Normal Degeneration Linked with Southern New Hampshire Spinal Stenosis

January 10, 2023

Normal degeneration of the spine may seem incongruous when discussing degeneration, but age encounters us all. Age brings on degeneration normally. Our Southern New Hampshire chiropractic practice recognizes and respects age for its effect on the spine and its influence in disc degeneration and paraspinal muscle degeneration. They go together. New Hampshire Spine and Sport treats them gently and successfully, especially when our patients participate fully by coming to appointments, exercising, and taking supplements that can be beneficial. It’s all part of the Southern New Hampshire chiropractic treatment plan!


Age. Not a topic we enjoy talking about, but age doesn’t care. It keeps doing its thing. Age contributed much when researchers compared the fatty infiltration of muscle in normal people to that in patients with lumbar spinal stenosis who were matched for age, BMI, weight, etc. The paraspinal muscle alterations in lumbar spinal stenosis patients and normal people were comparable. Degeneration of these muscles related to age was more obvious in lumbar spinal stenosis patients especially in the multifidus muscles. (1) A radiographic study of degenerative lumbar spinal stenosis found age-related risk factors. Researchers wrote that greater intervertebral disc height and more severe vertebral endplate failure may trigger degenerative lumbar spinal stenosis due to the amplified mobility of the segment, progressing disc degeneration. Weakened paravertebral muscles may weaken lumbar spinal stability. (2) Indeed, the spine and all its muscles are interconnected. New Hampshire Spine and Sport looks at them all, to their response to treatment, to their role in the pain.


Low back pain has associates. It brings with it degeneration, change, fat, imbalance and more. Researchers credited intervertebral disc degeneration as being the main cause of chronic low back pain. It’s a familiar and recurrent condition in spine surgery fields. Disc degeneration is linked to disc inflammation which makes sense as it is avascular tissue. As we humans age, researchers explained that its bone marrow changes to bone marrow fat, starting an inflammatory response in the disc and paraspinal muscles which have a role in spine stability. As the muscles fill with fat, low back pain transitioned to chronic. (3) In a study of patients with lumbar spinal stenosis and sciatica/leg pain, researchers saw that lumbar degenerative diseases prompted paravertebral muscle degeneration with greater levels of intramuscular fat infiltration. Women’s paraspinal muscles were significantly reduced. The erector spinae muscle and multifidus muscle in older aged patients were described as having more fat in them. (4) New Hampshire Spine and Sport appreciates that aging has a role in back pain’s development, path, and treatment.

LESS IS MORE: Treating Aged Back Pain

Since researchers observed that with age comes fatty infiltration of paraspinal muscles and inflammatory responses in the disc, it makes sense that doing less if back surgery is done would be prudent. A recent study wrote that adding fusion to a decompression back surgery for lumbar spinal stenosis increased the risk of new stenosis on an MRI two years later at the operated level or at an adjacent spinal level even when spondylolisthesis (a condition that one vertebra slipped on another one) was seen at surgery. (5) Less is more oftentimes when managing back pain. Gentler treatment can go far in decreasing pain. That’s the motto of the CTFDD treatment plan at New Hampshire Spine and Sport: gentle spinal manipulation, gentle exercise, etc.

CONTACT New Hampshire Spine and Sport

Listen to this PODCAST with Dr. Joseph Beissel on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates the relief with The Cox® Technic System of Spinal Pain Management for a patient with chronic low back pain.  

Schedule your Southern New Hampshire chiropractic appointment soon. There’s no escaping age or its accompanying pal, degeneration. If disc degeneration and spinal muscle degeneration are now your pals, trust New Hampshire Spine and Sport to set you all on a path of healing. 

Southern New Hampshire degenerative spinal changes