Injection Could Help Regrow Spine, Reduce Back PainPublished: 2009-12-03 04:52:32Author: The Denver Channel | November 18, 2009About 80 percent of Americans will experience low back pain at some point in their lives.
It's
the second most common reason people visit their doctors. Often, these
patients have torn or ruptured discs that cause excruciating pain. But
there's a new option on the horizon that could regrow healthy discs in
the spine without surgery.
Rebecca Tirs spends most days curled up in bed with her dog, Jenny Bee. But this isn't how life has always been for these two.
Ten years ago, Tirs was an active 28-year-old. But then she was in a
rollover car accident, where she tore two discs in her low back.
"I had a mild traumatic brain injury. I had a fractured pelvis. I had fractured scapula, fractured ribs," she said.
Tirs can barely walk. She had to quit work and give up all her favorite activities.
"It was just constant, deep down to the bone, severe pain," Tirs said. "I cried all the time."
Dr. Michael DePalma is working on a new way to heal injured backs. As
part of a clinical trial, he injects growth factors, found naturally in
the body, into damaged discs.
"The growth factors are that, they stimulate growth of certain tissue,"
said DePalma, the medical director at the VCU Spine Center in Richmond,
Va.
The injection includes a growth factor called OP1, a key ingredient in
the development of bone and tissue. In animals, the shot helped damaged
discs grow back. Doctors say in humans, it could mean no surgery, no
damage to surrounding tissue and little downtime.
"This sort of treatment may find its role in treating the disc before
they get to a point beyond which only surgery is going to help,"
DePalma said.
Tirs doesn't know if she received a placebo or the real injection, but she noticed a slight improvement in her pain level.
"Instead of maybe an eight or a nine, I was a seven," she said.
She said every bit helps -- if it gets her one step closer to her old, vibrant self.
Researchers are still working to see if one injection is enough to ease
the pain. Eligible patients have suffered lower back pain for three to
six months despite physical therapy and medication.
BACKGROUND: Intervertebral discs, which form the cushions
between the vertebrae of the spine and make up about a third of the
spine's height, degenerate earlier than any other connective tissue in
the body. When a disc degenerates, it loses height and affects the
mechanics of the entire spine, possibly negatively affecting
surrounding muscles and ligaments.
A major cause of back pain, research shows pain from disc degeneration
affects 12 to 35 percent of the Western world, according to the journal
Arthritis Research & Therapy.
"Back pain is common, and the most common source of back pain is a
disc," said Michael DePalma, M.D., an interventional spine specialists
at VCU Spine Center in Richmond, Va..
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