Degenerative Disc Disease

Treatment for Herniated Disc, Ruptured Disc and Spine Arthritis

Duke Spine Center makes a pain-free life possible with comprehensive medical and neurosurgery options for degenerative disc disease. Our surgical team in Raleigh and Durham treats all forms of degenerative disc disease, including herniated discs and ruptured discs. Many people with degenerative disc disease will also develop spine arthritis, including spondylosis, spondylolisthesis and ankylosing spondylitis. Whenever possible, our goal is to avoid your need for surgery.

Expert Care for Herniated Discs, Ruptured Discs and Spine Arthritis

There are many closely related spine conditions that cause severe back pain, stiffness and inflammation. We understand the delicate interplay between these conditions and how they impact each other. We specialize in treating all degenerative disc diseases, including herniated discs, ruptured discs and all forms of spine arthritis. 

If you are in pain from a disc-related condition, we work with you to find the best combination of medication, steroid injections and physical therapy to help you avoid surgery. If you do require spine surgery, your care will be in the hands of one the best surgery teams in North Carolina.

Choose Duke Spine Center for your degenerative disc disease treatment because we offer:

  • Spine surgery expertise. We are among the most experienced and busiest surgical teams in the state. Our surgeons perform more than 1,200 spinal surgeries every year, including minimally invasive procedures and complex reconstructive surgeries.
  • Intraoperative imaging technology. We offer advanced, intraoperative capabilities with CT and MRI. Our surgeons use detailed, 3-D pictures of your spine, spinal cord and and nerve roots in the operating room to guide them as they operate.
  • Specialized team. In addition to specialists in neurosurgery and orthopaedic surgery, our team includes nonoperative physicians and nurses, acupuncturists, physiatrists, pain management experts and physical therapists -– all of whom may work with you to alleviate the pain and inflammation caused by your spinal condition.
  • Personalized therapy plans. Whenever possible, our goal is to avoid your need for surgery. That’s why our approach involves a combination of treatments to target the cause of your pain and symptoms. We develop a plan that includes medication and/or injections with physical therapy. If appropriate, we also offer non-traditional options like acupuncture.



Your doctor will order one or more of the following imaging tests to diagnose the cause of your spinal pain:

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