Expert: Gerald Anzalone, D.C. - 3/2/2011

Question
Hi Doc,
I recently had an Xray and was told i have "Anterior lipping on L4 and Disc space L4/L5 & L5/S1 are narrowed. Lumbar spondylosis and disc prolapse at L4/L5 & L5S1. The rest of are normal"

I do not have back pain just a mild discomfort in my lower back area but mainly feel pain when i stretch;like touching my toes or doing a hamstring stretch.

I'm 32, a runner and play tennis too should i stop or continue?

Can you help please help me?"

Answer
Mickey,

Thanks for your question.

First, let's dissect your x-ray findings. Anterior lipping refers to the development of osteophytes, more commonly known as bone spurs, which are calcification of the anterior longitudinal ligament in the spine, and which are a sign of degenerative joint disease (osteoarthritis). Degenerative arthritis of the spine is also known generically as spondylosis.

Similarly, decreased disc spaces are a sign of degenerative disc disease, which is associated with degenerative joint disease.

Both degenerative disc disease and degenerative joint disease are thought to be related to wear and tear on the spine and joints, as well as aging. There is, however, some evidence to suggest that there may be a genetic component to degenerative changes.

Disc prolapse refers to herniation of the disc; this is only visible on MRI scanning, and to a lesser extent, on CT scanning. MRI is the best modality for evaluation of the discs.

While I can't give you specific advise on whether or not you should continue with your sports activities, as I do not have the benefit of knowing your full clinical picture, most of the time common sense is sufficient to assist the individual in modifying their activities so as not to further provoke symptoms. If you can run and play tennis without provoking back pain, then chances are good that you can continue with those activities. Pain with stretching or bending may suggest both a muscular component as well as a disc component; proper evaluation with a chiropractor or physiotherapist would be helpful in treating your symptoms as well as in receiving advice on home exercises to prevent your condition from worsening. Running tends to jar the spine by introducing compressive forces, and tennis involves significant lunging and twisting movements, both of which could potentially provoke disc-related symptoms.

For muscular complaints, I would recommend seeing a licensed massage therapist or a chiropractor who uses soft tissue manipulation techniques.

I hope that this helps to answer your question.