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this is Dr David Green CEO of the Arizona Pain Network where we bring you anything and everything educational for pain management today the topic is avoiding surgery for degenerative disk disease hereamp;#39;s a look at a normal intervertebral disc itamp;#39;s composed of 80% water and 20% collagens and protein so the best analogy is that of a jelly dut so the outer part of the doughnut is here called the annulus fibrosis and the inner gelatinous part is the nucleus pulposis so the nucleus the gel has no nerve endings whatsoever so this canamp;#39;t produce pain however the outer gel the outer part of the donut the anulus does have nerve endings so if you have some degeneration some tearing out here you can see some back pain in an individual normally this disc when itamp;#39;s healthy acts is a great shock absorber walking running jumping the water gets pushed out with stress absorption and then it comes back in So when you start to get degenerative disc disease the essential prob