The Essence of Clinical Practice Guidelines for Lumbar Disc Herniation, 2021: 3. Diagnosis

Kaito, Takashi; Yamato, Yu

doi:10.22603/ssrr.2022-0044

Cited by 7 publications

(11 citation statements)

References 33 publications

(14 reference statements)

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“…Authorization for the analysis of clinical data was acquired from the Hospital Ethics Committee, with patient informed consent being waived. Inclusion criteria: Individuals diagnosed with LDH according to lumbar spine X-rays, Computed Tomography (CT) scans, MRI, and clinical manifestations [17] ; patients aged 18 y to 80 y, of either gender and patients with normal language, consciousness, and communication abilities were included in this study. Exclusion criteria: Patients with spinal tumors, spinal stenosis, or spinal tuberculosis; patients with severe systemic diseases such as heart, liver, or kidney conditions and pregnant or lactating women.…”

Section: General Informationmentioning

confidence: 99%

Efficacy of Yaobitong Capsule in Relieving Pain and Modulating Interleukin-6 and Interleukin-8 Factors in Lumbar Disc Herniation

Deng,

Zhu,

Chen

et al. 2024

IJPS

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Investigating the efficacy of Yaobitong capsule in reducing pain and influencing interleukin-6 and interleukin-8 factors was the main goal of this research. The division of 80 patients diagnosed with lumbar disc herniation into a control group and an observation group, consisting of 40 patients each, was conducted during the period from June 2022 to June 2023. Throughout the 2 w treatment period, the control group underwent lumbar traction, massage therapy, and the oral administration of loxoprofen sodium capsules, taken at a frequency of one capsule, three times a day. Meanwhile, the same treatment as the control group was undergone by the observation group, with the addition of Yaobitong capsule, administered at a frequency of three capsules, three times a day. Subsequent to 2 w of treatment, a comparison was made between the two groups based on the clinical efficacy, visual analogue scale scores, Oswestry disability index scores, adverse reactions, and serum interleukin-6 and interleukin-8 levels. Additionally, a follow-up evaluation was conducted after 6 mo to appraise the long-term treatment outcomes. Following a treatment duration of 2 w, the observation group demonstrated a notably higher total effective rate (90.00 %) in comparison to the control group (67.50 %), revealing statistical significance (p<0.05). However, post 2 w of treatment, both groups demonstrated a decline in serum interleukin-6 and interleukin-8 levels compared to pre-treatment levels, with the observation group exhibiting lower levels than the control group. The occurrence rate of adverse reactions did not differ remarkably between the two groups (p>0.05). The outcomes of this study illustrate the notable clinical efficacy of Yaobitong capsule in managing pain linked to lumbar disc herniation. It has the potential to effectively alleviate pain, enhance function, and potentially impact inflammatory cytokines.

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Section: General Informationmentioning

confidence: 99%

Efficacy of Yaobitong Capsule in Relieving Pain and Modulating Interleukin-6 and Interleukin-8 Factors in Lumbar Disc Herniation

Deng,

Zhu,

Chen

et al. 2024

IJPS

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“…Symptoms for patients with congenital stenosis of the lumbar region of the spine manifest quite early, often at the age of 30 or 40 years old, while acquired stenoses manifest themselves as radiculopathy and claudication, usually after the age of 50 [31][32][33]. Symptoms often appear on one side, and then later affect both sides.…”

Section: Clinical Symptoms For Patients With Stenosis Of the Lumbar R...mentioning

confidence: 99%

“…Symptoms often appear on one side, and then later affect both sides. Typically, neurogenic claudication begins bilaterally and is characterized by pain in the lower limbs, numbness, tingling, and reduced muscle strength [31][32][33]. Neurogenic claudication increases while standing and walking and decreases while sitting and lying down.…”

Section: Clinical Symptoms For Patients With Stenosis Of the Lumbar R...mentioning

confidence: 99%

“…Neurogenic claudication increases while standing and walking and decreases while sitting and lying down. Although patients cannot walk properly, they can travel relatively comfortably while seated [31][32][33]. Patients with central stenosis and those with lateral recess stenosis have resting pain and night pain, as well as pain while sneezing [31,33].…”

Section: Clinical Symptoms For Patients With Stenosis Of the Lumbar R...mentioning

confidence: 99%

“…Neurogenic claudication increases while standing and walking and decreases while sitting and lying down. Although patients cannot walk properly, they can travel relatively comfortably while seated [ 31 – 33 ]. Patients with central stenosis and those with lateral recess stenosis have resting pain and night pain, as well as pain while sneezing [ 31 , 33 ].…”

Section: Clinical Symptoms For Patients With Stenosis Of the Lumbar R...mentioning

confidence: 99%

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Presentation, Diagnosis, and Management of Lower Back Pain Associated with Spinal Stenosis: A Narrative Review

Sobański¹,

Staszkiewicz²,

Stachura

et al. 2023

Med Sci Monit

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Lower back pain (LBP) is an extremely common symptom experienced by people of all ages and is also one of the most frequent causes of disability worldwide. This article aims to review the presentation, diagnosis, and management of lower back pain associated with spinal stenosis. The paper we prepared was classified as a "literature narrative review." Nonetheless, when searching for manuscripts included in our work and reviewing them critically, we concentrated on the keywords: "lower back pain", "lumbar spine stenosis", "diagnostic", "rehabilitation", "neurosurgery", "spine", and "elderly". The incidence of chronic lower back pain (CLBP) increases linearly starting with the third decade of life until 60 years old, and it more often affects women. The course of non-specific LBP above all depends on factors not connected with the spine, which include psychological, behavioral, and social factors, determined by the way the condition is perceived by the patient the environment. Lumbar spine stenosis (LSS) is an age-related process of degeneration of the intervertebral discs, ligamentum flavum, and facet joints, which results in narrowing of the space around the neurovascular structures of the spine. Diagnosis of spinal pain syndromes includes radiography (RTG), computed tomography (CT), and magnetic resonance imaging (MRI). Based on the results of imaging studies, neurological examination, and the severity of the disease, treatment can consist of analgesics and rehabilitation, or, when conservative methods are insufficient, surgical treatment is indicated.

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A fully automatic MRI‐guided decision support system for lumbar disc herniation using machine learning

Zhang,

Du,

Shi

et al. 2024

JOR Spine

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BackgroundNormalized decision support system for lumbar disc herniation (LDH) will improve reproducibility compared with subjective clinical diagnosis and treatment. Magnetic resonance imaging (MRI) plays an essential role in the evaluation of LDH. This study aimed to develop an MRI‐based decision support system for LDH, which evaluates lumbar discs in a reproducible, consistent, and reliable manner.MethodsThe research team proposed a system based on machine learning that was trained and tested by a large, manually labeled data set comprising 217 patients' MRI scans (3255 lumbar discs). The system analyzes the radiological features of identified discs to diagnose herniation and classifies discs by Pfirrmann grade and MSU classification. Based on the assessment, the system provides clinical advice.ResultsEventually, the accuracy of the diagnosis process reached 95.83%. An 83.5% agreement was observed between the system's prediction and the ground‐truth in the Pfirrmann grade. In the case of MSU classification, 95.0% precision was achieved. With the assistance of this system, the accuracy, interpretation efficiency and interrater agreement among surgeons were improved substantially.ConclusionThis system showed considerable accuracy and efficiency, and therefore could serve as an objective reference for the diagnosis and treatment procedure in clinical practice.

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The Essence of Clinical Practice Guidelines for Lumbar Disc Herniation, 2021: 3. Diagnosis

Cited by 7 publications

References 33 publications

Efficacy of Yaobitong Capsule in Relieving Pain and Modulating Interleukin-6 and Interleukin-8 Factors in Lumbar Disc Herniation

Efficacy of Yaobitong Capsule in Relieving Pain and Modulating Interleukin-6 and Interleukin-8 Factors in Lumbar Disc Herniation

Presentation, Diagnosis, and Management of Lower Back Pain Associated with Spinal Stenosis: A Narrative Review

A fully automatic MRI‐guided decision support system for lumbar disc herniation using machine learning

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