Effects of Decompression Therapy for the Treatment of a Herniated Lumbar Disc

✓ A 9- to 12-year follow-up review was conducted in 105 of 124 patients who were treated with chymopapain chemonucleolysis for herniated lumbar disc. The data were obtained from responses to a questionnaire. Seventy-nine patients (75.2%) reported marked improvement, six (5.7%) had slight improvement, and 20 (19.0%) had no improvement. Of the 87 patients not receiving workman's compensation, 70 patients (80.5%) had marked improvement; four (4.6%) had slight improvement; and 13 (14.9%) had no improvement. Of the 18 compensation cases, nine patients (50.0%) had marked improvement; two patients (11.1%) had slight improvement; and seven patients (38.9%) had no improvement. These results are comparable to those reported for surgical discectomy, and confirm that chymopapain chemonucleolysis is an alternative to surgery.

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EFFECTIVENESS OF EPIDURAL STEROID INJECTION FOR THE MANAGEMENT OF CHRONIC LOW BACK PAIN.

10.36106/2536610 ◽

2021 ◽

pp. 52-54

Author(s):

Ravi Ranjan Singh ◽

Bharat Singh

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Steroid Injection ◽

Lumbar Disc ◽

Radicular Pain ◽

Epidural Steroid Injection ◽

Low Back ◽

Herniated Lumbar Disc ◽

Epidural Steroid

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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MR Imaging of Herniated Lumbar Disc: Morphologic Change between Supine and Flexed-Prone Position

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1997.37.6.999 ◽

1997 ◽

Vol 37 (6) ◽

pp. 999

Author(s):

Jin Yong Seong ◽

Seung Ro Lee ◽

Sung Tae Kim ◽

Won Jin Moon ◽

Dong Woo Park ◽

...

Keyword(s):

Mr Imaging ◽

Prone Position ◽

Lumbar Disc ◽

Morphologic Change ◽

Herniated Lumbar Disc

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

European Journal of Pain ◽

10.1016/s1090-3801(09)60464-x ◽

2009 ◽

Vol 13 (S1) ◽

Author(s):

N. Lobjanidze ◽

M. Janelidze ◽

A. Gvelesiani ◽

M. Beridze ◽

L. Bakradze ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Surgical Treatment ◽

Lumbar Disc ◽

Low Back ◽

Herniated Lumbar Disc

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Predictors of Vocational Prognosis After Herniated Lumbar Disc

Spine ◽

10.1097/brs.0b013e3181ef6243 ◽

2011 ◽

Vol 36 (12) ◽

pp. E791-E797 ◽

Cited By ~ 13

Author(s):

Lone Donbæk Jensen ◽

Poul Frost ◽

Berit Schiøttz-Christensen ◽

Thomas Maribo ◽

Michael Victor Christensen ◽

...

Keyword(s):

Lumbar Disc ◽

Herniated Lumbar Disc

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Cerebellar infarction after sneezing

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.66.10.1351 ◽

2020 ◽

Vol 66 (10) ◽

pp. 1351-1354

Author(s):

Gustavo Bittencourt Camilo ◽

Marco Antônio Riccio ◽

Anna Luíza Machado Nogueira ◽

Amanda Campos Querubino ◽

Ana Luísa dos Santos Maciel ◽

...

Keyword(s):

Vertebral Artery ◽

Lumbar Disc ◽

Vertebral Artery Dissection ◽

Rare Condition ◽

Artery Dissection ◽

Cerebellar Infarction ◽

Herniated Lumbar Disc ◽

Angio Ct ◽

Magnetic Resonance Imaging Mri ◽

The Right

SUMMARY Vertebral Artery Dissection (VAD) is a rare condition that can be caused by a wide amplitude of neck movement, which injures the vessel wall and can cause ischemia in the cerebellum. We present a 37-year-old man with herniated lumbar disc and allergic rhinosinusitis, which caused sneezing spells. After one of these bouts with a ricochet of the head, he presented C3 misalignment with local pain. Twenty-one days later, affected by a new crisis, he presented left temporal headache, nystagmus, and vertigo. After 3 days, Magnetic Resonance Imaging (MRI) identified 2 regions of cerebellar ischemia and filling failure of the right vertebral artery. After 2 days, Computed Angiotomography (CT Angiography) was performed and showed right VAD with a local thrombus, without aneurysmal signs. Transcranial Doppler did not indicate an increase in blood flow from this artery. The suggested treatment involved administration of anticoagulant Apixabana 5mg, 12/12h, for 3 months, until the condition was reevaluated with new Angio CT and MRI. It was recommended that the patient was released from work for 1 month and forbidden from doing intense physical exercises for 3 months; however, due to setbacks, these deadlines were extended until a new appointment, 4 months after the first visit. The new tests showed no changes, indicating that the condition was stable. This case aims to indicate the possible investigations of the diagnosis and therapeutic options of the rare association between VAD with cerebellar infarction in a well-documented case.

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