• Corpus ID: 20782940

Clinical evaluation and treatment options for herniated lumbar disc.

@article{Humphreys1999ClinicalEA,
  title={Clinical evaluation and treatment options for herniated lumbar disc.},
  author={S C Humphreys and Jason C. Eck},
  journal={American family physician},
  year={1999},
  volume={59 3},
  pages={
          575-82, 587-8
        }
}
Degeneration of the intervertebral disc from a combination of factors can result in herniation, particularly at the L4-5 and L5-S1 levels. The presence of pain, radiculopathy and other symptoms depends on the site and degree of herniation. A detailed history and careful physical examination, supplemented if necessary by magnetic resonance imaging, can differentiate a herniated lumbar disc from low back strain and other possible causes of similar symptoms. Most patients recover within four weeks… 

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References

SHOWING 1-10 OF 25 REFERENCES

▪ Natural History and Nonoperative Treatment of Lumbar Disc Herniation

The published scientific evidence regarding the impact of nonoperative care on lumbar disc herniation is reviewed, including time frames and the proposed underlying mechanisms that may enhance or impede this process.

Extradural corticosteroid injection in management of lumbar nerve root compression.

Assessment during admission and at three months revealed statistically highly significant differences in respect of relief of pain and resumption of normal occupation in favour of the group treated by extradural injection.

The Natural History of Sciatica Associated with Disc Pathology: A Prospective Study with Clinical and Independent Radiologic Follow-Up

A high proportion of patients with discogenic sciatica make a satisfactory recovery with aggressive conservative management, and this recovery is accompanied by resolution of disc herniations in a significant number.

Objective Clinical Evaluation of Physical Impairment in Chronic Low Back Pain

The aim of this study was to develop a method of clinical evaluation suitable for routine use, and to consider the relationship between pain, disability, and physical impairment in patients with chronic low back pain.

Diagnosis of nerve root compression. Myelography, computed tomography, and MRI.

Current technology and published studies support the preferential use of MRI in the diagnosis of cervical myelopathy and cervical radiculopathy, and prefer MRI as the initial diagnostic test because of the obvious advantage of its noninvasive nature.

Oblique MRI as a useful adjunct in evaluation of cervical foraminal impingement.

Oblique MR imaging provides valuable information about the cervical foramen not available from the conventional MR imaging technique, and there was a correlation between nerve contact and foraminal width, but regression analysis did not demonstrate a correlate between disc height and forAMinal size.

Familial Predisposition to Discogenic Low-Back Pain: An Epidemiologic and Immunogenetic Study

There is a strong familial predisposition to discogenic low-back pain, and it is suggested that the etiology of degenerative disc disease is related to both genetic factors, not linked to the HLA antigen system, and environmental factors.

Clinical trial of common treatments for low back pain in family practice.

It is concluded that family doctors have little reason to prescribe either bed rest or isometric exercises to patients who suffer from low back pain.

Epidural Injections for the Diagnosis and Treatment of Low-Back Pain

Three hundred four consecutive patients with low-back pain were given epidural anesthetic and steroid injections and selected patients had 87% short-term success and 34% relief of pain for as long as 6 months.

Disc Pressure Measurements

By measurements of intradiscal pressure in vitro, the hydrostatic properties of the nucleus pulposus of normal lumbar intervertebral disc were proven. The hydrodynamic properties seem to exist also