Connect with others who understand.

Sign up Log in
Resources
About MyMSTeam
Powered By
See answer

MS and Degenerative Disc Disease: What’s the Connection?

Medically reviewed by Joseph V. Campellone, M.D.
Written by Nyaka Mwanza
Posted on May 25, 2022

Multiple sclerosis (MS) is an autoimmune disease that damages the central nervous system (CNS). Degenerative disc disease (DDD) is a chronic medical condition that affects the bones and joints of the spine. These two conditions are different but may overlap for some people.

MS and DDD are both chronic, degenerative conditions, which means they are long-term and often get worse with time. In MS, the immune system causes inflammation and scarring (called plaques or lesions) in the CNS, which includes the brain and spinal cord. MS causes problems with nerves and muscle control, along with many other symptoms. DDD, on the other hand, affects the bones of the spine that surround and protect the spinal cord. It is a major cause of back pain.

DDD and MS are sometimes mistaken for one another, even by health care providers, as they share some symptoms and they both develop at a similar age (30s). “They were looking for lesions and found I had DDD as well,” reported one member of MyMSteam.

In this article, we’ll explore DDD and its connection to MS.

What Is Degenerative Disc Disease?

The spine is made up of many bones that provide a protective cover for the spinal cord (the bundle of nerves that connects the brain to the different parts of the body). In between each bone of the spine are intervertebral discs. These shock-absorbing pads, sometimes likened to jelly donuts, act as cushioning between the 33 individual bones (vertebrae) of the spine.

DDD occurs when these discs start to wear down. They can bulge out or dry up. The bulges can then rub on nerves and ligaments, causing pain, numbness, tingling, or weakness. The bones of the spine can begin to rub together, creating bony outgrowths (osteophytes) that can harm the nerves of the spine.

Signs and Symptoms of DDD

Symptoms of DDD include low back pain, neck pain, and stiffness, as well as numbness, weakness, and pain shooting down the arms and legs. Signs of DDD, often seen on X-rays or MRIs, can include shrunken discs, bone-on-bone rubbing, osteophytes, disc herniation, and disc bulging.

DDD can affect the lower back, called lumbar disc disease, as well as the neck, called cervical spondylosis. Disc degeneration can lead to more serious conditions. Among them is radiculopathy (or sciatica), characterized by a pinched nerve root in the spine. It also can lead to spinal cord compression (myelopathy).

“My degenerative disc disease started in my thoracic spine, which is unusual because it’s not an area that gets a lot of wear and tear,” a MyMSTeam member said of their DDD experience. “It rapidly spread to my cervical spine [neck] over the next nine months. Within another two months, bulging discs and spinal stenosis in my lumbar [low back] region knocked me on my ass.”

How Are MS and DDD Symptoms Similar?

DDD and MS share some symptoms, which can lead to diagnostic delays, misdiagnoses, and treatment delays. “One of the problems with MS (out of its many problems) is that doctors, friends — even yourself — can get into a pattern of blaming every symptom or illness on MS,” observed one member. “Like, ‘Back pain? Must be my MS.’ when you could have a herniated disc or DDD.”

Pain is a common symptom in MS and DDD. Both conditions can cause various types of pain. Types they share in common include:

  • Neuropathic pain (nerve pain) — Pain caused by damage to the nerves or other areas of the nervous system, potentially resulting in a burning or stabbing sensation and increasing the sensitivity of affected areas
  • Musculoskeletal pain — Pain in the muscles, bones, joints, and soft tissues

DDD can also cause back pain, as well as radicular pain — pain that moves along the spinal nerve root, causing discomfort in the hips, legs, and spine. People with MS may also experience pain in their backs, hips, and legs, such as from altering their walk to accommodate muscle weakness or balance issues.

One team member said, “I have several herniated discs and torn discs that appear to be causing some tingling in my feet and significant back pain.”

Pain from DDD tends to get worse with sitting, twisting, and lifting. It often improves with moving around, walking, running, or lying down. DDD-related pain can be recurring (comes and goes), acute (sudden and temporary), or chronic (persistent and long-lasting).

In addition to pain, DDD can cause neurological symptoms similar to those of MS, such as vibrating and paresthesias (numbness and tingling). “My left leg goes numb due to my back, my right leg due to MS. Both have severe burning sensations when I stand or walk too far,” said a MyMSTeam member.

Causes and Risk Factors

Many people experience DDD as part of the aging process. It can result from a prior injury. MS is caused by a combination of environmental, genetic, infectious, and immune system factors.

Both DDD and MS are linked to low levels of vitamin D, which is crucial for maintaining bone health. Having DDD may increase the risk of spinal cord compression and nerve damage. If a person has MS, they may already be experiencing nerve damage due to demyelination — the process of the immune system attacking the protective fatty myelin sheath around nerves. DDD can further worsen that effect.

More research is needed, but researchers believe MS may be linked to earlier onset and more severe DDD of the neck (cervical spine). “I was diagnosed with DDD when I was 30,” shared one member of MyMSTeam about their surprising double diagnosis.

One study found higher rates of cervical DDD among people with progressive MS. Additionally, having MS and DDD was linked to having more MS lesions in the brain. “I have about 20 lesions in my brain from MS and nine in my spinal cord,” shared one team member. “I had an MRI in 2013 that showed DDD all through my lumbar spine and three bulging discs.”

Comorbid Conditions

When a person has two or more chronic conditions at the same time, they are called comorbid conditions. It is not uncommon for a person to have both MS and DDD. In fact, having MS is thought to increase the likelihood of developing DDD. “I have MS, fibro[myalgia], degenerative disc disease, scoliosis, scapula dyskinesis, bone spurs, and bulging discs,” shared a MyMSTeam member.

With comorbid DDD and MS, one condition can influence the other. “Over the last decade I have noticed that one can somehow affect the other with fatigue and muscle spasms,” shared a MyMSTeam member.

Living with multiple health conditions can take an even greater toll on one’s quality of life.

When a person has MS and other chronic health conditions — especially when they have symptoms in common — getting an accurate, timely diagnosis can be more challenging. “Back pain and searing leg pain causes stress and stress affects MS! Especially if it’s constant pain (e.g., neuropathy),” shared one member. “Because you never get away from the pain, it also wears on you mentally and emotionally, not just physically!”

Treating MS and Degenerative Disc Disease

There are several options to relieve symptoms of DDD and MS. For pain particularly, specialized pain management may be a good option for both MS and DDD. While several options exist for symptom management and spinal repair options, finding the right one can take time, trial, and error.

Medical Treatment Options

Medical treatments for DDD include:

Having comorbid MS and DDD can complicate MS treatment and complicate overall health management. Here is what one MyMSTeam member had to say about their treatments: “I went through physical therapy and two rounds of epidural steroid injections.”

Another noted, “I’ve had injections, physical therapy, fluoroscopy (discogram I believe), but I just don’t get enough relief and it’s getting exhausting being in pain all the time.”

Surgical Treatment Options

If more conservative medical treatments are ineffective, neurosurgery may be the best remedy for DDD. Surgery might include artificial disc replacement or decompression surgery. “If you can get in to get surgery, I do recommend it,” shared one MyMSTeam member. “Mine was filled with complications but the disc pain I had for 15 long months is gone completely … Had I had surgery sooner, the outcome would have been better.”

In some cases, MS can be a barrier to certain DDD treatments, or DDD can complicate MS treatments. “My discs are crumbling and bulging. Holding off on surgery (many years) because my largest lesion is in the same spot,” said a team member.

In other cases, the damage is beyond surgical repair. Such was the case for a member who reported, “I have DDD and all my lumbar discs are bone on bone without any surgical option.”

Alternative Treatments and Lifestyle Options To Manage DDD

Many people seek alternatives to medical and surgical options. With DDD, MS, and in general, there are many other ways to reduce pain and symptoms:

  • Eat a healthy diet with a balanced, nutrient-rich diversity of foods.
  • Get an adequate amount of regular exercise (20 to 30 minutes a day).
  • Wear a supportive back brace.
  • Use heated pads or ice packs.

Other treatments that have some evidence to help reduce back pain include:

  • Physiotherapy
  • Transcutaneous electrical nerve stimulation (known as TENS)
  • Yoga
  • Cognitive behavioral therapy
  • Acupuncture and acupressure

Prevention is also key. A MyMSTeam member offered this sage advice: “The BEST thing you can do for your spine is to exercise your CORE! Strong core muscles and good posture will prevent many spine issues and/or keep them from becoming worse.”

Find Your Team

MyMSTeam is the social network for people living with multiple sclerosis (MS) and their loved ones. MyMSTeam is a virtual community of nearly 186,000 members where people can ask questions, give advice, and share stories about life with MS.

Do you have DDD and MS? Share your experience in the comments below, or start a conversation by posting on your Activities page.

Posted on May 25, 2022

A MyMSTeam Member

I am like most of you with MS (PPMS); Severe Spinal Stenosis in cervical and lumbar regions of my spine, along with DDD and arthritis. My health is too compromised to have anything but emergency… read more

September 2
All updates must be accompanied by text or a picture.

We'd love to hear from you! Please share your name and email to post and read comments.

You'll also get the latest articles directly to your inbox.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service.
Privacy Policy
All updates must be accompanied by text or a picture.

Subscribe now to ask your question, get answers, and stay up to date on the latest articles.

Get updates directly to your inbox.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service.
Privacy Policy
Joseph V. Campellone, M.D. is board-certified in neurology, neuromuscular disease, and electrodiagnostic medicine. Review provided by VeriMed Healthcare Network. Learn more about him here.
Nyaka Mwanza has worked with large global health nonprofits focused on improving health outcomes for women and children. Learn more about her here.

Related Articles

Muscle spasms (also called cramps or fasciculations) are a common symptom of multiple sclerosis (...

Muscle Spasms in MS: What Do They Feel Like?

Muscle spasms (also called cramps or fasciculations) are a common symptom of multiple sclerosis (...
Part of the Relapsing MS Playbook series Enter Cell 2 Content Here... Enter Cell 3 Content Here....

A Cold Sensation Traveling Down Your Legs: Another Strange MS Symptom?

Part of the Relapsing MS Playbook series Enter Cell 2 Content Here... Enter Cell 3 Content Here....
Multiple sclerosis (MS) can cause strange sensations, and it’s not always easy to determine if th...

When You Move Your Eyes, Do You Feel a Jolt? 5 Possible Causes

Multiple sclerosis (MS) can cause strange sensations, and it’s not always easy to determine if th...
Discover why people with MS may accidentally bite their tongues when talking.

Why You May Bite Your Tongue While Talking if You Have MS

Discover why people with MS may accidentally bite their tongues when talking.
Learn the top 5 causes of peripheral cyanosis, how to reduce risk, and treatment options for blue...

Blue or Purple Toes and MS: Possible Causes and When To Seek Care

Learn the top 5 causes of peripheral cyanosis, how to reduce risk, and treatment options for blue...
Some people with MS find that their symptoms include changes to or problems with their toenails.

Can Multiple Sclerosis Affect Your Toenails?

Some people with MS find that their symptoms include changes to or problems with their toenails.

Recent Articles

The U.S. Food and Drug Administration (FDA) has approved Ocrevus Zunovo (ocrelizumab and hyaluro...

FDA Approves 10-Minute Injectable Version of Ocrevus

The U.S. Food and Drug Administration (FDA) has approved Ocrevus Zunovo (ocrelizumab and hyaluro...
A diagnosis of multiple sclerosis (MS) may be unexpected and overwhelming — but it can also bring...

What Is Multiple Sclerosis? An Overview

A diagnosis of multiple sclerosis (MS) may be unexpected and overwhelming — but it can also bring...
Multiple sclerosis (MS) is a progressive disease of the central nervous system that is well known...

6 Signs of Cognitive Issues in MS

Multiple sclerosis (MS) is a progressive disease of the central nervous system that is well known...
Some people with primary progressive multiple sclerosis (PPMS) and secondary progressive MS (SPMS...

High-Dose Biotin for Progressive MS: Can It Help?

Some people with primary progressive multiple sclerosis (PPMS) and secondary progressive MS (SPMS...
Managing multiple sclerosis (MS) can be challenging, even with a variety of treatment options ava...

Low-Dose Naltrexone for MS: Side Effects, Interactions, and More

Managing multiple sclerosis (MS) can be challenging, even with a variety of treatment options ava...
Living with multiple sclerosis (MS) can bring unique challenges, and walking difficulties are a c...

What Walking With MS Gait Looks Like

Living with multiple sclerosis (MS) can bring unique challenges, and walking difficulties are a c...

Thank you for subscribing!

Become a member to get even more: