Clinical Scenario

Obtain a lumbar myelogram. If the myelogram confirms the disk herniation procedure with discectomy the following day.

DOI: 09/12/2014. Patient is a 45-year-old male vacation relief route sales representative who sustained a work-related injury to his lumbar spine from bending and pulling a bread product. Per OMNI entry, he was initially diagnosed with disc herniation at L4 to L5 with radiculopathy. He is status post extraforaminal L4 to L5 discectomy on 04/09/2015. He has been off work for nearly 2 years.

Usually a herniated disc heals on its own. So most of the time nonsurgical treatment is tried first

The patient was compliant to all aspects of treatment and the home exercise program. There are no known alternate explanations of the outcomes of this case report. However, in comparison to the case report by Caldwell et al25., the patient in this case report displayed a faster decrease in pain and return to normal function indicated by 0/10 VAS, 0% neck disability and ability to perform all tasks for work at the last day of treatment, 3 weeks from the first day of physical therapy. Possible explanations for the faster recovery could be due to the slight difference of impairments as well as the addition to grade IV and V manipulations to the cervical and thoracic spine as suggested to have high correlation with decrease in pain and normalization

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

Search strategies for this review will be established to access both published and unpublished materials. Firstly, a search of the literatures will be conducted using numerous online databases. Similarly, a range of research methods that assist in finding appropriate journal articles will be utilised. These include consideration about which topics that most define chronic low back pain management and different interventions used for management of this condition. Further, to ensure whether the study is appropriate and relevant to the research question, both an inclusion and exclusion criteria will be considered. Thus, articles will be included if they meet the following principles: published between 2002 and 2016, articles related to nursing and health professionals, and written in the English language and Peer-reviewed articles as well.

Over the course of 15 treatments, the patient’s symptoms improved and eventually disappeared. Five months later, an MRI study of the patient displayed significant regression of the TDH. This case is a good example regarding the positive impact of conservative care on the management of a TDH. Although a disc herniation may naturally regress overtime, rehabilitation can support the process and help restore function.

we found an apparent clinico - radiological discrepancy between sciatica described by patients on one side and MRI finding on the other side without any other abnormality. The cases of foraminal herniated disc were excluded. In the event of any doubt regarding presence of differential diagnosis of sciatica other than disc herniation and when there was no in - dication for emergency surgery, patients were referred to neurologists and rheumatologists to rule out any other differential diagnosis such as peripheral neuritis, diabetic polyneuropathy, sensory-motor mixed neuropathy, or other rheumatological and neurological diseases. In this paper, we aimed to estimate

Ailments like the herniated disc in the vertebrae are treated with the help of disectomy. There is a disc present in between two vertebrae and if it herniates inwards, then it starts pressing on the spinal nerves which further results in pain. In this surgical procedure the whole disc or a part of it is

In this sedentary, computer day and age, everyone’s got back problems, but very few young people need surgery for a slipped disc. I was 27 at the time of my surgery, and

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

Selective Endoscopic Discectomy (or Percutaneous Discectomy Microdecompressive Endoscopic Lumbar Discectomy with Laser Thermodiskoplasty) is a new procedure to shrink and remove herniated disc.Using local anesthesia and the help of x-rays for guidance, specially designed micro-instruments, the discectome and a laser probe are inserted into the herniated disc space and the disc is removed by suction, and then shrunk by the laser, instead of the open surgery. Selective Endoscopic Discectomy is different from standard lumbar disc surgery because there is no muscle dissection or bone removal. There is only one tiny incision to accommodate the micro-instruments, inserted into the herniated disc. Most complications that occur with surgery are eliminated

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived work disability after 52 weeks. Nonetheless, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported the pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

Abstract: Background: Lumbar disc herniation surgical techniques have greatly evolved over the last 30 years in terms of instrumentation. Percutaneous endoscopic lumbar discectomy (PELD) and microendoscopic discectomy (MED) were both commonly used today, whereas which one is more competent are still debated. As we know, there are very less articles in this field. Methods: The data bases, including PubMed, Web of Science, Embase, Cochrane Library, Wanfang, and CNKI were used for a literature search. The references of each selected articles were also manual checked. The outcomes we were interested in were divided into primary ones and secondary ones. High quality articles were separated from selected articles for sensitivity analysis and the

The technology behind medicine is constantly evolving, the driving force being to develop new solutions, that are quicker, safer, more cost effective, minimally invasive with better visibility and shorter hospital stay. Advances in endoscopic surgery have improved the way in which almost all surgical specialities have approached various pathologies. Endoscopes give better visibility with minimal exposure to get to the proposed operative site. Open microdiscetomy has been the procedure of choice for patients with radiculopathy associated with a herniated disc. Since the advances in endoscopic surgery, it has found its way into the treatment of spinal disorders such as herniated discs, however is there a benefit to endoscopic discectomy?