scholarly journals Lumbar disc disease: the natural history

2002 ◽  
Vol 13 (2) ◽  
pp. 1-4 ◽  
Author(s):  
Nevan G. Baldwin
Keyword(s):  
Natural History ◽  
Lumbar Disc ◽  
Disease Process ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Discogenic Low Back Pain ◽  
Disc Herniations ◽  
History Of ◽  
The Impact ◽  
Better Than

Symptomatic lumbar disc disease represents a major cost to societies providing modern care for these conditions. The impact of any treatment cannot be assessed without an understanding of the natural history of the disease process. The majority of individuals with degenerative disc disease are asymptomatic. Although the natural history of sciatica is associated with a good overall prognosis, that of discogenic low-back pain is less promising. For patients with symptomatic lumbar disc herniations, the results of discectomy are better than those predicted by the natural history of the disease process.

scholarly journals Taming of the Testicular Pain Complicating Lumbar Disc Herniation With Spinal Manipulation

2020 ◽  
Vol 14 (4) ◽  
pp. 155798832094935
Author(s):  
Eric Chun Pu Chu
Keyword(s):  
Lumbar Spine ◽  
Lumbar Disc ◽  
Low Back ◽  
Chiropractic Treatment ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Disc Protrusion ◽  
Testicular Pain ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Degenerative disease of the lumbar spine is often ignored as a potential cause of testicular pain because the exact link between the two remains uncertain. This article reports the case of a 60-year-old man with a 3-year history of low back pain and unexplained right testicular pain for 2 years. Painful symptoms were negatively affecting his social, physical, and sexual functions. After failure to achieve pain relief through multiple types of therapy, the patient sought chiropractic treatment for his condition. Lumbar spine magnetic resonance imaging (MRI) revealed disc protrusion at the L1/L2, L3/L4, and L4/L5 segments causing thecal sac indentations. Due to the absence of direct testicular causes, the medical impression was chronic testicular pain (CTP) complicating lumbar disc disease. The patient experienced regular improvement in his low back and testicular pain with complete resolution of both after 8 weeks of chiropractic treatment. This article describes an overlook of the etiology of this patient’s testicular pain and a successful option in treating the patient. CTP has multifactorial etiology. An excellent treatment outcome depends heavily on recognizing the origin of the pain.

scholarly journals Association between hip joint impingement and lumbar disc disease in elite rowers

2021 ◽  
Vol 7 (4) ◽  
pp. e001063
Author(s):  
Thamindu Wedatilake ◽  
Antony Palmer ◽  
S Fernquest ◽  
Ann Redgrave ◽  
Liz Arnold ◽  
...  
Keyword(s):  
Degenerative Disc Disease ◽  
Lumbar Disc ◽  
Alpha Angle ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Degenerative Disc ◽  
Labral Tears ◽  
History Of ◽  
Elite Rowers ◽  
Cam Morphology

ObjectivesLumbar disc disease is a known cause of back pain. Increasingly it is thought that cam morphology of the hip may have a causal role in development of lumbar disc disease. The aim of this study was to describe the morphology of the hip and investigate the association of cam morphology with lumbar disc disease observed on MRI in elite rowers.MethodsCross-sectional observational study of 20 elite rowers (12 male, 8 female, mean age 24.45, SD 2.1). Assessment included clinical examination, questionnaires, 3T MRI scans of the hips and lumbar spine. Alpha angle of the hips and Pfirrmann score of lumbar discs were measured.Results85% of rowers had a cam morphology in at least one hip. Alpha angle was greatest at the 1 o’clock position ((bone 70.9 (SD 16.9), cartilage 71.4 (16.3)). 95% of the group were noted to have labral tears, but only 50% of the group had history of groin pain. 85% of rowers had at least one disc with a Pfirrmann score of 3 or more and 95% had a history of back pain. A positive correlation was observed between the alpha angle and radiological degenerative disc disease (correlation coefficient=3.13, p=0.012). A negative correlation was observed between hip joint internal rotation and radiological degenerative disc disease (correlation coefficient=−2.60, p=0.018).ConclusionsRowers have a high prevalence of labral tears, cam morphology and lumbar disc disease. There is a possible association between cam morphology and radiological lumbar degenerative disc disease, however, further investigation is required.

Lumbar disc disease

2010 ◽  
pp. 830-835
Author(s):  
George Samandouras
Keyword(s):  
Surgical Treatment ◽  
Natural History ◽  
Clinical Features ◽  
Lumbar Disc ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Basic Concepts

Chapter 16.11 covers lumbar disc disease, including basic concepts and areas such as epidemiology, natural history vs. surgery, clinical features, imaging, and surgical treatment.

scholarly journals Correlation of Computed Tomography with Surgical Diagnosis in Lumbar Disc Disease

1983 ◽  
Vol 10 (4) ◽  
pp. 248-251 ◽  
Author(s):  
Robert Griebel ◽  
Stanley Tchang ◽  
Moe Khan ◽  
George Varughese
Keyword(s):  
Computed Tomography ◽  
Diagnostic Procedure ◽  
Lumbar Disc ◽  
Ct Scanning ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Disc Herniations

SUMMARY:The lumbar spines of one hundred patients with suspected lumbar disc herniations were analysed with computed tomography. The results are compared with the patients’ surgical diagnosis and with myelography. CT scanning is with few exceptions the diagnostic procedure of choice in investigating lumbar disc disease.

scholarly journals THE NATURAL HISTORY OF PATIENTS WITH ACUTE DISC HERNIATION: A SERIES OF 150 CASES

2020 ◽  
Vol 19 (2) ◽  
pp. 116-119
Author(s):  
TELMO AUGUSTO BARBA BELSUZARRI ◽  
ENRICO AFFONSO BARLETTA ◽  
AUGUSTO RICARDO BARBA URENA ◽  
DANIEL DE ARAÚJO PAZ ◽  
FABIO VEIGA DE CASTRO SPARAPANI ◽  
...  
Keyword(s):  
Natural History ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Clinical Manifestations ◽  
Case Series ◽  
Lumbar Pain ◽  
Number Of Patients ◽  
History Of ◽  
The Mean ◽  
The Impact

ABSTRACT Objective This study aims to analyze the characteristics of patients with acute lumbar/sciatic disc herniation who underwent conservative, pain block procedures and surgical treatment, in order to better understand the natural history of herniations and their surgical indications, as well as the impact of hernia volume. Methods We analyzed 150 patients with a diagnosis of acute lumbar disc herniation. The treatments considered were: conservative, infiltration/pain block procedures and microdiscectomy. For seven patients who were surgically treated, the lumbar sequestrectomy volume was submitted to pathological analysis. Results Of the 150 patients, 80% were treated conservatively; 15.31% were treated with pain block procedures and 4.66% underwent microdiscectomy. The mean age of the surgical group was 42.5 years, and 57.1% of the patients were men. Most of the hernias were at L5-S1 (55.5%), and 77.7% were on the left side. All patients had presented significant lumbar pain or sciatica for a long period prior to the surgery. The Lasègue sign was present in all patients. Of the total number of patients, 85.7% presented hypoesthesia and 42.8% presented focal motor deficits, among other findings. The mean hernia volume was 9.6 cm3. Conclusions Unresponsiveness to conservative treatment is an important indication for surgery. The clinical manifestations in patients with a lumbar/sciatic hernia can be very diverse, as can the disc herniation volume, so these are not good indicators for surgery. Level of evidence IV; Case series

scholarly journals Natural History of NAFLD

2021 ◽  
Vol 10 (6) ◽  
pp. 1161
Author(s):  
Raluca Pais ◽  
Thomas Maurel
Keyword(s):  
Liver Disease ◽  
Natural History ◽  
Disease Progression ◽  
Specific Treatment ◽  
Alcoholic Fatty Liver ◽  
Individual Level ◽  
Close Relationship ◽  
History Of ◽  
The Individual ◽  
The Impact

The epidemiology and the current burden of chronic liver disease are changing globally, with non-alcoholic fatty liver disease (NAFLD) becoming the most frequent cause of liver disease in close relationship with the global epidemics of obesity, type 2 diabetes and metabolic syndrome. The clinical phenotypes of NAFLD are very heterogeneous in relationship with multiple pathways involved in the disease progression. In the absence of a specific treatment for non-alcoholic steatohepatitis (NASH), it is important to understand the natural history of the disease, to identify and to optimize the control of factors that are involved in disease progression. In this paper we propose a critical analysis of factors that are involved in the progression of the liver damage and the occurrence of extra-hepatic complications (cardiovascular diseases, extra hepatic cancer) in patients with NAFLD. We also briefly discuss the impact of the heterogeneity of the clinical phenotype of NAFLD on the clinical practice globally and at the individual level.

scholarly journals Does the Intradiscal Injection of Platelet Rich Plasma Have Any Beneficial Role in the Management of Lumbar Disc Disease?

2021 ◽  
pp. 219256822199836
Author(s):  
Sathish Muthu ◽  
Madhan Jeyaraman ◽  
Girinivasan Chellamuthu ◽  
Naveen Jeyaraman ◽  
Rashmi Jain ◽  
...  
Keyword(s):  
Beneficial Effect ◽  
Platelet Rich Plasma ◽  
Lumbar Disc ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Significant Heterogeneity ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Beneficial Role ◽  
Sf 36

Study Design: Systematic review and meta-analysis. Objectives: We performed this meta-analysis to evaluate whether intradiscal Platelet Rich Plasma(PRP) injection has any beneficial role in the management of lumbar disc disease. Methods: We conducted independent and duplicate electronic database searches including PubMed, Embase, and Cochrane Library till September 2020 for studies investigating the role of intradiscal PRP in the management of lumbar disc disease. The analysis was performed in the R platform using OpenMeta[Analyst] software. Results: 13 studies including 2 RCTs, 5 prospective, and 6 retrospective studies involving 319 patients were included in the meta-analysis. A single-arm meta-analysis of the included studies showed a beneficial effect of the intervention in terms of pain relief outcomes like VAS score (p < 0.001), pain component of SF-36 (p = 0.003) while such improvement was not seen in functional outcome measures like ODI score (p = 0.071), the physical component of SF-36 (p = 0.130) with significant heterogeneity noted among the included studies. No structural improvement in magnetic resonance imaging was observed (p = 0.106). No additional procedure-related adverse events were noted in the included studies (p = 0.662). Conclusion: There is a paucity of high-quality studies to give conclusive evidence on the benefits of intradiscal PRP for lumbar disc disease. Although intradiscal PRP injection has shown some beneficial effect in controlling pain for lumbar disc disease, we could not find structural or functional improvement from the included studies. Hence, we recommend large double-blind double-arm randomized controlled studies to analyze the benefits of the intervention being analyzed.

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