16/11/2022
Siempre es bueno recordar esta imagen 🤓. El tratamiento consevador en la mayoria de los casos tendra mejores resultados que la cirugia😊 with 💥𝐃𝐢𝐬𝐜 𝐇𝐞𝐚𝐥𝐢𝐧𝐠💥
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👉I have shared this post in the past, but it’s a good one to bring back every so often as many people don’t realize that many (66.66%) disc herniations reabsorb with time and conservative care.
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🧬The images in this post are from a case report from the New England Journal of Medicine (see reference) that documents the spontaneous resorption of a disc herniation without surgery.
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🔎Case Study: A 29-year-old woman presented to the spine clinic with new-onset pain in her right leg, accompanied by paresthesia. MRI of the lumbar spine revealed a lumbar disc herniation resulting in substantial spinal stenosis and nerve-root compression (first image).
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📗She elected conservative treatment with physical therapy and an epidural injection of glucocorticoids. A second MRI obtained at follow-up 5 months after presentation showed resolution of the herniation (second image). Her clinical symptoms resolved, and she was discharged from the clinic.
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🧠The details of this individual’s rehab were not given in the case study, but it is important to know that relatively simple programs that include movements like walking, general low back mobility drills and low-load resistance training exercises help the majority of people.
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✅Checkout the posts in my story if you’re looking for low back disc herniation exercises or want to see the research articles from this post.
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📘References: Hong J and Ball PA. Resolution of Lumbar Disk Herniation without Surgery. N Engl J Med. 2016.
📙Zhong M, et al. Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis. Pain Physician. 2017.
📒Chiu C, et al. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clin Rehabil. 2015.