Lumbar spondylosis without myelopathy is a condition where the lower spine shows signs of wear and tear due to aging. This happens as the discs and joints in the spine slowly break down over time. It does not involve nerve damage, which makes it different from some other spine issues.

The main causes are aging, which naturally makes discs lose their water content and flexibility, and genetic factors, meaning some people are more likely to have this problem because of their family history. Lifestyle can also play a role, with smoking, being overweight, or not getting enough exercise possibly making the condition worse over time.

Symptoms can include lower back pain and stiffness. Sometimes, this pain can spread to the thighs or buttocks. It generally doesn’t cause nerve-related problems like numbness or weakness. Diagnosis does not always rely on imaging results. Medial branch nerve diagnostic injections can help pinpoint the exact source of pain, often requiring two injections for confirmation. If these blocks successfully identify the pain generator, steroids or radio-frequency ablation may provide relief for approximately three to six months or longer. Additional treatment options include regenerative therapies, such as platelet-rich plasma (PRP) or cells derived from bone marrow or fat directed at the lumbar areas of concern.

Treatment usually starts with simple methods, such as medications to reduce pain, physical therapy to keep the back flexible and strong, bracing and changes in daily habits like maintaining a healthy weight and avoiding smoking. Surgery is only considered if these approaches don’t help and if the condition severely affects daily life.

Often, this condition doesn’t cause serious problems, and many people don’t even have symptoms, even if their spine shows changes on X-rays or scans.

Please review these symptoms with your healthcare team for diagnostic and treatment guidance.