For the treatment of lumbar disc herniation or radicular pain various con¬servative, surgical or nonsurgical methods have been used. Conservative method such as rest, analgesics, traction, medication, physical therapy, structured exercise etc. are used which are effective only for mild to moderate cases, then the injections can be tried and may offer rapid relief from pain in acute patients and may be a good treatment alternative for patients and the last hope is surgery but surgery has its own limitations, as it is a costly procedure, and may have several post-operative complications, chronic pain, and persistent disability. However, surgery is not available for everyone who is symptomatic, and may lead to failure in near about 25% of patients
They do this using the latest in technology, to help treat your pain without surgery or medication. There are innumerable services that your chiropractor NYC can provide, including low back pain, sciatica, herniated discs and more. In situations such as this, you may benefit from spinal decompression therapy, which promotes spinal lengthening and disk hydration. When a professional chiropractor performs this procedure on you, you will be able to experience natural and effective pain relief. You will also be able to take advantage of massage therapies, to help with any soft tissue damage, as well as improve the benefits that you will be able to receive from your chiropractic care, all without
Usually a herniated disc heals on its own. So most of the time nonsurgical treatment is tried first
Anecdotally we know that relieving pressure on the discs via traction, non-surgical spinal decompression or inversion tables etc relieves the pain, we also know that continued activity opposed to inactivity is beneficial and everyone knows that stabilizing the spine and allowing strained muscles to relax and heal are critical to the healing process.
Treatment for a herniated disc can include either surgical or non-surgical options. There are many tests that can be performed such as x-rays, CT scans, MRIs, myelograms, and nerve tests. All of these tests can be performed to help diagnose the location and degree of herniation. Some of the non-surgical treatments include
Non-occupational lifting was also studied as a risk factor for herniated lumbar intervertebral disc (Mundt et al. 1993). For this study, 287 patients with symptoms of herniated lumbar disc were involved and compared with control subjects without back pain taking in consideration the age, sex, source of care and geographic area. Based on their data, they showed that the risk of herniated
This is a 63-year-old male with a 6/13/1992 date of injury, when he fell off the roof of a building.
Failed back surgery syndrome (FBSS) or postlumbar surgery syndrome are terms used to describe unsatisfactory outcome after lumbar spine surgery. 1 FBSS is persistent or recurring low back pain, with or without sciatica following one or more lumbar operations. 2 The rate of the FBSS increases in the last two decades despite of the advances in surgical technology. 3, 4 A recent systemic literature review of discectomies for lumbar disc herniation demonstrate 5%–36% of patients after 2 years had FBSS below the age of 70 years. 5, 6 Another retrospective cohort study of 35,558 patient in south korea, received lumber disc surgery, re-operation rate at 5 years was 13.4%. 7
DOI: 7/16/2002. The patient is a 61-year old male assistant store manager who sustained a work-related injury to his low back when he lifted a bucket of pain. As per OMNI entry, the patient was diagnosed with multi-level degenerative disc disease of the lumbar spine. As per medical report dated 6/13/16, the patient rates his pain with medications as 5 and 8 if without medications. Quality of sleep is fair. Activity level has remained the same. The patient is diagnosed with postlaminectomy syndrome, not elsewhere classified; spondylosis without myelopathy or radiculopathy lumbosacral region; other spondylosis with myelopathy, cervical region; other spondylosis with myelopathy, cervicothoracic region; and other spondylosis with myelopathy, site
Lumbar Spinal Stenosis (LSS) affects a significant proportion of people in the population and can cause discomfort, limit activities of daily living, and can lead to significant disability. Even though numerous technological advancements have been made in the treatment of LSS, its management continues to be a challenge for both patients and healthcare professionals. Spinal Stenosis is a condition characterized by either narrowing of the spinal canal, also known as the Central Stenosis, or narrowing of the vertebral foramina (Delitto et al., 466). The combination effect of the loss of disc space, osteophytes, and hypertrophic lingamentum culminate to LSS (Genevay and Atlas 253). LSS is referred to as degenerative arthritis and the foraminal narrowing leads to a condition referred to as neurogenic claudication. Because of this narrowing, the spinal cord, and the spinal nerves are compressed thereby causing painful symptoms in the organs served by the affected nerves (Fishman 1141). Patients with this condition present with symptoms ranging from low back pain, general weakness decreased sensation to numbness of the limbs (Delitto et al., 467). Walking becomes a problem for people with this
Lumbar Disc Herniation is one of the commonest problems in adults. At their productive age this problem is debilitating and if timely intervention is not made the outcome is quiet disabling. Lumbar disc herniation in the past have been treated successfully with both conservative and surgical modalities. Various studies in the past have proved both these modalities, conservative and surgical treatment to give a good relief of symptoms.
The initial post tackles a fundamental idea as to the role of imaging in the diagnosis of low back pain (LBP). As McKinnis (2014) reiterated the fact that “no imaging can be prudent” in cases of suspected disk herniation in the first six weeks preceding the advent of the symptoms (p. 344). The discussion clearly points out the significance of the clinical practice guidelines of the American College of Physicians and the American Pain Society. The collaboration between health care professionals is necessary to conserve costs while sustaining a high quality of care for the patients.
If you have a herniated disc, a chiropractor might be able to help. A herniated disc often causes pain far from the site of the problem. For example, if the affected disc is in your lower back, you can feel pain in your thigh or leg. The first thing a chiropractor does is examine your entire spine to fully assess your pain. He or she will also look at your medical history and your body mechanics to come up with a plan for treatment. Here are some of the treatment options that might be suitable.
DOI: 1/5/2007. Patient is a 51-year-old male supervisor who sustained a low back injury while lifting a platform scale with another employee. Per OMNI, he is status post lumbar surgery and right hip strain/pain. On the QME report by Dr. Raskin dated 2/3/2009, the IW was deemed to have reached P & S status with 16% partial disability. Future medical care includes: medications, physical therapy, MRI, and injection. MRI of the lumbar spine dated 10/16/2012 revealed possible partial left laminectomy at L4 and L5; L3-4. A 2.9 mm disc bulge which mildly impresses on the thecal sac and produces mild bilateral neural foraminal narrowing; L4-5, a 5.0 mm broad-based disc protrusion which moderately impresses on the thecal sac; and L5-S1, a 3.5 mm circumferential
Patients had suffered back pain for varying durations (4-15 years) prior to SMT. Within 24 hours of undergoing SMT, all experienced acute aggravation of pain, leaving them unable to walk, stand, sit, or lie down normally. Herniation results in diminished lower extremity control and abnormal tendon reflexes; as such, four individuals suffered from neurological issues. Patient history determined that no individual had experienced back trauma or surgery, and further investigation found that all patients had a disc fragment within the spinal canal. In cases regarding herniation, surgical intervention is required; hernia and pain symptoms were alleviated post-surgery in all 10 patients. It was determined that SMT could exacerbate pre-existing symptoms, and certain vertebrae were found to be more susceptible to herniation (L4–L5 disc herniation observed in seven individuals). Five potential predictive factors regarding age and previous symptoms were identified, which may help identify future patients at-risk of lumbar disk herniation from SMT.
Disc herniation and 250 lumbar nerve roots at the levels of disc degeneration were evaluated on MR images for compromise. The workers included manual workers involved in physical and mechanical work such as bricklayers, concrete mixers, crane operators and plumbers. Patients with prior back surgery, spine fractures, sacroiliac arthritis, metabolic bone disease, spinal infection and rheumatoid arthritis, were excluded. Each worker gave a written informed consent to participate in our study.