Optimal duration of conservative treatment for lumbar disc herniation depending on the type of herniation

2007 ◽  
Vol 14 (2) ◽  
pp. 104-109 ◽  
Author(s):  
Hiroyuki Nakagawa ◽  
Mikio Kamimura ◽  
Kenji Takahara ◽  
Hiroyuki Hashidate ◽  
Amu Kawaguchi ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Optimal Duration

scholarly journals Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis

2017 ◽  
Vol 1 (21;1) ◽  
pp. E45-E52 ◽  
Author(s):  
Hong Jiang
Keyword(s):  
Systematic Review ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Conservative Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Randomized Controlled

Background: Lumbar disc herniation (LDH), a common disease, is often treated conservatively, frequently resulting in spontaneous resorption of the herniated disc. The incidence of this phenomenon, however, remains unknown. Objective: To analyze the incidence of spontaneous resorption after conservative treatment of LDH using computed tomography and magnetic resonance imaging. Study Design: Meta-analysis and systematic review of cohort studies. Setting: The work was performed at The Suzhou Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine. Methods: We initiated a search for the period from January 1990 to December 2015 using PubMed, Embase, and the Cochrane Library. Two independent reviewers examined the relevant reports. The references from these reports were also searched for additional trials using the criteria established in the PRISMA statement. Results: Our results represent the pooled results from 11 cohort studies. The overall incidence of spontaneous resorption after LDH was 66.66% (95% CI 51% – 69%). The incidence in the United Kingdom was 82.94% (95% CI 63.77% – 102.11%). The incidence in Japan was 62.58% (95% CI 55.71% – 69.46%). Limitations: Our study was limited because there were few sources from which to extract data, either in abstracts or published studies. There were no randomized, controlled trials that met our criteria. Conclusions: The phenomenon of LDH reabsorption is well recognized. Because its overall incidence is now 66.66% according to our results, conservative treatment may become the first choice of treatment for LDH. More large-scale, double-blinded, randomized, controlled trials are necessary to study the phenomenon of spontaneous resorption of LDH. Key words: Lumbar, disc herniation, spontaneous resorption, conservative treatment, incidence, country, meta-analysis, systematic review, observational studies, study designs

When should conservative treatment for lumbar disc herniation be ceased and surgery considered?

2001 ◽  
Vol 25 (3) ◽  
pp. 162-165 ◽  
Author(s):  
Ralf D. Rothoerl ◽  
Chris Woertgen ◽  
Alexander Brawanski
Keyword(s):  
Conservative Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc

scholarly journals Regression of lumbar disc herniation with non-surgical treatment: a case report

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110206
Author(s):  
Rui Wang ◽  
Huasong Luo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Conservative Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Resonance Imaging ◽  
Repeat Magnetic Resonance Imaging ◽  
Presenting Symptoms ◽  
Care Guidelines

To date, only a few reports have described the regression of lumbar disc herniation, which may be because of a failure to follow up patients treated conservatively. We report a case of a 25-year-old man who presented with a 2-month history of pain and soreness owing to lumbar disc herniation. He was managed conservatively, and his presenting symptoms and scoliosis gradually decreased over approximately 5 months. Two years later, he returned unexpectedly and was advised to undergo magnetic resonance imaging, which revealed regression of the disc herniation; the patient also confirmed that the pain had not recurred. After 8 months, he underwent repeat magnetic resonance imaging, and the findings pertaining to disc herniation were normal. Our findings suggest that previous cases should be retrospectively studied to establish a prediction model for the outcomes of conservative treatment in patients with lumbar disc herniation. We also emphasize the significance of selecting suitable patients for conservative treatment to obtain the best therapeutic outcomes. The CARE guidelines have been followed in the reporting of this case.

scholarly journals MRI Outcomes of Nonsurgical Treatment of Giant Lumbar Disc Herniation: A Prospective Clinical Study

2020 ◽  
Author(s):  
Zhi Jia Ma ◽  
Peng Fei Yu ◽  
Yu Xiang Dai ◽  
Qiu Xiang Feng ◽  
Li Ming Wu ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Maximum Level ◽  
Projection Area ◽  
Contrast Enhanced ◽  
Bull's Eye ◽  
Contrast Enhanced Mri

Abstract Background: The phenomenon of lumbar disc herniation resorption is increasingly being reported, but the occurrence of this phenomenon cannot currently be accurately predicted.Methods: We acquired magnetic resonance imaging (MRI) of patients with giant lumbar disc herniation from January 2018 to December 2019, and analyzed the prognostic value of measurements performed on the images. The patients underwent conservative treatment according to the doctor’s decision. The imaging assessments included Komori points, MSU type, Iwabuchi type, the presence of a “bull’s eye” sign on contrast-enhanced MRI, Modic type classification, initial imaging prominence rate, and maximum level projection area. Post-treatment MRI was reviewed to evaluate the outstanding prominence rate and the maximum level projection area, thereby allowing calculation of the intervertebral disc absorption rate after treatment. The rate of patients undergoing later surgery was also recorded.Results: Seventy-six patients (46 males and 30 females, aged 14–65 years [mean 37.79 ± 10.60]) were included in this study, 12 of whom underwent surgery, giving a surgical rate of 15.79%. All patients were followed up for more than 9 months. The outburst rate was 84.41% ± 14.72%. The absorptivity rate of the 64 patients under conservative treatment was 38.35% ± 40.64%, with the absorptivity of the patients with Iwabuchi type 1 and a bull’s eye sign being significantly higher than the average rate (P < 0.01).Conclusions: The resorption of giant lumbar disc herniation is a natural process. Imaging findings showed Iwabuchi type 1 and a positive bull’s eye sign on contrast-enhanced MRI to be associated with an increased probability of resorption.

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