Does a herniated lumbar disk with nerve root entrapment require surgical intervention: Are alternative treatments as effective?

Zeidman, Seth M.; Long, Donlin M.

doi:10.1007/s11916-998-0055-9

Cited by 3 publications

(2 citation statements)

References 17 publications

(10 reference statements)

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“…Failure to follow the basic rules and delaying surgery, as demonstrated by Hekelius, can make the defense can be irreversible [9]. International Journal of Clinical Medicine After lumbar disc herniation surgery, quality of life is significantly affected, according to a study in Belgium.…”

Section: Introductionmentioning

confidence: 99%

Functional Rehabilitation of Disc Herniation Treated with Combined Therapy

Arsani,

Stoica,

Gherghel

2023

IJCM

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Current researches reveal that the number of cases diagnosed with operated lumbar disc herniation is growing rapidly, which should draw an increased attention to the treatment used. The objective of this study is to perform a comparative analysis between the application of a classical physical-kinetic program and the application of a combined kinetic program. This research will be conducted on 20 subjects with ages, between 40 -50 years old, in INEMRCM Bucharest, for 14 days -1 hour a day. Each subject underwent an invasive surgery for lumbar disc herniation on the L5-S1 vertebrae. During the research, the 2 patients will be given a physical-kinetic program, adapted to the pathology of the operated lumbar disc herniation. The purpose of this research is to check the efficiency of each kinetic program. Furthermore, through the muscular and articular evaluation made in the initial phase and the final phase, it will be possible to discuss the comparative evolution of the established kinetic program and the functional gain obtained. In conclusion, the research shows that mechanized therapy results in faster functional rehabilitation and physical exercise substantially improves quality of life.

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Section: Introductionmentioning

confidence: 99%

Functional Rehabilitation of Disc Herniation Treated with Combined Therapy

Arsani,

Stoica,

Gherghel

2023

IJCM

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“…It involves a multi factorial clinical decision process and comprises a variety of treatment options for the patient. Even though surgical approach is widely used, the usefulness of surgery versus conservative measures in managing the patient with lumbar disc pathology presenting with sciatica still remains controversial 6 . The literature suggests conservative treatment over the surgical option for patients with disc pathology 7,8 .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Symptom Guided Therapeutic Approach in Treating Discogenic Pain with Radiculopathy Using a Combination of Directional Preference Exercises, Mobilisation and Neural Mobility Exercises — A Case Report

Joshua

2010

Proceedings of Singapore Healthcare

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Researchers have reported various therapeutic approaches to treat patients with low back pain. The mechanical diagnosis and therapy as proposed by McKenzie, has been shown to be effective in diagnostic, therapeutic and prognostic inference. Most often, the treatment options considered in these studies was directional preference exercises and manual procedures utilising movement and positions. But the effectiveness of symptom guided therapeutic approach in treating discogenic low back pain with radiculopathy using directional preference exercises, mobilization and neural mobility exercises is unknown. A case of a forty three-year-old male presenting with discogenic low back pain along with radiculopathy was assessed with McKenzie approach. Appropriate treatment strategy was selected and prescribed based on the initial assessment. The patient was re-evaluated each session, and treatment modification was made according to his symptom presentation during each visit. He proved to be symptom free after seven visits. This could have been due to disc regression and enhanced neural mobility obtained due to treatment. This case report demonstrates the effectiveness of symptom guided therapeutic management to treat patients with discogenic low back pain along with radiculopathy using appropriate treatment strategies. Finally, the report summarizes the treatment offered and discusses the possible explanation of the specific treatment strategies implemented.

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Surgical treatment for back and neck pain

Long¹

2006

Wall and Melzack's Textbook of Pain

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Does a herniated lumbar disk with nerve root entrapment require surgical intervention: Are alternative treatments as effective?

Cited by 3 publications

References 17 publications

Functional Rehabilitation of Disc Herniation Treated with Combined Therapy

Functional Rehabilitation of Disc Herniation Treated with Combined Therapy

Effectiveness of Symptom Guided Therapeutic Approach in Treating Discogenic Pain with Radiculopathy Using a Combination of Directional Preference Exercises, Mobilisation and Neural Mobility Exercises — A Case Report

Surgical treatment for back and neck pain

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