lumber disc herniation
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2021 ◽  
Vol 17 (1) ◽  
pp. 41-44
Author(s):  
Mohammed Al-Sharaa ◽  
Salwan Akram Salo ◽  
Ako Faiq Kareem ◽  
Mohammed Sh. Al-Edanni

Background: The clinical examination is one of the best suitable methods for diagnosis of low backache. Backache is one disease that the signs, clinical examination finding, and the results on imaging modalities not always related. The straight leg raising (SLR) and slump tests, can be used for diagnosis of lumber disc herniation. Objectives: To compare the result of the slump test and SLR test in the diagnosis of lumber disc herniation. Subjects and Methods: A prospective comparative study conducts on 280 patients in Al-Kindy teaching and private clinics complaints of backache, aging between 18-70 years old with acute or recurrent backache, sciatica pain, or low back and sciatica pain for last 12 weeks, while patients with spinal surgery, sacroiliac joints pain, cervical dysfunction and hip and knee pathology, and chronic illness were excluded. MRI of the lumbar region was done and clinically examine first by SLR test then Slump test on the next days by separated author. All the record collected patient’s data are interpreted with the MRI finding by the third doctor.    Results: The Slump test is significant than the SLR in the patients with disc herniation at L4-L5 and (L4-5 &L5S1) 93.1% versus 70%, while for L5S1 level no significant in both tests. Leg pain present in 74.1 %, low back and leg pain in 21.5%, and only 4.4% present with low back only. Conclusion: The Slump test is more sensitive than the SLR test in diagnosis of lumber disc herniation.


Cureus ◽  
2020 ◽  
Author(s):  
Deepak Kataria ◽  
Laraib Jumani ◽  
Muhammad Umer Ahmed ◽  
Vikash Kumar ◽  
Aamir Makda

2020 ◽  
Vol 06 (03) ◽  
pp. 133-137
Author(s):  
Elfatemi B ◽  
Bakkali T ◽  
Khloufi S ◽  
Sefiani Y ◽  
Lekehel B ◽  
...  

2019 ◽  
Vol 87 (12) ◽  
pp. 4285-4290
Author(s):  
AHMED M. NABEEL, M.D.; MAHMOUD M. WAHDAN, M.D. ◽  
ATEF A. SALEM, M.D.; MOHAMED A. MANSOUR, M.D. ◽  
ALI S. ALI, M.Sc.

2015 ◽  
Vol 20 (09) ◽  
pp. 1111-1115
Author(s):  
Dr. Malik Yasin Awan ◽  
Dr. Mohammad Amjad

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Wenjin Jiang ◽  
Bolin Sun ◽  
Qirui Sheng ◽  
Xuepeng Song ◽  
Yanbo Zheng ◽  
...  

Objective. This study was aimed at evaluating the effectiveness and safety of percutaneous lateral lumbar discectomy (PLLD) in treating patients with lumber disc herniation.Methods. A total of 183 patients with lumbar disc herniation were recruited to receive PLLD surgery from April 2006 to October 2011. All the adverse effects were recorded during the follow-up at 1, 3, 6, and 12 months after PLLD. The clinical outcomes were determined by visual analog scale and Japanese Orthopaedic Association score.Results. The surgery was performed successfully in all patients (102 males and 81 females aged from 21 to 66 years) with a mean 16.6-month follow-up (range from 26 to 65 months). No postoperative complications, including intestinal and vascular complications, nerve injuries, and postoperative infections, were associated with PLLD. At one month after surgery, visual analog scale (3.12±1.44versus6.76±2.31,P<0.05) was significantly lower than the baseline and was sustained until 24 months after surgery (3.25±1.78versus6.76±2.31,P<0.05). Besides that, Japanese Orthopaedic Association score (25.25±3.21versus11.78±2.38,P<0.05) was increased when compared to the baseline.Conclusions. PLLD was a promising, mini-invasive, and effective treatment for lumber disc herniation.


Pharmacology ◽  
2012 ◽  
Vol 90 (5-6) ◽  
pp. 251-263 ◽  
Author(s):  
Ming Wei ◽  
Sui-Lin Mo ◽  
Neel R. Nabar ◽  
Yuling Chen ◽  
Jin-Jun Zhang ◽  
...  

2009 ◽  
Vol 15 (3) ◽  
pp. 330-334 ◽  
Author(s):  
G. Das ◽  
S. Ray ◽  
S. Ishwarari ◽  
M. Roy ◽  
P. Ghosh

The prevalence rate of low back pain in a number of studies ranged from 22% to 65% in one year, and lifetime prevalence ranged from 11% to 84%. Over the years many percutaneous minimally invasive therapeutic modalities have evolved. Intradiscal oxygen-ozone therapy has also showed promising results. We undertook a prospective cohort study to evaluate the therapeutic outcome of oxygen-ozone therapy on patients with lumber disc herniation in the Indian population. After obtaining ethical committee and investigational review board permission, 53 consecutive patients complying with selection criteria were treated with a single session of oxygen-ozone therapy. All presented with clinical signs of lumber nerve root compression supported by CT and MRI findings. All patients received 3–7 ml of ozone-oxygen mixture at an ozone concentration of 29–32 mc/ml of oxygen. Therapeutic outcome was assessed after three weeks, three months, six months, one year and two years on a visual analog scale and Oswestry low back pain disability questionnaire. Pain intensity was significantly reduced following treatment (VAS baseline 7.58 ± 0.86, after three weeks 2.75 ± 1.42 and after two years 2.64 ± 2.14). Similarly the Oswestry disability index showed a remarkable improvement in the functional status of the patients (p<0.05). No major complication was observed in this case series. Oxygen-ozone treatment is highly effective in relieving low back pain due to lumber disc herniation.


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