The Effect of a Stretch and Strength-Based Yoga Exercise Program on Patients with Neuropathic Pain due to Lumbar Disc Herniation

Spine ◽  
2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pelin Yildirim ◽  
Alper Gultekin
Keyword(s):  
Neuropathic Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Exercise Program ◽  
Strength Based

25. Expression Of CX3CL1/CX3CR1 and Neuropathic Pain in a Lumbar Disc Herniation Rat Model

2009 ◽  
Vol 9 (10) ◽  
pp. 14S
Author(s):  
Hea-Woon Park ◽  
Sang-Ho Ahn ◽  
Yun-Woo Cho ◽  
Dae-Seop Shim ◽  
Su-Jeong Kim ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Rat Model ◽  
Lumbar Disc

scholarly journals Lumbar Disc Herniation Might Spontaneously Regress, While Neuropathic Pain Might Start: Retrospective Clinical Study

2020 ◽  
Vol 8 (10) ◽  
pp. 2243-2247
Author(s):  
Yener Akyuva ◽  
Necati Kaplan ◽  
Boran Urfalı ◽  
Özkan Özger ◽  
Erdinç Civelek ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Regression ◽  
Lumbar Disc ◽  
Radicular Pain ◽  
Initial Examination ◽  
Retrospective Clinical Study

Lumbar disc herniation (LDH) is a common cause of low back pain and radicular pain. The aim of our study was to evaluate the regression of LDH in patients who are considered to require surgical treatment but prefer conservative treatment. Patients who presented between January 2018 and June 2020 and who did not accept the recommended surgical treatment following a diagnosis of LDH based on clinical and radiological findings were retrospectively reviewed. All 12 of the patients included in the study showed spontaneous regression of LDH during outpatient clinical follow-up. Our study included 12 patients (seven male and five female). The mean age was 46.5 (the youngest was 30 years old; the oldest was 70 years old). Regression was observed at the L2-L3 level in two patients (10%), at the L4-L5 level in four patients (40%), and at the L5-S1 level in six patients (50%). On the follow-up examination of all patients, the severity of their pain was evaluated with the Visual Analogue Scale, and all patients described a reduction in pain (min: 2, max: 8). Ten patients described radicular pain at the initial examination, eight patients received physical therapy and rehabilitation treatment before the follow-up examination, and nine patients described neuropathic pain at the follow-up examination. Spontaneous regression of LDH is rare. While conservative treatments provided partial improvement in the complaints of these patients, conservative treatments usually cannot prevent the development of neuropathic pain.

The DQB1(*)03:02 HLA haplotype is associated with increased risk of chronic pain after inguinal hernia surgery and lumbar disc herniation

2013 ◽  
Vol 4 (4) ◽  
pp. 258-258
Author(s):  
C.A. Dominguez ◽  
M. Kalliomäki ◽  
U. Gunnarsson ◽  
A. Moen ◽  
G. Sandblom ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Neuropathic Pain ◽  
Inguinal Hernia ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Control Group ◽  
Hernia Surgery ◽  
Inguinal Hernia Surgery ◽  
Increased Risk

Abstract Neuropathic pain conditions are common after nerve injuries and are suggested to be regulated in part by genetic factors. We have previously demonstrated a strong genetic influence of the rat major histocompatibility complex on development of neuropathic pain behavior after peripheral nerve injury. In order to study if the corresponding human leukocyte antigen complex (HLA) also influences susceptibility to pain, we performed an association study in patients that had undergone surgery for inguinal hernia (n = 189). One group had developed a chronic pain state following the surgical procedure, while the control group had undergone the same type of operation, without any persistent pain. HLA DRB1genotyping revealed a significantly increased proportion of patients in the pain group carrying DRB1(*)04 compared to patients in the pain-free group. Additional typing of the DQB1 gene further strengthened the association; carriers of the DQB1(*)03:02 allele together with DRB1(*)04 displayed an increased risk of postsurgery pain with an odds risk of 3.16 (1.61-6.22) compared to noncarriers. This finding was subsequently replicated in the clinical material of patients with lumbar disc herniation (n = 258), where carriers of the DQB1(*)03:02 allele displayed a slower recovery and increased pain. In conclusion, we here for the first time demonstrate that there is an HLA-dependent risk of developing pain after surgery or lumbar disc herniation; mediated by the DRB1(*)04-DQB1(*)03:02 haplotype. Further experimental and clinical studies are needed to fine-map the HLA effect and to address underlying mechanisms.

scholarly journals The efficiency of rehabilitation programs in the case of unoperated lumbar disc herniations

2019 ◽  
Vol 12 (23) ◽  
pp. 26-31
Author(s):  
Mihaela Varga ◽  
Ana Maria Vutan
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Health Assessment ◽  
Exercise Program ◽  
Well Being ◽  
Medical Rehabilitation ◽  
Lumbar Pain ◽  
Family Doctors ◽  
Disc Herniations

AbstractIntroduction: More and more young people with low back pain address family doctors or orthopaedists, being subsequently directed to the medical rehabilitation centres. Recent studies have shown that the medication only, prescribed in these cases, is not sufficient for the complete reintegration of these people into the workplace and into society. Physical exercises play an important role in the rehabilitation of these subjects.Aim: We conducted this study starting from the hypothesis that regular exercise can reduce pain and improve the well-being of patients diagnosed with lumbar disc herniation.Methods: The study was conducted at the “Politehnica” University of Timisoara within the Department of Physical Education and Sports, between September and November 2019. Ten subjects diagnosed (both clinically and by imaging) with lumbar disc herniation were included in the study. All patients followed an exercise program 3 times a week, for 90 days. As evaluation methods we used: the subjective pain evaluation scale (VAS scale) and the health assessment questionnaire (HAQ).Results: All the parameters followed in this study were improved following the application of the physical exercise program (muscle stretching, toning of the back and abdomen muscles, and as a result of the correct implementation of the notions of ergonomics at work and at home). In conclusion, we consider it is necessary to implement a protocol of exercises performed regularly for a long period in the case of patients with lumbar pain secondary to disc herniation.

Gabapentin versus pregabalin in relieving early post-surgical neuropathic pain in patients after lumbar disc herniation surgery: a prospective clinical trial

2014 ◽  
Vol 36 (12) ◽  
pp. 1080-1085 ◽  
Author(s):  
Habibullah Dolgun ◽  
Erhan Turkoglu ◽  
Hayri Kertmen ◽  
Bora Gurer ◽  
Erdal R. Yilmaz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Neuropathic Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Prospective Clinical Trial

Recurrence Rate of Lumbar Disc Herniation After Standard Discectomy and Microdiscectomy: A 5-Year Study

2019 ◽  
Vol 12 (2) ◽  
pp. 139-146
Author(s):  
Mladen E. Ovcharov ◽  
Iliya V. Valkov ◽  
Milan N. Mladenovski ◽  
Nikolay V. Vasilev
Keyword(s):  
Recurrence Rate ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Reoperation Rate ◽  
University Hospital ◽  
Recurrence Rates ◽  
Chi Square ◽  
Common Procedure

Summary Lumbar disc herniation (LDH) is the most common pathology in young people, as well as people of active age. Despite sophisticated and new minimally invasive surgical techniques and approaches, reoperations for recurrent lumbar disc herniation (rLDH) could not be avoided. LDH recurrence rates, reported in different studies, range from 5 to 25%. The purpose of this study was to estimate the recurrence rates of LDH after standard discectomy (SD) and microdiscectomy (MD), and compare them to those reported in the literature. Retrospectively, operative reports for the period 2012-2017 were reviewed on LDH surgeries performed at the Neurosurgery Clinic of Dr Georgi Stranski University Hospital in Pleven. Five hundred eighty-nine single-level lumbar discectomies were performed by one neurosurgeon. The diagnoses of recurrent disc herniation were based on the development of new symptoms and magnetic resonance/computed tomography (MRI/CT) images showing compatible lesions in the same lumbar level as the primary lumbar discectomies. The recurrence rate was determined by using chi-square tests and directional measures. SD was the most common procedure (498 patients) followed by MD (91 patients). The cumulative reoperation rate for rLDH was 7.5%. From a total number of reoperations, 26 were males (59.1%) and 18 were females (40.9%). Reoperation rates were 7.6% and 6.6% after SD and MD respectively. The recurrence rate was not significantly higher for SD. Our recurrence rate was 7.5%, which makes it comparable with the rates of 5-25% reported in the literature.

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