461 LOW BACK PAIN DUE TO HERNIATED LUMBAR DISC: COMPARISON OF EARLY AND LATE SURGICAL TREATMENT

INTRODUCTION: Low-back pain is a common clinical presentation of herniated lumbar disc. The incidence of low back pain is high in our country due to difcult working and living environment. The initial treatment of low back pain is conservative. Epidural steroid injection (ESI) is being slowly established as a simple, effective and minimally invasive treatment modality. The aim of this study is to assess the effectiveness of epidural steroid injection for low back and radicular pain. MATERIALS AND METHODS :This is a Prospective observational study. It was carried out on the patients presenting with low back pain due to herniated lumbar disc not responding to conservational management and had Magnetic Resonance Imaging (MRI) proven lumbar disc prolapsed at different level. Injection Methyl prednisolone 80 mg and 2 ml of 0.5% bupivacaine was diluted in 8 ml of normal saline and injected into the affected lumbar epidural space. The functional status of the patient and the severity of pain were evaluated before injection and after injection during the follow-up period by using Ostrewy disability index and visual analogue score. RESULTS: Fifty six patients received the epidural steroid injections, among them three patients did not came for regular follow up till six months and six patients required surgery . remaining forty seven were analyzed , among them 27(55.44%) were male and 20(42.55%) were female. The functional status and pain response of the patients were improved signicantly during all the follow-up periods (p < 0.001). The success rate of this study was 83.92%. No major complications were encountered. CONCLUSION:The ESI is a simple, safe, effective and minimally invasive modality for the management of lumbar radicular pain.

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The effects of Resistance Exercise After Herniated Lumbar Disc Reconstruction on Changes in Lumbar Extension Strength and VAS in Female Patients with Low Back Pain

Korean Journal of Sports Science ◽

10.35159/kjss.2021.12.30.6.949 ◽

2021 ◽

Vol 30 (6) ◽

pp. 949-957

Author(s):

Kwang-Soo Lee ◽

Gun-Do Kim ◽

Gil-Soo Han

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Resistance Exercise ◽

Lumbar Disc ◽

Low Back ◽

Female Patients ◽

Herniated Lumbar Disc ◽

Lumbar Extension

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Physical Therapy Outcomes for Patients Receiving Workers' Compensation Following Treatment for Herniated Lumbar Disc and Mechanical Low Back Pain Syndrome

Journal of Orthopaedic and Sports Physical Therapy ◽

10.2519/jospt.1996.23.3.180 ◽

1996 ◽

Vol 23 (3) ◽

pp. 180-187 ◽

Cited By ~ 16

Author(s):

Richard P. Di Fabio ◽

George Mackey ◽

James B. Holte

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Physical Therapy ◽

Lumbar Disc ◽

Pain Syndrome ◽

Workers Compensation ◽

Low Back ◽

Therapy Outcomes ◽

Herniated Lumbar Disc

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Total sitting time, leisure time physical activity and risk of hospitalization due to low back pain: The Danish Health Examination Survey cohort 2007–2008

Scandinavian Journal of Public Health ◽

10.1177/1403494818758843 ◽

2018 ◽

Vol 47 (1) ◽

pp. 45-52 ◽

Cited By ~ 2

Author(s):

Mie Balling ◽

Teresa Holmberg ◽

Christina B. Petersen ◽

Mette Aadahl ◽

Dan W. Meyrowitsch ◽

...

Keyword(s):

Physical Activity ◽

Low Back Pain ◽

Back Pain ◽

Lumbar Disc ◽

Vigorous Physical Activity ◽

Sitting Time ◽

Low Back ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Herniated Lumbar Disc

Aims: This study aimed to test the hypotheses that a high total sitting time and vigorous physical activity in leisure time increase the risk of low back pain and herniated lumbar disc disease. Methods: A total of 76,438 adults answered questions regarding their total sitting time and physical activity during leisure time in the Danish Health Examination Survey 2007–2008. Information on low back pain diagnoses up to 10 September 2015 was obtained from The National Patient Register. The mean follow-up time was 7.4 years. Data were analysed using Cox regression analysis with adjustment for potential confounders. Multiple imputations were performed for missing values. Results: During the follow-up period, 1796 individuals were diagnosed with low back pain, of whom 479 were diagnosed with herniated lumbar disc disease. Total sitting time was not associated with low back pain or herniated lumbar disc disease. However, moderate or vigorous physical activity, as compared to light physical activity, was associated with increased risk of low back pain (HR = 1.16, 95% CI: 1.03–1.30 and HR = 1.45, 95% CI: 1.15–1.83). Moderate, but not vigorous physical activity was associated with increased risk of herniated lumbar disc disease. Conclusions: The results suggest that total sitting time is not associated with low back pain, but moderate and vigorous physical activity is associated with increased risk of low back pain compared with light physical activity.

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The Lumbar Disc and Low Back Pain

Neurosurgery Clinics of North America ◽

10.1016/s1042-3680(18)30701-0 ◽

1991 ◽

Vol 2 (4) ◽

pp. 791-806 ◽

Cited By ~ 85

Author(s):

Nikolai Bogduk

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Lumbar Disc ◽

Low Back

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Vertebral bone-marrow changes in degenerative lumbar disc disease. An MRI study of 74 patients with low back pain

Journal of Bone and Joint Surgery - British Volume ◽

10.1302/0301-620x.76b5.8083266 ◽

1994 ◽

Vol 76-B (5) ◽

pp. 757-764 ◽

Cited By ~ 171

Author(s):

T Toyone ◽

K Takahashi ◽

H Kitahara ◽

M Yamagata ◽

M Murakami ◽

...

Keyword(s):

Bone Marrow ◽

Low Back Pain ◽

Back Pain ◽

Lumbar Disc ◽

Low Back ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Vertebral Bone ◽

Vertebral Bone Marrow ◽

Mri Study

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Rasterstereographic Analysis of Lateral Shift in Patients with Lumbar Disc Herniation: A Case Control Study

Advances in Orthopedics ◽

10.1155/2018/6567139 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8

Author(s):

Britta K. Krautwurst ◽

Jürgen R. Paletta ◽

Sylvia Mendoza ◽

Adrian Skwara ◽

Melvin Mohokum

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Intensity ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Pelvic Tilt ◽

Lumbar Disc ◽

Lateral Shift ◽

Healthy Controls ◽

Low Back

Objective. Detection of a lateral shift (LS) in patients with diagnosed disc herniation compared to healthy controls. Summary of Background Data. A specific lateral shift (LS) pattern is observed in patients with disc herniation and low back pain, as shown in earlier studies. Methods. Rasterstereography (RS) was used to investigate the LS. Thirty-nine patients with lumbar disc herniation diagnosed by radiological assessment and low back pain and/or leg pain (mean age 48.2 years, mean BMI 28.5, 28 males and 11 females) and 36 healthy controls (mean age 47.4 years, mean BMI 25.7, 25 males and 11 females) were analysed. LS, pelvic tilt, pelvic inclination, lordotic angle, and trunk torsion were assessed. Results. The patient group showed a nonsignificant increase in LS, that is, 5.6 mm compared to the healthy controls with 5.0 mm (p = 0.693). However, significant differences were found between groups regarding pelvic tilt in degrees (patients 5.9°, healthy controls 2.0°; p = 0.016), trunk torsion (patients 7.5°, controls 4.5°; p = 0.017), and lordotic angle (patients 27.5°, healthy controls 32.7°; p = 0.022). The correlation between pain intensity and the FFbH-R amounted 0.804 (p = < 0.01), and that between pain intensity and the pain disability index was 0.785 (p < 0.01). Discussion. Although some studies have illustrated LS with disc herniation and low back pain, the present findings demonstrate no significant increase in LS in the patient group compared to healthy controls. Conclusion. The patients with lumbar disc herniation did not demonstrate an increased LS compared to healthy controls. Other parameters like pelvic tilt and inclination seemed to be more suitable to identify changes in posture measured by RS in patients with low back pain or disc herniation.

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