Our approach to treating Black Disc (DDD) is based on the latest Evidence-Based Practice in spinal rehabilitation

① Causes in Young Adults (Cuéllar Spine, 2025)

DDD is accelerated in younger adults due to genetic predisposition, injury, and crucial lifestyle factors like poor posture and prolonged sitting. Early intervention with PT and exercise is key to managing symptoms and slowing progression.

② True Cause of Pain (Mayo Clinic / J. Physio. Sci).

The pain is often not from the disc structure (Black Disc) itself, but from surrounding muscle weakness and spinal instability. The deep core muscles act as the spine's natural corset; their dysfunction leads to instability, resulting in nerve irritation and chronic pain.

③ Limits of Disc Regeneration (StatPearls, 2024)

Discs have low blood supply, severely limiting their self-repair capacity. The established Standard of Care for most DDD patients without neurological deficit is non-operative conservative treatment (medication, physical therapy, exercise) for at least 6 weeks, which often yields long-term results comparable to surgery.

④ Efficacy of Physical Therapy (MDPI Systematic Review, 2025)

Personalized, exercise-based rehabilitation is a highly effective strategy for reducing chronic low back pain and improving function in DDD patients. Specifically, Core Stability Training and aquatic therapy are strongly supported for superior functional outcomes.