Description

Dr. Richard Derby discusses the complexities of diagnosing and treating lumbar internal disk and end plate disruption syndromes (IDD). He highlights the challenges of IDD pain, emphasizing the roles of inflammation, mechanical stress, and aging chondrocytes. Dr. Derby reviews diagnostic and interventional approaches, including the use of restorative orthobiologics, endoscopic debridement, and vertebral nerve ablation. He underscores the importance of considering natural history and lifestyle changes in managing IDD, while also pointing out the need for further research and innovation in treatment methodologies.