Disc Herniation

Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial

J Man Manip Ther. 2023 Mar 22;1-13. doi: 10.1080/10669817.2023.2192975. Online ahead of print. Musa Sani Danazumi PMID: 36950742 DOI: 10.1080/10669817.2023.2192975 Abstract Objectives: To determine the long-term clinical effects of spinal manipulative therapy (SMT) or mobilization (MOB) as an adjunct to neurodynamic mobilization (NM) in the management of individuals with Lumbar Disc Herniation with Radiculopathy (DHR). Design: Parallel group, single-blind […]

Magnetic Resonance Spectroscopy Displays the Structural and Biochemical Effects of Spinal Manipulative Therapy in Lumbar Discogenic Pain: a case report

SN Comprehensive Clinical Medicine https://doi.org/10.21203/rs.3.rs-2596102/v1 Jessica F Billham Abstract INTRODUCTION: We report utility of magnetic resonance spectroscopy (MRS) in identifying the intervertebral disc (IVD) as a pain generator, describe the contemporary pathophysiology underlying biochemical and structural components of discogenic low back pain (DLBP), and exhibit therapeutic responses to spinal manipulation. CLINICAL FEATURES: A 29-year old […]

Retraction of lumbar disc herniation achieved by noninvasive techniques: A case report

World J Clin Cases. 2021 Sep 26;9(27):8082-8089. doi: 10.12998/wjcc.v9.i27.8082. Ping Wang 1, Cai Chen 2, Qing-Hao Zhang 3, Guo-Dong Sun 4, Cong-An Wang 5, Wei Li 6 PMID: 34621865 PMCID: PMC8462224 DOI: 10.12998/wjcc.v9.i27.8082 Abstract Background: Lumbar disc herniation (LDH) has emerged as one of the most common causes of low back pain. The routine treatment approach […]

Radiological predictors of recurrent lumbar disc herniation: a systematic review and meta-analysis

J Neurosurg Spine. 2020 Nov 27;1-11. doi: 10.3171/2020.6.SPINE20598. Michael Brooks Abstract Objective: Lumbar discectomy for the management of lumbar radiculopathy is a commonly performed procedure with generally excellent patient outcomes. However, recurrent lumbar disc herniation (rLDH) remains one of the most common complications of the procedure, often necessitating repeat surgery. rLDH is known to be […]

Regression of Lumbar Disc Herniation Following Non-surgical Treatment – Full Text

European Journal of Molecular & Clinical Medicine, 2020; 7(1): 27-29 Eric Chun-Pu Chu, Divya Midhun Chakkaravarthy, Fa-Sain Lo, Amiya Bhaumik. Abstract Symptomatic disc herniation is the most common disc pathology and can result in substantial disability and poor quality of life. Here, we present a male patient who was diagnosed as having lumbar disc herniation […]

Patients With Persistent Low Back Pain and Nerve Root Involvement: To Operate, or Not to Operate, That Is the Question

Petersen, Tom PhDa; Juhl, Carsten B. PhDb,c; Fournier, Gilles L. MDdAuthor Information SPINE: April 1, 2020 – Volume 45 – Issue 7 – p 483-490 doi: 10.1097/BRS.0000000000003304 Study Design. Prospective cohort study. Objective. The aims of this study were to evaluate the outcome of surgical and nonsurgical treatment for patients with lumbar herniated disc (LHD) […]

Like patching a flat tire: New fix heals herniated discs

MARCH 11, 2020 by Cornell University A new two-step technique to repair herniated discs uses hyaluronic acid gel to re-inflate the disc and collagen gel to seal the hole, essentially repairing ruptured discs like you’d repair a flat tire. After a rupture, a jelly-like material leaks out of a herniated disc, causing inflammation and pain. […]

Efficacy and Safety of Acupuncture for Chronic Discogenic Sciatica, a Randomized Controlled Sham Acupuncture Trial

Pain Med. 2019 Nov 1;20(11):2303-2310. doi: 10.1093/pm/pnz167. Ziling Huang 1 2, Sixing Liu 3, Jing Zhou 1, Qin Yao 2, Zhishun Liu 1 Affiliations expand PMID: 31369674 DOI: 10.1093/pm/pnz167 Abstract Objective: To evaluate the efficacy and safety of acupuncture for discogenic sciatica. Design: Single-center, parallel, randomized controlled sham acupuncture trial. Methods: Twelve sessions of acupuncture […]

Where do patients with MRI-confirmed single-level radiculopathy experience pain, and what is the clinical interpretability of these pain patterns? A cross-sectional diagnostic accuracy study – Full Text

Hanne B. Albert, Jeanette Kaae Hansen, Helle Søgaard & Peter Kent Chiropractic & Manual Therapies volume 27, Article number: 50 (2019) Abstract Background Clinicians nominate the distribution of leg pain as being important in diagnosing nerve root involvement. This study aimed to identify: (i) common unisegmental radicular pain patterns and whether they were dermatomal, and […]

The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis

Clinical Rehabilitation First Published August 28, 2019 Yu-Hsuan Cheng Abstract Objective: To evaluate the effectiveness of traction in improving low back pain, functional outcome, and disk morphology in patients with herniated intervertebral disks. Data Source: PubMed, Scopus, Embase, and the Cochrane Library were searched from the earliest record to July 2019. Review methods: We included […]

Non-surgical treatments for patients with radicular pain from lumbosacral disc herniation

The Spine Journal Available online 12 June 2019 Jung HwanLee MD, PhD. Abstract Background Context Lumbosacral disc herniation (LDH) is one of the most frequent musculoskeletal diseases causative of sick leave in the workplace and morbidity in daily activities. Non-surgical managements are considered as first line treatment before surgical treatment. Purpose This clinical practice guideline […]

Comparison Between Oblique Pulling Spinal Manipulation and Other Treatments for Lumbar Disc Herniation: A Systematic Review and Meta-Analysis

JMPT November–December, 2018 Volume 41, Issue 9, Pages 771–779 Zhuomao Mo, BA Abstract Objective The purpose of this review was to compare oblique pulling spinal manipulation with other treatments for lumbar disc herniation. Methods Randomized controlled trials of oblique pulling manipulation versus other treatment for lumbar disc herniation were identified using the following databases: China […]

Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study

Eur Spine J. 2018 Jul;27(7):1526-1537. doi: 10.1007/s00586-017-5325-y. Epub 2017 Oct 16. Hincapié CA, Tomlinson GA, Côté P5, Rampersaud YR, Jadad AR, Cassidy JD. Abstract PURPOSE: Chiropractic care is popular for low back pain, but may increase the risk for acute lumbar disc herniation (LDH). Low back pain is a common early (prodromal) symptom of LDH […]

MRI evaluation of the effects of extension exercises on the disc fluid content and location of the centroid of the fluid distribution

Musculoskeletal Science and Practice Volume 33, February 2018, Pages 67-70 Vahid Abdollah Highlights The signal intensity weighted centroid (SIWC) is a novel reliable non-invasive method for quantifying the effects of loading. Except for a more anterior SIWC in the L4L5 disc after extension, there were no significant SIWC differences. No significant differences were found in […]

Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology – Full Text

The Spine Journal Volume 14, Issue 11, 1 November 2014, Pages 2525-2545 David F.Fardon MD Abstract Background context The paper ‘‘Nomenclature and classification of lumbar disc pathology, recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology,’’ was published in 2001 […]

Effectiveness of dry needling versus a classical physiotherapy program in patients with chronic low-back pain: a single-blind, randomized, controlled trial – Full Text

J Phys Ther Sci. 2017 Sep; 29(9): 1502–1509. Published online 2017 Sep 15. doi:  10.1589/jpts.29.1502 PMCID: PMC5599809 Emİne Handan Tüzün,, PhD, PT,1 Sıla Gıldır, PhD, PT,1 Ender Angın, PhD, PT,1,* Büşra Hande Tecer, PT,1 Kezban Öztürk Dana, PT,2 and Mehtap Malkoç, PhD, PT1 Abstract [Purpose] We compared the effectiveness of dry needling with a classical physiotherapy program in patients with chronic low-back pain caused […]

Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis.

Pain Physician. 2017 Jan-Feb;20(1):E45-E52. Zhong M1, Liu JT2, Jiang H2, Mo W3, Yu PF2, Li XC2, Xue RR3. Abstract BACKGROUND: Lumbar disc herniation (LDH), a common disease, is often treated conservatively, frequently resulting in spontaneous resorption of the herniated disc. The incidence of this phenomenon, however, remains unknown. OBJECTIVE: To analyze the incidence of spontaneous […]

Inequality in leg length is important for the understanding of the pathophysiology of lumbar disc herniation

J Craniovertebr Junction Spine. 2016 Apr-Jun; 7(2): 87–90. doi:  10.4103/0974-8237.181829 PMCID: PMC4872568 Mehmet Sabri Balik, Ayhan Kanat,1 Adem Erkut, Bulent Ozdemir,1 and Osman Ersagun Batcik1 Author information ► Copyright and License information ► Abstract Objective: Inequality in leg length may lead to to abnormal transmission of load across the endplates and degeneration lumbar spine and […]

Resolution of Lumbar Disk Herniation without Surgery

Jennifer Hong, M.D., and Perry A. Ball, M.D. N Engl J Med 2016; 374:1564 April 21, 2016 DOI: 10.1056/NEJMicm1511194 A 29-year-old woman presented to the spine clinic with new-onset pain in her right leg, accompanied by paresthesia. There were no bowel or bladder symptoms. Magnetic resonance imaging (MRI) of the lumbar spine revealed a lumbar disk herniation […]

Hypovitaminosis D and Cervical Disk Herniation among Adults Undergoing Spine Surgery

Global Spine J. 2013 Dec;3(4):231-6. doi: 10.1055/s-0033-1354252. Epub 2013 Aug 21. Stoker GE1, Buchowski JM1, Chen CT1, Kim HJ1, Park MS2, Riew KD1. Abstract Study Design Single-center, retrospective study. Objective Suboptimal concentrations of vitamin D have been linked to hip and knee osteoarthritis in large, population-based cohort studies. We sought to examine the association of vitamin D […]