Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is the most common natural history of degenerative disc disease without radiculopathy in the lumbar spine?

1. Rapid deterioration over time

2. Gradual improvement over time

3. Constant symptoms with no change

4. Episodes of chronic pain

The correct answer is: Gradual improvement over time

The most common natural history of degenerative disc disease without radiculopathy in the lumbar spine is characterized by a gradual improvement over time. Many patients with this condition experience a natural course where symptoms may initially be present but often diminish as they adapt to their situation. This phenomenon can be attributed to various factors, such as tissue healing, improved muscle strength, increased flexibility, and better coping strategies. As individuals engage in physical activities, maintain proper posture, and implement lifestyle modifications, their symptoms can improve considerably. This improvement may not be uniform for all individuals, but research indicates that a significant number of patients find relief and improvement over time without the presence of radiculopathy, which is nerve root involvement typically marked by pain, weakness, or numbness in the leg. In contrast, other options suggest different trajectories that do not accurately reflect the typical outcome for most individuals with this condition. Hence, the emphasis on gradual improvement is consistent with observed patterns in clinical practice and research literature regarding degenerative disc disease.