.
Clear up common misconceptions so you can make informed decisions about your care.
Most people improve with non-surgical treatments like physical therapy. Surgery is only considered if symptoms persist after months of care or if nerve damage is severe.
The right exercises strengthen the muscles that support your spine, reducing pain and preventing further injury.
Too much rest can weaken muscles and slow recovery. Guided movement is key to healing.
Consistent physical therapy and home exercises help restore mobility, improve posture, and support long-term spine health.
Understand why PT is the first choice for most patients and how it works to restore function.
Physical therapy reduces inflammation, eases muscle tension, and improves spinal alignment. Techniques like manual therapy and targeted exercises address the root cause of pain rather than masking it.
Movement encourages nutrient flow to spinal discs, which keeps them healthier for longer. Strengthening surrounding muscles stabilizes the spine, making everyday activities easier and safer.
Studies show most patients experience less pain and greater mobility within weeks of starting PT. Those who stick with their program are more likely to avoid surgery and maintain long-term results.
Many Salem residents share success stories of returning to work, hobbies, and daily life after consistent therapy at HWY Physical Therapy.
Get familiar with the hands-on and exercise-based techniques therapists use to help you feel better.
These treatments help reduce pain and prepare your body for active exercise. They may include heat or cold packs to ease muscle tension, ultrasound to improve blood flow, and electrical stimulation to reduce nerve pain. Spinal traction can gently stretch the spine, creating space between discs. Gentle massage and manual therapy can relax tight muscles and improve flexibility.
Active therapy focuses on movement. Flexibility training keeps your spine mobile, while targeted stretching relieves tension. Core strengthening exercises protect your back by stabilizing your spine. Posture retraining teaches you how to sit, stand, and move without putting extra strain on your discs.
A well-rounded PT program often blends both approaches. Passive therapy reduces discomfort so you can exercise more effectively. Active therapy builds long-term strength and stability. Together, they address both symptoms and root causes, giving you the best chance for lasting relief.
Practical, therapist-approved exercises to relieve pain and strengthen your back.
Hamstring Stretch: Sit on the edge of a chair, extend one leg forward with the heel on the floor, and lean forward gently until you feel a stretch.
Cat-Cow Stretch: On your hands and knees, alternate between arching your back upward and dipping it downward to improve mobility.
Bird-Dog: On your hands and knees, extend one arm and the opposite leg, hold for a few seconds, and switch sides. This strengthens your core and improves balance.
Pelvic Tilt: Lie on your back with knees bent, tighten your stomach muscles, and flatten your lower back against the floor.
Trunk Rotation Stretch: Lie on your back with knees bent, then let your legs fall to one side while keeping your shoulders flat.
Walking: A low-impact activity that increases circulation and keeps your spine moving. Aim for 10–15 minutes daily.
Always perform these exercises slowly and stop if you feel sharp pain.
Small daily habits that make a big difference in your spinal health.
Keep your shoulders relaxed and your spine neutral when sitting or standing. Adjust your chair and desk to reduce strain. Use lumbar support if sitting for long periods.
Choose low-impact activities like swimming, walking, or cycling. Avoid heavy lifting or twisting movements that can stress your discs. Take short breaks every 30–45 minutes to stretch and move.
Maintain a healthy weight to reduce pressure on your spine. Eat foods rich in calcium, vitamin D, and protein for bone and muscle support. If you smoke, consider quitting—smoking reduces blood flow to your discs and slows healing.
Consistent small changes can make your therapy more effective and help prevent future problems.
How older adults can adapt physical therapy to their unique needs.
Seniors may need gentler movements to protect joints and avoid strain. Using resistance bands instead of weights can build strength while reducing injury risk.
Physical therapy can include balance training to lower the chance of falls. Improving coordination and leg strength helps maintain independence.
HWY Physical Therapy in Salem offers programs designed for older adults with degenerative disc disease. These include safe modifications, gradual progressions, and one-on-one guidance to match individual needs.
With the right plan, seniors can stay active, reduce pain, and enjoy a better quality of life without overexertion.
Know when it’s time to consider other treatment options.
If pain continues after several months of consistent therapy, or if symptoms worsen, it may be time to explore other treatments. Severe nerve compression causing weakness or loss of function should be addressed immediately.
Common surgeries for degenerative disc disease include spinal fusion and artificial disc replacement. These procedures aim to stabilize the spine or restore movement. Recovery times vary but often require additional physical therapy afterward.
Your physical therapist can refer you to trusted local specialists. HWY Physical Therapy maintains connections with surgeons and pain management experts to ensure you get the right care if therapy alone isn’t enough.
Spine-Health: Exercise and Physical Therapy for Disc Disease — Learn more about how targeted exercises and physical therapy methods can help manage degenerative disc disease and relieve pain.
Verywell Health: Preventing Degenerative Disc Disease — Explore tips on lifestyle habits and strategies to protect your spine and slow the progression of disc degeneration.
Mayo Clinic: Pain Relief for Worn Spinal Disks — Find out what treatment options are available for worn spinal discs and when you might need advanced care.
If degenerative disc disease is limiting your life, now is the time to take action. Dr. Raj at HWY Physical Therapy can create a plan designed around your needs, lifestyle, and recovery goals. Our personalized approach helps you reduce pain, improve mobility, and protect your spine for the future. Visit us at Center 50+, Salem City Building, 2615 Portland Rd NE, Salem, OR 97301 or call 971-202-1979 to schedule your appointment today.