Disc Herniation

The death of the sit-up

The Canadian Armed Forces has thrown out dated fitness testing in favour of real-world tasks. By: Mary Ormsby Feature reporter, Published on Wed Jan 20 2016 The Canadian Armed Forces recently dropped the decades-long staple of school gym class and elite athletic training alike from its fitness testing and replaced it with exercises that better […]

Recurrence of Pain after Usual Non-Operative Care for Symptomatic Lumbar Disc Herniation: Analysis of Data from the Spine Patient Outcomes Research Trial

PM R. 2015 Nov 5. pii: S1934-1482(15)01103-X. doi: 10.1016/j.pmrj.2015.10.016. [Epub ahead of print] Suri P, Pearson AM, Scherer EA, Zhao W, Lurie JD, Morgan TS, Weinstein JN. Abstract OBJECTIVE: To determine risks and predictors of recurrent leg and low back pain (LBP) following unstructured, usual non-operative care for subacute/chronic symptomatic lumbar disc herniation (LDH). DESIGN: […]

MRI of the lumbar spine with dedicated G-scan machine in the upright position

Radiol Med. 2015 Jul 28. [Epub ahead of print] Magnetic resonance imaging (MRI) of the lumbar spine with dedicated G-scan machine in the upright position: a retrospective study and our experience in 10 years with 4305 patients. Splendiani A Abstract PURPOSE: To evaluate the pathological changes of the lumbar spine and the instability of the […]

What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study

Clin Orthop Relat Res. 2015 Jun;473(6):1920-30. doi: 10.1007/s11999-014-3803-7. Kerr D, Zhao W, Lurie JD. Abstract BACKGROUND: Although previous studies have illustrated improvements in surgical cohorts for patients with intervertebral disc herniation, there are limited data on predictors of long-term outcomes comparing surgical and nonsurgical outcomes. QUESTIONS/PURPOSES: We assessed outcomes of operative and nonoperative treatment for […]

Missed cervical disc bulges diagnosed with kinematic magnetic resonance imaging.

Eur Spine J. 2014 Aug;23(8):1725-9. doi: 10.1007/s00586-014-3385-9. Epub 2014 May 28. Lao L, Daubs MD, Scott TP, Phan KH, Wang JC. Abstract PURPOSE: To determine if adding flexion and extension MRI studies to the traditional neutral views would be beneficial in the diagnosis of cervical disc bulges. METHODS: Five hundred patients underwent MRI in neutral, […]

Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up

J Manipulative Physiol Ther Mar-Apr 2014;37(3):155-63. doi: 10.1016/j.jmpt.2013.12.011. Epub 2014 Mar 11. Serafin Leemann Abstract Objective: The purposes of this study were to evaluate patients with low-back pain (LBP) and leg pain due to magnetic resonance imaging-confirmed disc herniation who are treated with high-velocity, low-amplitude spinal manipulation in terms of their short-, medium-, and long-term […]

Anterior herniation of lumbar disc induces persistent visceral pain: discogenic visceral pain: discogenic visceral pain

Chin Med J (Engl). 2013;126(24):4691-5. Tang YZ, Shannon ML, Lai GH, Li XY, Li N, Ni JX Abstract BACKGROUND: Visceral pain is a common cause for seeking medical attention. Afferent fibers innervating viscera project to the central nervous system via sympathetic nerves. The lumbar sympathetic nerve trunk lies in front of the lumbar spine. Thus, […]

Outcomes from MRI-confirmed symptomatic cervical disk herniation patients treated with high-velocity, low-amplitude spinal manipulative therapy

J Manipulative Physiol Ther. 2013 Oct;36(8):461-7. doi: 10.1016/j.jmpt.2013.07.002. Epub 2013 Aug 12. Peterson CK, Schmid C, Leemann S, Anklin B, Humphreys BK. Abstract OBJECTIVE: The purpose of this study was to investigate outcomes of patients with cervical radiculopathy from cervical disk herniation (CDH) who are treated with spinal manipulative therapy. METHODS: Adult Swiss patients with […]

Do intervertebral discs degenerate before they herniate, or after? – Full Text Article

The Bone & Joint Journal Vol. 95-B, No. 8 P. Lama, C. L. Le Maitre, P. Dolan, J. F. Tarlton, I. J. Harding, M. A. Adams Published Online:1 Aug 2013 https://doi.org/10.1302/0301-620X.95B8.31660 The belief that an intervertebral disc must degenerate before it can herniate has clinical and medicolegal significance, but lacks scientific validity. We hypothesised that […]

Clinical findings and electrodiagnostic testing in 108 consecutive cases of lumbosacral radiculopathy due to herniated disc

Neurophysiol Clin. 2013 Oct;43(4):205-15. doi: 10.1016/j.neucli.2013.05.004. Epub 2013 Jun 20. Mondelli M, Aretini A, Arrigucci U, Ginanneschi F, Greco G, Sicurelli F. Abstract STUDY AIM: This prospective study aim to examine whether clinical findings and electrodiagnostic testing (EDX) in patients with lumbosacral monoradiculopathy due to herniated disc (HD) differ as a function of root involvement […]

Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections

J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22. Peterson CK1, Leemann S, Lechmann M, Pfirrmann CW, Hodler J, Humphreys BK. Abstract OBJECTIVES: The purpose of this study was to compare self-reported pain and “improvement” of patients with symptomatic, magnetic resonance imaging-confirmed, lumbar disk herniations treated with either high-velocity, low-amplitude spinal manipulative […]

Clinical correlation of magnetic resonance imaging with symptom complex in prolapsed intervertebral disc disease

J Craniovertebr Junction Spine. 2013 Jan;4(1):16-20. doi: 10.4103/0974-8237.121619. Clinical correlation of magnetic resonance imaging with symptom complex in prolapsed intervertebral disc disease: A cross-sectional double blind analysis. Bajpai J1, Saini S1, Singh R1. Abstract INTRODUCTION: Low backache (LBA) is one of the most common problems and herniated lumbar disc is one of the most commonly […]

Inflammatory Mediators in Intervertebral Disk Degeneration and Discogenic Pain

Global Spine J 2013; 03(03): 175-184 Karin Wuertz Abstract Although degeneration of the intervertebral disk has historically been described as a misbalance between anabolic and catabolic factors, the role of inflammatory mediators has long been neglected. However, past research clearly indicates that inflammatory mediators such as interleukin (IL)-1β, IL-6, IL-8 and tumor necrosis factor-α are […]

Inversion therapy in patients with pure single level lumbar discogenic disease: a pilot randomized trial

Disabil Rehabil. 2012;34(17):1473-80. doi: 10.3109/09638288.2011.647231. Epub 2012 Jan 23. K S Manjunath Prasad Abstract Purpose: Backache and sciatica due to protuberant disc disease is a major cause of lost working days and health expenditure. Surgery is a well-established option in the management flowchart. There is no strong evidence proving that traction for sciatica is effective. […]

Observations on the natural history of massive lumbar disc herniation

J Bone Joint Surg Br. 2007 Jun;89(6):782-4. Cribb GL Abstract We have treated 15 patients with massive lumbar disc herniations non-operatively. Repeat MR scanning after a mean 24 months (5 to 56) showed a dramatic resolution of the herniation in 14 patients. No patient developed a cauda equina syndrome. We suggest that this condition may […]