College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What clinical signs and symptoms are associated with degenerative disc conditions?

1. Intense pain with rest

2. Varying pain that worsens with prolonged activity

3. Persistent numbness

4. Stiffness throughout the spine

The correct answer is: Varying pain that worsens with prolonged activity

Varying pain that worsens with prolonged activity is a characteristic clinical sign associated with degenerative disc conditions. This type of pain typically fluctuates in intensity and can be exacerbated by activities that put strain on the spinal discs, such as sitting for long periods or engaging in physical exertion. Over time, the wear and tear on the discs can lead to inflammation and irritation of surrounding structures, contributing to this symptom. Degenerative disc conditions often result in a reduction of the disc's ability to absorb shock, leading to increased stress on vertebrae and nearby soft tissues. As a result, individuals may experience discomfort that improves with rest, as the load on the spine is reduced. This pattern of pain can help differentiate degenerative disc issues from other conditions, where resting may not provide relief. The other symptoms listed, while relevant to spinal health, do not typically characterize degenerative disc disease in the same manner. Intense pain with rest is more indicative of acute conditions or exacerbations, while persistent numbness and stiffness throughout the spine may relate to other specific issues or comorbidities rather than the degenerative process itself. Understanding these nuances is essential for practitioners assessing and managing patients with spinal concerns.