Conditions Summary

Conditions Our Treatments

Conditions Conditions Treated

Conditions To Do

Herniated Disc: Neurovertebral Decompression, an Innovative Solution in Longueuil

Vous habitez Longueuil ?

The TAGMED Clinic ne possède pas de succursale à Longueuil. Nous desservons toutefois régulièrement les patients provenant de Longueuil depuis nos deux cliniques spécialisées situées à Terrebonne and Town of Mount Royal (Montreal).

De nombreux patients de Longueuil se déplacent vers l’une de nos cliniques afin de bénéficier de nos traitements non chirurgicaux pour Hernie discale et les douleurs associées.

Our clinics:
TAGMED Clinic Terrebonne — 1150 Lévis Street, Suite 200, Terrebonne, QC, J6W 5S6 (Mon/Wed/Fri)
TAGMED Clinic Montreal (Town of Mount Royal) — 1140 Beaumont Avenue, Mount Royal, QC, H3P 3E5 (Tue/Thurs)

Herniated disc: spinal decompression therapy, an innovative solution in Longueuil

The herniated disc represents a health problem affecting a growing number of people, causing pain and various disabilities. In Longueuil, the option of Spinal decompression therapy presents itself as a promising alternative to traditional methods for treating this condition.

Herniated Disc Treatment In Longueuil Tagmed Clinic Montreal Terrebonne

 

Invented by Dr. Allan Dyer in 1985 and perfected through technological developments, this non-surgical technique uses a distracting force on the spine to reduce compression on the spinal cord. This process creates negative pressure inside the damaged intervertebral discs, thus promoting the resorption of herniated discs and relieving pain.

 

Specialized clinics in Longueuil offer personalized treatment plans, adapted to the specific conditions of each patient. Factors such as the severity of the condition, the patient's age, their daily activities and their overall response to treatment directly influence the effectiveness of the process.

 

With encouraging success rates, the Spinal decompression therapy is seen as an innovative solution in the local medical landscape for those suffering from herniated disc in Longueuil.

 

Understanding Herniated Disc and Its Impacts

The herniated disc is defined as a condition of the spine where the core of an intervertebral disc protrudes through a tear in the outer ring, potentially compressing surrounding nerves. This pathology can result from various causes, including:

  • Natural degeneration of discs with age
  • Excessive or inappropriate physical exertion
  • Sudden movements or twisting of the back
  • Excess weight which increases pressure on the spine

 

The symptoms associated with a herniated disc vary, but often include:

  • Acute or chronic pain in the back or neck
  • Radiation of pain to the arms or legs
  • A feeling of tingling, numbness or weakness in the affected limbs

 

As for theimpact on daily life, it can be significant, limiting activities such as:

  • Lifting objects
  • Sports practice
  • Daily household chores
  • Long periods of sitting or standing

 

This condition can impair not only mobility but also quality of life by inducing stress and the inability to perform certain tasks without pain.

 

Traditional Treatments for Herniated Discs

When you suffer from a herniated disc, the traditional treatment options include:

  • Anti-inflammatory medications : They aim to reduce inflammation and pain but do not treat the underlying cause.
  • Physiotherapy : A physiotherapist can develop an exercise program to strengthen the back muscles and improve posture.
  • Corticosteroid injections : These injections can temporarily relieve pain by reducing inflammation around compressed nerves.

 

These treatments, although widely used, have limitations and can have side effects:

  • The anti-inflammatory drugs may cause gastrointestinal or cardiovascular problems with prolonged use.
  • The physiotherapy requires consistent adherence to the exercise program to be effective, which can be difficult for some patients.
  • The corticosteroid injections are generally limited in number due to the risk of tissue damage with repeated injections.

 

Herniated Disc Treatment In Longueuil Tagmed Clinic Montreal Terrebonne

It is essential to speak with your doctor to assess the suitability of these treatments for your specific condition. Some people may not respond favorably to conventional methods or seek to avoid their side effects. In these cases, exploring innovative alternatives such as spinal decompression therapy could prove beneficial.

 

Neurovertebral decompression: an innovative approach

The Spinal decompression therapy represents a decisive turning point in the management of disc pathologies, particularly disc herniation. This non-invasive technique is distinguished by its gentle approach, avoiding the risks associated with surgical interventions. Its principle is based on the application of a distraction force on the spine, thus reducing the compression exerted on the nerves and intervertebral discs.

 

Here's how it works:

  • Pressure relief : Using specialized equipment, controlled traction is exerted along the spine. This creates negative pressure within the damaged discs, encouraging the nucleus pulposus – the central part of the disc that may have escaped through a crack – to return to its original position.
  • Stimulation of healing processes : The space created allows better circulation of essential nutrients to the disc, thus stimulating its natural healing.
  • Pain reduction : By decreasing nerve compression, patients often experience significant relief from their painful symptoms.

 

The benefits of spinal decompression therapy are many :

  • No general anesthesia
  • Rehabilitation faster than surgery
  • Safe and comfortable procedure

 

For those who wish to learn more about this revolutionary therapeutic method and its applications in the treatment of herniated discs, the spinal decompression therapy therapy offers a promising alternative.

 

This advanced technology, combined with an accurate diagnosis and a personalized treatment plan, offers a promising alternative for those affected by the inconvenience of a herniated disc.

 

Traitement de la hernie discale pour les résidents de Longueuil

L’osteopathy is a non-invasive therapeutic approach that aims to improve health in all areas of the body by manipulating and strengthening the musculoskeletal system. This discipline is based on fundamental principles, including:

  • The body functions as a whole: osteopathy considers that all the body's systems are connected and that a disturbance in one system can affect the others.
  • Self-healing: osteopathy recognizes the body's ability to heal itself and seeks to support this natural process.

 

When it comes to a herniated disc, osteopathy can play a crucial role in completing spinal decompression therapy. First of all, it helps relieve muscle tension which can worsen the symptoms of a herniated disc. In addition, through gentle manipulations, it facilitates the movement of spinal fluid, thus improving nutrition and the elimination of waste at the level of the intervertebral discs.

 

Furthermore, osteopathy can help correct possible mechanical or postural disturbances that may contribute to the herniated disc. It also offers valuable support to prevent recurrences by strengthening the support structures of the spine.

 

Finally, by treating the body as a whole, osteopathy can also improve other aspects of health that can influence recovery, such as sleep, digestion or stress levels.

Herniated Disc Treatment In Longueuil Tagmed Clinic Montreal Terrebonne

 

In short, osteopathy makes a valuable contribution to the treatment of herniated discs. It does not replace spinal decompression therapy, but complements it significantly, allowing more complete and lasting results to be obtained.

 

The Precision Striker: Effective Support for Neurovertebral Decompression

The precision percussion device is a cutting-edge technology that plays a crucial role in the treatment of herniated discs. It is a manual tool used by therapists to apply targeted pressure to specific areas of the body. These generated impulses help release tension in joints, muscles and fascia.

 

Precision percussion therapy has several advantages. It helps improve blood circulation, promotes the body's natural healing process and increases range of motion. Additionally, this approach can help reduce inflammation and relieve pain associated with herniated discs.

 

The effectiveness of precision percussion device is not limited to these advantages. This tool also plays a vital role in enhancing the effects of spinal decompression therapy. The impulses generated by the impactor increase the intervertebral space, which facilitates decompression and optimizes treatment results.

 

In particular, after a spinal decompression therapy session, the use of the striker can help to:

  • Maintain the effects obtained through decompression : by relaxing the muscles and releasing tension, the impactor helps prevent the vertebrae from returning to their initial position.
  • Prevent recurrences : by working on muscular structures, the striker helps strengthen the spine and prevent future herniated discs.

 

It is therefore clear that the precision striker is a valuable tool in the treatment of herniated discs. It improves the effectiveness of spinal decompression therapy and accelerates patient healing. In the next section, we will explore how these three approaches – spinal decompression therapy, osteopathy and precision impactor – can be combined to achieve even better results.

 

The Winning Combination: Neurovertebral Decompression, Osteopathy and Precision Striker

Faced with disc herniation, the synergy between spinal decompression therapy, osteopathy and the precision striker represents a major advance. Patients who have benefited from this therapeutic combination often report a notable improvement in their condition.

 

Case studies

Clinical research illustrates how integrating these methods significantly increases success rates. For example, a patient with a severe herniated disc experienced reduced pain and increased mobility after just a few sessions combining these treatments.

 

Testimonials

In the testimonies, we find eloquent stories of people who have regained quality of life thanks to these integrated approaches. A patient, after years of suffering and unsuccessful attempts with conventional methods, finally found relief from the first sessions of spinal decompression therapy supported by osteopathy and targeted interventions with a precision striker.

 

Herniated Disc Treatment In Longueuil Tagmed Clinic Montreal Terrebonne

“After trying everything to relieve my back pain caused by my herniated disc, I finally found a treatment that works thanks to the combination of different techniques. I can finally move more easily and enjoy my life without being constantly limited by pain. " - Married

 

Effectiveness relies on the principle that each technique addresses different aspects of the problem. Neurovertebral decompression acts directly on the spine to reduce pressure on the intervertebral discs. Osteopathy helps to restore the overall balance of the body and promotes its self-healing. The precision striker, meanwhile, allows localized work that helps relax deep muscles and improve circulation in affected areas.

 

The positive results observed in patients demonstrate the considerable potential of this therapeutic alliance to treat herniated discs while avoiding invasive surgical procedures.

 

Neurovertebral Decompression in Longueuil: Availability and Success Rate

Neurovertebral decompression, an innovative approach to treating herniated discs, is easily accessible in Longueuil. Many clinics in the area offer this non-surgical treatment, allowing patients to receive care close to home. Longueuil’s qualified and experienced practitioners are well equipped to provide this essential service.

 

The success rate of clinics in Longueuil is impressive. Each patient receives an individualized treatment plan, designed based on their specific conditions. Plans are adjusted based on the patient's progress, ensuring that each person receives the maximum positive effects possible.

 

In addition, Longueuil clinics emphasize a holistic approach to treatment. In addition to spinal decompression therapy, they also offer complementary therapies such as osteopathy and precision striker. These therapies add significant value to the overall healing process, increasing the chances of a full and lasting recovery.

 

It is essential for those seeking long-term relief from painful herniated disc symptoms to consider all of their options. Neurovertebral decompression in Longueuil presents itself as a promising solution to improve the quality of life of patients.

 

Potential patients are recommended to bring their radiological reports (X-rays, MRI, CT scan, ultrasound) for immediate evaluation and effective treatment. Remember that successful treatment depends on several factors, including severity of condition, age, daily activities, compliance with post-treatment instructions, and individual response to treatment.

 

Neurovertebral decompression in Longueuil offers a safe, non-invasive alternative to those looking to relieve back pain without undergoing surgery.

 

Receive Personalized Treatment in Longueuil

In the specialized clinics of Longueuil, spinal decompression therapy is practiced with particular attention to the individuality of each patient with a herniated disc. Recognizing that each case is unique, healthcare professionals develop tailored treatment plans that take into account various determining factors.

 

Individualized approach in Longueuil clinics for spinal decompression therapy :

  • Full Assessment : Before beginning a spinal decompression therapy program, patients undergo a thorough evaluation to identify the specifics of their condition. This evaluation may include review of imaging reports such as X-rays, MRI or CT scans.
  • Custom Plans : Therapists establish protocols adapted to the individual needs of the patient. This can vary depending on the extent and location of the herniated disc, as well as associated symptoms.
  • Regular Monitoring : Progress is carefully monitored and necessary adjustments are made to ensure that the treatment remains effective and comfortable for the patient.

 

Factors that influence the effectiveness of treatment for patients in Longueuil :

  • Severity and Chronicity : The advanced or chronic state of a herniated disc can affect the duration and intensity of treatment needed.
  • Age and General Health : The success of treatment may be influenced by the patient's age and general physical condition.
  • Daily activities : The lifestyle habits and professional activities of patients are taken into account to prevent any worsening during the healing process.
  • Adherence to Post-Processing Instructions : Adherence to recommendations after treatment is crucial to maximize long-term benefits.

 

Therapists in Longueuil strive to provide comprehensive and personalized care in order to improve the therapeutic experience and results for each individual suffering from a herniated disc.

 

Conclusion

The herniated disc can be a major obstacle in daily life. However, there are innovative, non-surgical solutions to help you return to an active, pain-free life. There Spinal decompression therapy is one such innovative approach that has proven effective in relieving symptoms related to herniated disc.

 

This technique, supported byosteopathy and the precision percussion device, offers you a safe alternative to traditional treatments. It reduces pressure on the spinal discs, allowing the body to heal naturally.

 

Remember that each patient is unique. Longueuil clinics offer personalized treatment plans to meet your specific needs.

 

To find out how these treatments can relieve your pain and improve your quality of life, don't hesitate to take appointment at a clinic in Longueuil to discuss treatment options. It's time to consider a new approach to treating your herniated disc and regaining the comfort you deserve.

 

Consider spinal decompression therapy as a fresh start to a pain-free life.

 

Published research/studies in Spinal Decompression Therapy

 

Download the research that has been published regarding spinal decompression therapy:

 

Herniated Disc Treatment In Longueuil Tagmed Clinic Montreal Terrebonne

 

FREE special report on spinal decompression to download

Herniated Disc Treatment In Longueuil Tagmed Clinic Montreal Terrebonne

 

To find out more about non-surgical spinal decompression therapy, please visit our specialized websites:

 

Rediscover a Pain-Free Life: Our Herniated Disc Treatment Experts in Montreal & Terrebonne Serve All Boroughs & Cities of Montreal, the Longueuil Agglomeration, the South Shore, the Laval Agglomeration and the North Shore!

 

 

Boroughs & Cities of Montreal

 

Longueuil Agglomeration

 

South Shore of Montreal

 

Laval Agglomeration

 

North Shore of Montreal

Preparations for the treatment of spinal decompression therapy for herniated disc

  • Book your appointment online or contact our staff at the TAGMED clinic to book your appointment by phone.
  • Before going to the TAGMED clinic in Montreal or Terrebonne for your first treatment, there are some things you should absolutely do. First, make sure you have your medical imaging reports (X-ray, MRI, or ultrasound) available.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Finally, if you were unable to complete our form, as mentioned above, arrive 15 minutes before your appointment time to ensure you have enough time to discuss your condition, make the assessment and your treatment.

To be completed before your consultation at TAGMED clinic

Download, print and complete this questionnaire (your health history), before consulting us, in order to save time. (Click on the tablet!)

Frequently Asked Questions

Disc herniation

  • Disc herniation: what does it mean?

    A disc herniation is a localized displacement of material from an intervertebral disc. Its significance depends on its location and whether it corresponds to symptoms and examination findings.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: what symptoms can occur?

    A herniation may cause no symptoms or may be associated with back or neck pain. Nerve root irritation can produce pain spreading into a limb, tingling or weakness.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: what distinctions matter?

    Herniation, protrusion and bulging describe different anatomical findings. An imaging term alone does not determine symptom severity or the appropriate treatment.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: what does assessment involve?

    Assessment begins with your history, pain distribution, difficult activities and previous care. It includes movement testing and, when symptoms warrant it, assessment of sensation, strength and reflexes. Available imaging reports are considered alongside these findings.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: is an MRI always necessary?

    Imaging is not routine for every episode of back pain. It is considered according to symptoms, examination and whether it may change care. Progressive weakness or other concerning findings can warrant faster investigation.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc herniation: what role may spinal decompression have at TAGMED?

    At TAGMED, suitability for spinal decompression is discussed after individual assessment. A motorized table applies controlled traction and relaxation phases adapted to the region. This approach is not suitable for every situation and cannot guarantee recovery or disappearance of an imaging finding.

    Further information: Clinique TAGMED.

  • Disc herniation: what other measures may be discussed?

    Depending on the situation, options include activity adjustments, progressive exercise and individualized conservative care. Medical assessment may be appropriate for medication, injections or other interventions. Choices depend on your goals, tolerance and symptom progression.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc herniation: how are progress and the duration of care assessed?

    Follow-up considers pain, daily activities, tolerance for positions and, when relevant, neurological findings. Visit frequency and duration are reassessed according to response. Lack of progress or worsening symptoms should lead to review of the plan and any further investigations.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc herniation: which signs need prompt medical assessment?

    New loss of bladder or bowel control, reduced sensation around the saddle area or marked progressive leg weakness requires urgent assessment. Pain with fever, significant trauma or general illness also warrants prompt medical assessment.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc herniation: how can I prepare for a TAGMED appointment?

    Prepare a timeline of symptoms, activities that change them, previous treatments and any available imaging reports. Note your goals and questions. The associated detailed page provides condition information and practical details for the next step.

    Further information: Clinique TAGMED.

References

722490 8ZX8DH8R 1 apsa 50 default 1 85072 https://www.cliniquetagmed.com/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22YY8PHS88%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Kim%20et%20al.%22%2C%22parsedDate%22%3A%222021-02-16%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BKim%2C%20Chi%20Heon%2C%20Yunhee%20Choi%2C%20Chun%20Kee%20Chung%2C%20Ki-Jeong%20Kim%2C%20Dong%20Ah%20Shin%2C%20Youn-Kwan%20Park%2C%20Woo-Keun%20Kwon%2C%20et%20al.%202021.%20%26%23x201C%3BNonsurgical%20Treatment%20Outcomes%20for%20Surgical%20Candidates%20with%20Lumbar%20Disc%20Herniation%3A%20A%20Comprehensive%20Cohort%20Study.%26%23x201D%3B%20%26lt%3Bi%26gt%3BScientific%20Reports%26lt%3B%5C%2Fi%26gt%3B%2011%281%29%3A%203931.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-021-83471-y%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-021-83471-y%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Nonsurgical%20treatment%20outcomes%20for%20surgical%20candidates%20with%20lumbar%20disc%20herniation%3A%20a%20comprehensive%20cohort%20study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chi%20Heon%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yunhee%22%2C%22lastName%22%3A%22Choi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chun%20Kee%22%2C%22lastName%22%3A%22Chung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ki-Jeong%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dong%20Ah%22%2C%22lastName%22%3A%22Shin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Youn-Kwan%22%2C%22lastName%22%3A%22Park%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Woo-Keun%22%2C%22lastName%22%3A%22Kwon%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Seung%20Heon%22%2C%22lastName%22%3A%22Yang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chang%20Hyun%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sung%20Bae%22%2C%22lastName%22%3A%22Park%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eun%20Sang%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hyunsook%22%2C%22lastName%22%3A%22Hong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yongeun%22%2C%22lastName%22%3A%22Cho%22%7D%5D%2C%22abstractNote%22%3A%22Physicians%20often%20encounter%20surgical%20candidates%20with%20lumbar%20disc%20herniation%20%28LDH%29%20who%20request%20non-surgical%20management%20even%20though%20surgery%20is%20recommended.%20However%2C%20second%20opinions%20may%20differ%20among%20doctors.%20Therefore%2C%20a%20prospective%20comprehensive%20cohort%20study%20%28CCS%29%20was%20designed%20to%20assess%20outcomes%20of%20nonsurgical%20treatment%20for%20surgical%20candidates%20who%20were%20recommended%20to%20undergo%20surgery%20for%20LDH%20but%20requested%20a%20second%20opinion.%20The%20CCS%20includes%20both%20randomized%20and%20observational%20cohorts%2C%20comprising%20a%20nonsurgery%20cohort%20and%20surgery%20cohort%2C%20in%20a%20parallel%20fashion.%20Crossover%20between%20the%20nonsurgery%20and%20surgery%20cohorts%20was%20allowed%20at%20any%20time.%20The%20present%20study%20was%20an%20as-treated%20interim%20analysis%20of%20128%20cases%20%28nonsurgery%20cohort%2C%20n%5Cu2009%3D%5Cu200971%3B%20surgery%20cohort%2C%20n%5Cu2009%3D%5Cu200957%29.%20Patient-reported%20outcomes%20included%20visual%20analogue%20scores%20for%20the%20back%20%28VAS-B%29%20and%20leg%20%28VAS-L%29%2C%20the%20Oswestry%20Disability%20Index%2C%20the%20EuroQol%205-Dimension%20instrument%2C%20and%20the%2036-Item%20Short-Form%20Health%20Survey%20%28SF-36%29%2C%20which%20were%20evaluated%20at%20baseline%20and%20at%201%2C%203%2C%206%2C%2012%2C%20and%2024%5Cu00a0months.%20At%20baseline%2C%20age%20and%20SF-36%20physical%20function%20were%20significantly%20lower%20in%20the%20surgery%20cohort%20than%20in%20the%20nonsurgery%20cohort%20%28p%5Cu2009%26lt%3B%5Cu20090.05%29.%20All%20adjusted%20outcomes%20significantly%20improved%20after%20both%20nonsurgical%20and%20surgical%20treatment%20%28p%5Cu2009%26lt%3B%5Cu20090.05%29.%20The%20nonsurgery%20cohort%20showed%20less%20improvement%20of%20VAS-B%20and%20VAS-L%20scores%20at%201%5Cu00a0month%20%28p%5Cu2009%26lt%3B%5Cu20090.01%29%2C%20but%20no%20difference%20between%20cohorts%20was%20observed%20thereafter%20for%2024%5Cu00a0months%20%28p%5Cu2009%26gt%3B%5Cu20090.01%29.%20Nonsurgical%20management%20may%20be%20a%20negotiable%20option%20even%20for%20surgical%20candidates%20in%20the%20shared%20decision-making%20process.%22%2C%22date%22%3A%222021-02-16%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1038%5C%2Fs41598-021-83471-y%22%2C%22ISSN%22%3A%222045-2322%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22RRWS9SH3%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Ma%20et%20al.%22%2C%22parsedDate%22%3A%222021-08%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BMa%2C%20Zhijia%2C%20Pengfei%20Yu%2C%20Hong%20Jiang%2C%20Xiaochun%20Li%2C%20Xiang%20Qian%2C%20Zhenhan%20Yu%2C%20Yu%20Zhu%2C%20and%20Jintao%20Liu.%202021.%20%26%23x201C%3BConservative%20Treatment%20for%20Giant%20Lumbar%20Disc%20Herniation%3A%20Clinical%20Study%20in%20409%20Cases.%26%23x201D%3B%20%26lt%3Bi%26gt%3BPain%20Physician%26lt%3B%5C%2Fi%26gt%3B%2024%285%29%3A%20E639%26%23x2013%3B48.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Conservative%20Treatment%20for%20Giant%20Lumbar%20Disc%20Herniation%3A%20Clinical%20Study%20in%20409%20Cases%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhijia%22%2C%22lastName%22%3A%22Ma%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pengfei%22%2C%22lastName%22%3A%22Yu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hong%22%2C%22lastName%22%3A%22Jiang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Xiaochun%22%2C%22lastName%22%3A%22Li%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Xiang%22%2C%22lastName%22%3A%22Qian%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhenhan%22%2C%22lastName%22%3A%22Yu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yu%22%2C%22lastName%22%3A%22Zhu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jintao%22%2C%22lastName%22%3A%22Liu%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20There%20have%20been%20several%20recent%20reports%20of%20lumbar%20disc%20herniation%20%28LDH%29%20resorption%3B%20however%2C%20large%20sample%20studies%20are%20lacking%2C%20and%20the%20mechanism%28s%29%20underlying%20this%20phenomenon%20is%20unclear.%5CnOBJECTIVES%3A%20To%20explore%20the%20feasibility%20and%20clinical%20outcomes%20of%20conservative%20treatment%20for%20giant%20LDH%20and%20to%20analyze%20the%20factors%20affecting%20the%20resorption%20of%20giant%20LDH.%5CnSTUDY%20DESIGN%3A%20Observational%20study%20and%20original%20research.%5CnSETTING%3A%20This%20work%20was%20performed%20at%20a%20University%20Hospital%20of%20Traditional%20Chinese%20Medicine%2C%20Nanjing%20University%20of%20Traditional%20Chinese%20Medicine.%5CnMETHODS%3A%20From%20January%202008%20to%20December%202019%2C%20409%20patients%20with%20giant%20LDH%20who%20initially%20underwent%20nonsurgical%20treatment%20in%20our%20hospital%20were%20followed%20for%201-12%20years%20to%20analyze%20the%20rate%20of%20surgical%20intervention%2C%20calculate%20the%20rate%20of%20resorption%20of%20protrusions%2C%20and%20the%20rate%20of%20excellent%20clinical%20outcomes.%5CnRESULTS%3A%20Eighty-nine%20of%20the%20409%20patients%20%2821.76%25%29%20underwent%20surgery%2C%20while%20the%20remaining%20320%20patients%20%2878.24%25%29%20constituted%20the%20non-surgical%20treatment%20group.%20The%20Japanese%20Orthopaedic%20Association%20%28JOA%29%20score%20in%20the%20320%20patients%20changed%20from%2010.22%20%5Cu00b1%203.84%20points%20to%2024.88%20%5Cu00b1%205.69%20points%20after%20treatment%2C%20and%20the%20rate%20of%20excellent%20outcomes%20was%2084.06%25.%20Among%20the%20320%20patients%20in%20the%20non-surgical%20treatment%20group%2C%20the%20protrusion%20percentage%20decreased%20from%2070.08%5Cu00b130.95%25%20to%2031.67%20%5Cu00b1%2024.42%25.%20One-hundred%20and%20eighty-nine%20patients%20%2859.06%25%29%20had%20%26gt%3B%2030%25%20resorption%20of%20protrusions%2C%20and%2081%20patients%20%2825.31%25%29%20had%20a%20significant%20resorption%20of%20protrusions%20of%20%26gt%3B%2050%25.%20Among%20189%20patients%20with%20resorption%2C%20the%20shortest%20resorption%20interval%20was%201%20month%2C%20and%20the%20longest%20was%208%20years%2C%20with%2077%20patients%20%2840.74%25%29%20showing%20resorption%20within%206%20months%2C%2051%20%2826.98%25%29%20within%206-12%20months%2C%20and%2061%20patients%20%2832.28%25%29%20after%2012%20months.%5CnLIMITATION%3A%20The%20main%20limitations%20are%20that%20all%20patients%20were%20from%20the%20same%20site%2C%20and%20there%20was%20a%20lack%20of%20multicenter%20randomized%20controlled%20trials%20with%20which%20to%20compare%20data.%5CnCONCLUSIONS%3A%20Patients%20with%20giant%20LDH%20are%20less%20likely%20to%20develop%20progressive%20nerve%20injury%20and%20cauda%20equina%20syndrome%20if%20their%20clinical%20symptoms%20improve%20after%20treatment.%20As%20long%20as%20there%20is%20no%20progressive%20nerve%20injury%20or%20cauda%20equina%20syndrome%2C%20conservative%20treatment%20is%20preferred%20for%20giant%20disc%20herniation.%20Resorption%20is%20more%20likely%20with%20greater%20disc%20protrusions%20in%20the%20spinal%20canal.%20A%20ring%20enhancement%20bull%26%23039%3Bs%20eye%20sign%29%20around%20a%20protruding%20disc%20on%20enhanced%20magnetic%20resonance%20imaging%20is%20an%20important%20indicator%20of%20straightforward%20resorption.%22%2C%22date%22%3A%222021-08%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%222150-1149%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22XYCGHEN7%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Jordan%20et%20al.%22%2C%22parsedDate%22%3A%222009-03-26%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BJordan%2C%20Jo%2C%20Kika%20Konstantinou%2C%20and%20John%20O%26%23x2019%3BDowd.%202009.%20%26%23x201C%3BHerniated%20Lumbar%20Disc.%26%23x201D%3B%20%26lt%3Bi%26gt%3BBMJ%20clinical%20evidence%26lt%3B%5C%2Fi%26gt%3B%202009%3A%201118.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Herniated%20lumbar%20disc%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jo%22%2C%22lastName%22%3A%22Jordan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kika%22%2C%22lastName%22%3A%22Konstantinou%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22John%22%2C%22lastName%22%3A%22O%27Dowd%22%7D%5D%2C%22abstractNote%22%3A%22INTRODUCTION%3A%20Herniated%20lumbar%20disc%20is%20a%20displacement%20of%20disc%20material%20%28nucleus%20pulposus%20or%20annulus%20fibrosis%29%20beyond%20the%20intervertebral%20disc%20space.%20The%20highest%20prevalence%20is%20among%20people%20aged%2030-50%20years%2C%20with%20a%20male%20to%20female%20ratio%20of%202%3A1.%20There%20is%20little%20evidence%20to%20suggest%20that%20drug%20treatments%20are%20effective%20in%20treating%20herniated%20disc.%5CnMETHODS%20AND%20OUTCOMES%3A%20We%20conducted%20a%20systematic%20review%20and%20aimed%20to%20answer%20the%20following%20clinical%20questions%3A%20What%20are%20the%20effects%20of%20drug%20treatments%2C%20non-drug%20treatments%2C%20and%20surgery%20for%20herniated%20lumbar%20disc%3F%20We%20searched%3A%20Medline%2C%20Embase%2C%20The%20Cochrane%20Library%2C%20and%20other%20important%20databases%20up%20to%20July%202008%20%28Clinical%20Evidence%20reviews%20are%20updated%20periodically%3B%20please%20check%20our%20website%20for%20the%20most%20up-to-date%20version%20of%20this%20review%29.%20We%20included%20harms%20alerts%20from%20relevant%20organisations%20such%20as%20the%20US%20Food%20and%20Drug%20Administration%20%28FDA%29%20and%20the%20UK%20Medicines%20and%20Healthcare%20products%20Regulatory%20Agency%20%28MHRA%29.%5CnRESULTS%3A%20We%20found%2049%20systematic%20reviews%2C%20RCTs%2C%20or%20observational%20studies%20that%20met%20our%20inclusion%20criteria.%20We%20performed%20a%20GRADE%20evaluation%20of%20the%20quality%20of%20evidence%20for%20interventions.%5CnCONCLUSIONS%3A%20In%20this%20systematic%20review%2C%20we%20present%20information%20relating%20to%20the%20effectiveness%20and%20safety%20of%20the%20following%20interventions%3A%20acupuncture%2C%20advice%20to%20stay%20active%2C%20analgesics%2C%20antidepressants%2C%20bed%20rest%2C%20corticosteroids%20%28epidural%20injections%29%2C%20cytokine%20inhibitors%20%28infliximab%29%2C%20discectomy%20%28automated%20percutaneous%2C%20laser%2C%20microdisectomy%2C%20standard%29%2C%20exercise%20therapy%2C%20heat%2C%20ice%2C%20massage%2C%20muscle%20relaxants%2C%20non-steroidal%20anti-inflammatory%20drugs%20%28NSAIDs%29%2C%20percutaneous%20disc%20decompression%2C%20spinal%20manipulation%2C%20and%20traction.%22%2C%22date%22%3A%222009-03-26%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%221752-8526%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22UX5NWF2V%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22van%20der%20Windt%20et%20al.%22%2C%22parsedDate%22%3A%222010-02-17%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3Bvan%20der%20Windt%2C%20Dani%26%23xEB%3Blle%20Awm%2C%20Emmanuel%20Simons%2C%20Ingrid%20I.%20Riphagen%2C%20Carlo%20Ammendolia%2C%20Arianne%20P.%20Verhagen%2C%20Mark%20Laslett%2C%20Walter%20Devill%26%23xE9%3B%2C%20et%20al.%202010.%20%26%23x201C%3BPhysical%20Examination%20for%20Lumbar%20Radiculopathy%20Due%20to%20Disc%20Herniation%20in%20Patients%20with%20Low-Back%20Pain.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Cochrane%20Database%20of%20Systematic%20Reviews%26lt%3B%5C%2Fi%26gt%3B%20%282%29%3A%20CD007431.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2F14651858.CD007431.pub2%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2F14651858.CD007431.pub2%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Physical%20examination%20for%20lumbar%20radiculopathy%20due%20to%20disc%20herniation%20in%20patients%20with%20low-back%20pain%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dani%5Cu00eblle%20Awm%22%2C%22lastName%22%3A%22van%20der%20Windt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Emmanuel%22%2C%22lastName%22%3A%22Simons%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ingrid%20I.%22%2C%22lastName%22%3A%22Riphagen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Carlo%22%2C%22lastName%22%3A%22Ammendolia%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arianne%20P.%22%2C%22lastName%22%3A%22Verhagen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mark%22%2C%22lastName%22%3A%22Laslett%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Walter%22%2C%22lastName%22%3A%22Devill%5Cu00e9%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Rick%20A.%22%2C%22lastName%22%3A%22Deyo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lex%20M.%22%2C%22lastName%22%3A%22Bouter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Henrica%20Cw%22%2C%22lastName%22%3A%22de%20Vet%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bert%22%2C%22lastName%22%3A%22Aertgeerts%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Low-back%20pain%20with%20leg%20pain%20%28sciatica%29%20may%20be%20caused%20by%20a%20herniated%20intervertebral%20disc%20exerting%20pressure%20on%20the%20nerve%20root.%20Most%20patients%20will%20respond%20to%20conservative%20treatment%2C%20but%20in%20carefully%20selected%20patients%2C%20surgical%20discectomy%20may%20provide%20faster%20relief%20of%20symptoms.%20Primary%20care%20clinicians%20use%20patient%20history%20and%20physical%20examination%20to%20evaluate%20the%20likelihood%20of%20disc%20herniation%20and%20select%20patients%20for%20further%20imaging%20and%20possible%20surgery.%5CnOBJECTIVES%3A%20%281%29%20To%20assess%20the%20performance%20of%20tests%20performed%20during%20physical%20examination%20%28alone%20or%20in%20combination%29%20to%20identify%20radiculopathy%20due%20to%20lower%20lumbar%20disc%20herniation%20in%20patients%20with%20low-back%20pain%20and%20sciatica%3B%282%29%20To%20assess%20the%20influence%20of%20sources%20of%20heterogeneity%20on%20diagnostic%20performance.%5CnSEARCH%20STRATEGY%3A%20We%20searched%20electronic%20databases%20for%20primary%20studies%3A%20PubMed%20%28includes%20MEDLINE%29%2C%20EMBASE%2C%20and%20CINAHL%2C%20and%20%28systematic%29%20reviews%3A%20PubMed%20and%20Medion%20%28all%20from%20earliest%20until%2030%20April%202008%29%2C%20and%20checked%20references%20of%20retrieved%20articles.%5CnSELECTION%20CRITERIA%3A%20We%20considered%20studies%20if%20they%20compared%20the%20results%20of%20tests%20performed%20during%20physical%20examination%20on%20patients%20with%20back%20pain%20with%20those%20of%20diagnostic%20imaging%20%28MRI%2C%20CT%2C%20myelography%29%20or%20findings%20at%20surgery.%5CnDATA%20COLLECTION%20AND%20ANALYSIS%3A%20Two%20review%20authors%20assessed%20the%20quality%20of%20each%20publication%20with%20the%20QUADAS%20tool%2C%20and%20extracted%20details%20on%20patient%20and%20study%20design%20characteristics%2C%20index%20tests%20and%20reference%20standard%2C%20and%20the%20diagnostic%20two-by-two%20table.%20We%20presented%20information%20on%20sensitivities%20and%20specificities%20with%2095%25%20confidence%20intervals%20%2895%25%20CI%29%20for%20all%20aspects%20of%20physical%20examination.%20Pooled%20estimates%20of%20sensitivity%20and%20specificity%20were%20computed%20for%20subsets%20of%20studies%20showing%20sufficient%20clinical%20and%20statistical%20homogeneity.%5CnMAIN%20RESULTS%3A%20We%20included%2016%20cohort%20studies%20%28median%20N%20%3D%20126%2C%20range%2071%20to%202504%29%20and%20three%20case%20control%20studies%20%2838%20to100%20cases%29.%20Only%20one%20study%20was%20carried%20out%20in%20a%20primary%20care%20population.%20When%20used%20in%20isolation%2C%20diagnostic%20performance%20of%20most%20physical%20tests%20%28scoliosis%2C%20paresis%20or%20muscle%20weakness%2C%20muscle%20wasting%2C%20impaired%20reflexes%2C%20sensory%20deficits%29%20was%20poor.%20Some%20tests%20%28forward%20flexion%2C%20hyper-extension%20test%2C%20and%20slump%20test%29%20performed%20slightly%20better%2C%20but%20the%20number%20of%20studies%20was%20small.%20In%20the%20one%20primary%20care%20study%2C%20most%20tests%20showed%20higher%20specificity%20and%20lower%20sensitivity%20compared%20to%20other%20settings.Most%20studies%20assessed%20the%20Straight%20Leg%20Raising%20%28SLR%29%20test.%20In%20surgical%20populations%2C%20characterized%20by%20a%20high%20prevalence%20of%20disc%20herniation%20%2858%25%20to%2098%25%29%2C%20the%20SLR%20showed%20high%20sensitivity%20%28pooled%20estimate%200.92%2C%2095%25%20CI%3A%200.87%20to%200.95%29%20with%20widely%20varying%20specificity%20%280.10%20to%201.00%2C%20pooled%20estimate%200.28%2C%2095%25%20CI%3A%200.18%20to%200.40%29.%20Results%20of%20studies%20using%20imaging%20showed%20more%20heterogeneity%20and%20poorer%20sensitivity.%20The%20crossed%20SLR%20showed%20high%20specificity%20%28pooled%20estimate%200.90%2C%2095%25%20CI%3A%200.85%20to%200.94%29%20with%20consistently%20low%20sensitivity%20%28pooled%20estimate%200.28%2C%2095%25%20CI%3A%200.22%20to%200.35%29.Combining%20positive%20test%20results%20increased%20the%20specificity%20of%20physical%20tests%2C%20but%20few%20studies%20presented%20data%20on%20test%20combinations.%5CnAUTHORS%26%23039%3B%20CONCLUSIONS%3A%20When%20used%20in%20isolation%2C%20current%20evidence%20indicates%20poor%20diagnostic%20performance%20of%20most%20physical%20tests%20used%20to%20identify%20lumbar%20disc%20herniation.%20However%2C%20most%20findings%20arise%20from%20surgical%20populations%20and%20may%20not%20apply%20to%20primary%20care%20or%20non-selected%20populations.%20Better%20performance%20may%20be%20obtained%20when%20tests%20are%20combined.%22%2C%22date%22%3A%222010-02-17%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1002%5C%2F14651858.CD007431.pub2%22%2C%22ISSN%22%3A%221469-493X%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22WFYWMR73%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Wang%20and%20Luo%22%2C%22parsedDate%22%3A%222021-06%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BWang%2C%20Rui%2C%20and%20Huasong%20Luo.%202021.%20%26%23x201C%3BRegression%20of%20Lumbar%20Disc%20Herniation%20with%20Non-Surgical%20Treatment%3A%20A%20Case%20Report.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20International%20Medical%20Research%26lt%3B%5C%2Fi%26gt%3B%2049%286%29%3A%203000605211020636.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F03000605211020636%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F03000605211020636%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Regression%20of%20lumbar%20disc%20herniation%20with%20non-surgical%20treatment%3A%20a%20case%20report%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Rui%22%2C%22lastName%22%3A%22Wang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Huasong%22%2C%22lastName%22%3A%22Luo%22%7D%5D%2C%22abstractNote%22%3A%22To%20date%2C%20only%20a%20few%20reports%20have%20described%20the%20regression%20of%20lumbar%20disc%20herniation%2C%20which%20may%20be%20because%20of%20a%20failure%20to%20follow%20up%20patients%20treated%20conservatively.%20We%20report%20a%20case%20of%20a%2025-year-old%20man%20who%20presented%20with%20a%202-month%20history%20of%20pain%20and%20soreness%20owing%20to%20lumbar%20disc%20herniation.%20He%20was%20managed%20conservatively%2C%20and%20his%20presenting%20symptoms%20and%20scoliosis%20gradually%20decreased%20over%20approximately%205%20months.%20Two%20years%20later%2C%20he%20returned%20unexpectedly%20and%20was%20advised%20to%20undergo%20magnetic%20resonance%20imaging%2C%20which%20revealed%20regression%20of%20the%20disc%20herniation%3B%20the%20patient%20also%20confirmed%20that%20the%20pain%20had%20not%20recurred.%20After%208%20months%2C%20he%20underwent%20repeat%20magnetic%20resonance%20imaging%2C%20and%20the%20findings%20pertaining%20to%20disc%20herniation%20were%20normal.%20Our%20findings%20suggest%20that%20previous%20cases%20should%20be%20retrospectively%20studied%20to%20establish%20a%20prediction%20model%20for%20the%20outcomes%20of%20conservative%20treatment%20in%20patients%20with%20lumbar%20disc%20herniation.%20We%20also%20emphasize%20the%20significance%20of%20selecting%20suitable%20patients%20for%20conservative%20treatment%20to%20obtain%20the%20best%20therapeutic%20outcomes.%20The%20CARE%20guidelines%20have%20been%20followed%20in%20the%20reporting%20of%20this%20case.%22%2C%22date%22%3A%222021-06%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1177%5C%2F03000605211020636%22%2C%22ISSN%22%3A%221473-2300%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22W87X572A%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Benzakour%20et%20al.%22%2C%22parsedDate%22%3A%222019-04%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBenzakour%2C%20Thami%2C%20Vasilios%20Igoumenou%2C%20Andreas%20F.%20Mavrogenis%2C%20and%20Ahmed%20Benzakour.%202019.%20%26%23x201C%3BCurrent%20Concepts%20for%20Lumbar%20Disc%20Herniation.%26%23x201D%3B%20%26lt%3Bi%26gt%3BInternational%20Orthopaedics%26lt%3B%5C%2Fi%26gt%3B%2043%284%29%3A%20841%26%23x2013%3B51.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00264-018-4247-6%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00264-018-4247-6%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Current%20concepts%20for%20lumbar%20disc%20herniation%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Thami%22%2C%22lastName%22%3A%22Benzakour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vasilios%22%2C%22lastName%22%3A%22Igoumenou%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andreas%20F.%22%2C%22lastName%22%3A%22Mavrogenis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ahmed%22%2C%22lastName%22%3A%22Benzakour%22%7D%5D%2C%22abstractNote%22%3A%22PURPOSE%3A%20To%20present%20the%20pathophysiology%2C%20biology%2C%20clinical%20presentation%2C%20diagnosis%2C%20and%20current%20treatment%20options%20for%20lumbar%20disc%20herniation.%5CnMETHODS%3A%20A%20thorough%20literature%20search%20was%20undertaken%20in%20PubMed%20and%20Google%20Scholar%20to%20summarize%20the%20current%20knowledge%20and%20future%20perspectives%20on%20lumbar%20disc%20herniation.%5CnRESULTS%3A%20Several%20changes%20in%20the%20biology%20of%20the%20intervertebral%20disc%20are%20thought%20to%20contribute%20to%20disc%20herniation%3B%20nevertheless%2C%20the%20exact%20inciting%20event%20leading%20to%20disc%20herniation%20is%20yet%20to%20be%20discovered.%20Non-operative%20treatments%20have%20stood%20the%20test%20of%20time%20as%20the%20first-line%20treatment%20for%20most%20patients%20with%20lumbar%20disc%20herniation%3B%20however%2C%20operative%20treatment%20remains%20the%20current%20gold%20standard%2C%20with%20minimally%20invasive%20endoscopic%20microdiscectomy%20techniques%20showing%20best%20results%20with%20respect%20to%20postoperative%20pain%20and%20function.%5CnCONCLUSIONS%3A%20The%20exact%20event%20leading%20to%20disc%20herniation%20remains%20unclear.%20Non-operative%20treatments%20should%20be%20the%20first-line%20treatment%20for%20most%20patients%20with%20lumbar%20disc%20herniation.%20Operative%20treatment%20remains%20the%20current%20gold%20standard%2C%20with%20minimally%20invasive%20endoscopic%20microdiscectomy%20techniques%20showing%20best%20results%20with%20respect%20to%20postoperative%20pain%20and%20function.%20Regenerative%20medicine%20is%20promising.%22%2C%22date%22%3A%222019-04%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1007%5C%2Fs00264-018-4247-6%22%2C%22ISSN%22%3A%221432-5195%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22BT8KLCC3%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Demirel%20et%20al.%22%2C%22parsedDate%22%3A%222017-09-22%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BDemirel%2C%20Aynur%2C%20Mehmet%20Yorubulut%2C%20and%20Nevin%20Ergun.%202017.%20%26%23x201C%3BRegression%20of%20Lumbar%20Disc%20Herniation%20by%20Physiotherapy.%20Does%20Non-Surgical%20Spinal%20Decompression%20Therapy%20Make%20a%20Difference%3F%20Double-Blind%20Randomized%20Controlled%20Trial.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Back%20and%20Musculoskeletal%20Rehabilitation%26lt%3B%5C%2Fi%26gt%3B%2030%285%29%3A%201015%26%23x2013%3B22.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.3233%5C%2FBMR-169581%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.3233%5C%2FBMR-169581%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Regression%20of%20lumbar%20disc%20herniation%20by%20physiotherapy.%20Does%20non-surgical%20spinal%20decompression%20therapy%20make%20a%20difference%3F%20Double-blind%20randomized%20controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Aynur%22%2C%22lastName%22%3A%22Demirel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mehmet%22%2C%22lastName%22%3A%22Yorubulut%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nevin%22%2C%22lastName%22%3A%22Ergun%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%20AND%20OBJECTIVES%3A%20The%20aim%20of%20the%20study%20determining%20whether%20or%20not%20Non-invasive%20Spinal%20Decompression%20Therapy%20%28NSDT%29%20was%20effective%20in%20resorption%20of%20herniation%2C%20increasing%20disc%20height%20in%20patients%20with%20lumbar%20disc%20herniation%20%28LHNP%29.%5CnMETHODS%3A%20A%20total%20of%20twenty%20patients%20diagnosed%20as%20LHNP%20and%20suffering%20from%20pain%20at%20least%208%20weeks%20were%20enrolled%20to%20the%20study.%20Patients%20were%20allocated%20in%20study%20%28SG%29%20and%20control%20groups%20%28CG%29%20randomly.%20Both%20groups%20received%20combination%20of%20electrotherapy%2C%20deep%20friction%20massage%20and%20stabilization%20exercise%20for%20fifteen%20session.%20SG%20received%20additionally%20NSDT%20different%20from%20CG.%20Numeric%20Anolog%20Scale%2C%20Straight%20leg%20raise%20test%2C%20Oswestry%20Disability%20Index%20%28ODI%29%20were%20applied%20at%20baseline%20and%20after%20treatment.%20Disc%20height%20and%20herniation%20thickness%20were%20measured%20on%20Magnetic%20Resonance%20Imagination%20which%20performed%20at%20baseline%20and%20three%20months%20after%20therapy.%5CnRESULTS%3A%20Both%20treatments%20had%20positive%20effect%20for%20improving%20pain%2C%20functional%20restoration%20and%20reduction%20in%20thickness%20of%20herniation.%20Although%20reduction%20of%20herniation%20size%20was%20higher%20in%20SG%20than%20CG%2C%20no%20significant%20differences%20were%20found%20between%20groups%20and%20any%20superiority%20to%20each%20other%20%28p%26gt%3B%200.05%29.%5CnCONCLUSIONS%3A%20This%20study%20showed%20that%20patients%20with%20LHNP%20received%20physiotherapy%20had%20improvement%20based%20on%20clinical%20and%20radiologic%20evidence.%20NSDT%20can%20be%20used%20as%20assistive%20agent%20for%20other%20physiotherapy%20methods%20in%20treatment%20of%20lumbar%20disc%20herniation.%22%2C%22date%22%3A%222017-09-22%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.3233%5C%2FBMR-169581%22%2C%22ISSN%22%3A%221878-6324%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22MW5SKKIN%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Andersen%20et%20al.%22%2C%22parsedDate%22%3A%222017-11-13%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BAndersen%2C%20Mikkel%20%26%23xD8%3Bsterheden%2C%20Andreas%20K.%20Andresen%2C%20Marianne%20Dyrby%20Lorenzen%2C%20Alexander%20Isenberg-J%26%23xF8%3Brgensen%2C%20and%20Christian%20St%26%23xF8%3Bttrup.%202017.%20%26%23x201C%3B%5BNon-surgical%20treatment%20of%20lumbar%20radiculopathy%5D.%26%23x201D%3B%20%26lt%3Bi%26gt%3BUgeskrift%20for%20Laeger%26lt%3B%5C%2Fi%26gt%3B%20179%2823%29%3A%20V05170397.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22%5BNon-surgical%20treatment%20of%20lumbar%20radiculopathy%5D%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mikkel%20%5Cu00d8sterheden%22%2C%22lastName%22%3A%22Andersen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andreas%20K.%22%2C%22lastName%22%3A%22Andresen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marianne%20Dyrby%22%2C%22lastName%22%3A%22Lorenzen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alexander%22%2C%22lastName%22%3A%22Isenberg-J%5Cu00f8rgensen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christian%22%2C%22lastName%22%3A%22St%5Cu00f8ttrup%22%7D%5D%2C%22abstractNote%22%3A%22The%20objective%20of%20this%20paper%20is%20to%20give%20insight%20into%20evidence-based%20recommendations%20on%20key%20clinical%20questions%20regarding%20treatment%20of%20lumbar%20disc%20herniation%20with%20radiculopathy.%20This%20paper%20is%20based%20on%20the%20recently%20published%20Danish%20national%20clinical%20guideline%20for%20non-operative%20treatment.%20Limited%20evidence%20is%20found%20regarding%20non-surgical%20treatment%20of%20patients%20with%20lumbar%20radiculopathy.%20Physiotherapy%2C%20in%20the%20form%20of%20group%20sessions%2C%20seems%20to%20have%20the%20best%20level%20of%20evidence.%20However%2C%20evidence%20is%20still%20very%20limited%20and%20of%20poor%20quality.%20No%20evidence%20has%20been%20found%20with%20regards%20to%20acupuncture%20or%20manipulation%20therapy.%22%2C%22date%22%3A%222017-11-13%22%2C%22language%22%3A%22dan%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%221603-6824%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22XUDLGDUA%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chen%20et%20al.%22%2C%22parsedDate%22%3A%222018-02%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChen%2C%20Bing-Lin%2C%20Jia-Bao%20Guo%2C%20Hong-Wei%20Zhang%2C%20Ya-Jun%20Zhang%2C%20Yi%20Zhu%2C%20Juan%20Zhang%2C%20Hao-Yu%20Hu%2C%20Yi-Li%20Zheng%2C%20and%20Xue-Qiang%20Wang.%202018.%20%26%23x201C%3BSurgical%20versus%20Non-Operative%20Treatment%20for%20Lumbar%20Disc%20Herniation%3A%20A%20Systematic%20Review%20and%20Meta-Analysis.%26%23x201D%3B%20%26lt%3Bi%26gt%3BClinical%20Rehabilitation%26lt%3B%5C%2Fi%26gt%3B%2032%282%29%3A%20146%26%23x2013%3B60.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F0269215517719952%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F0269215517719952%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Surgical%20versus%20non-operative%20treatment%20for%20lumbar%20disc%20herniation%3A%20a%20systematic%20review%20and%20meta-analysis%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bing-Lin%22%2C%22lastName%22%3A%22Chen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jia-Bao%22%2C%22lastName%22%3A%22Guo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hong-Wei%22%2C%22lastName%22%3A%22Zhang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ya-Jun%22%2C%22lastName%22%3A%22Zhang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Zhu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Juan%22%2C%22lastName%22%3A%22Zhang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hao-Yu%22%2C%22lastName%22%3A%22Hu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi-Li%22%2C%22lastName%22%3A%22Zheng%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Xue-Qiang%22%2C%22lastName%22%3A%22Wang%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20To%20investigate%20the%20effects%20of%20surgical%20versus%20non-operative%20treatment%20on%20the%20physical%20function%20and%20safety%20of%20patients%20with%20lumbar%20disc%20herniation.%5CnDATA%20SOURCES%3A%20PubMed%2C%20Cochrane%20Library%2C%20Embase%2C%20EBSCO%2C%20Web%20of%20Science%2C%20China%20National%20Knowledge%20Infrastructure%20and%20Chinese%20Biomedical%20Literature%20Database%20were%20searched%20from%20initiation%20to%2015%20May%202017.%5CnMETHODS%3A%20Randomized%20controlled%20trials%20that%20evaluated%20surgical%20versus%20non-operative%20treatment%20for%20patients%20with%20lumbar%20disc%20herniation%20were%20selected.%20The%20primary%20outcomes%20were%20pain%20and%20side-effects.%20Secondary%20outcomes%20were%20function%20and%20health-related%20quality%20of%20life.%20A%20random%20effects%20model%20was%20used%20to%20calculate%20the%20pooled%20mean%20difference%20with%2095%25%20confidence%20interval.%5CnRESULTS%3A%20A%20total%20of%2019%20articles%20that%20involved%202272%20participants%20met%20the%20inclusion%20criteria.%20Compared%20with%20non-operative%20treatment%2C%20surgical%20treatment%20was%20more%20effective%20in%20lowering%20pain%20%28short%20term%3A%20mean%20difference%5Cu2009%3D%5Cu2009-0.94%2C%2095%25%20confidence%20interval%5Cu2009%3D%5Cu2009-1.87%20to%20-0.00%3B%20midterm%3A%20mean%20difference%5Cu2009%3D%5Cu2009-1.59%2C%2095%25%20confidence%20interval%5Cu2009%3D%5Cu2009-2.24%20to%20-9.94%29%2C%20improving%20function%20%28midterm%3A%20mean%20difference%5Cu2009%3D%5Cu2009-7.84%2C%2095%25%20confidence%20interval%5Cu2009%3D%5Cu2009-14.00%20to%20-1.68%3B%20long%20term%3A%20mean%20difference%5Cu2009%3D%5Cu2009-12.21%2C%2095%25%20confidence%20interval%5Cu2009%3D%5Cu2009-23.90%20to%20-0.52%29%20and%20quality%20of%20life.%20The%2036-item%20Short-Form%20Health%20Survey%20for%20physical%20functions%20%28short%20term%3A%20mean%20difference%5Cu2009%3D%5Cu20096.25%2C%2095%25%20confidence%20interval%5Cu2009%3D%5Cu20090.43%20to%2012.08%29%20and%20bodily%20pain%20%28short%20term%3A%20mean%20difference%5Cu2009%3D%5Cu20095.42%2C%2095%25%20confidence%20interval%5Cu2009%3D%5Cu20090.40%20to%2010.45%29%20was%20also%20utilized.%20No%20significant%20difference%20was%20observed%20in%20adverse%20events%20%28mean%20difference%5Cu2009%3D%5Cu20090.82%2C%2095%25%20confidence%20interval%5Cu2009%3D%5Cu20090.28%20to%202.38%29.%5CnCONCLUSION%3A%20Low-quality%20evidence%20suggested%20that%20surgical%20treatment%20is%20more%20effective%20than%20non-operative%20treatment%20in%20improving%20physical%20functions%3B%20no%20significant%20difference%20was%20observed%20in%20adverse%20events.%20No%20firm%20recommendation%20can%20be%20made%20due%20to%20instability%20of%20the%20summarized%20data.%22%2C%22date%22%3A%222018-02%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1177%5C%2F0269215517719952%22%2C%22ISSN%22%3A%221477-0873%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22ALS9Q2VX%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Jordan%20et%20al.%22%2C%22parsedDate%22%3A%222011-06-28%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BJordan%2C%20Jo%2C%20Kika%20Konstantinou%2C%20and%20John%20O%26%23x2019%3BDowd.%202011.%20%26%23x201C%3BHerniated%20Lumbar%20Disc.%26%23x201D%3B%20%26lt%3Bi%26gt%3BBMJ%20clinical%20evidence%26lt%3B%5C%2Fi%26gt%3B%202011%3A%201118.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Herniated%20lumbar%20disc%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jo%22%2C%22lastName%22%3A%22Jordan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kika%22%2C%22lastName%22%3A%22Konstantinou%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22John%22%2C%22lastName%22%3A%22O%27Dowd%22%7D%5D%2C%22abstractNote%22%3A%22INTRODUCTION%3A%20Herniated%20lumbar%20disc%20is%20a%20displacement%20of%20disc%20material%20%28nucleus%20pulposus%20or%20annulus%20fibrosis%29%20beyond%20the%20intervertebral%20disc%20space.%20The%20highest%20prevalence%20is%20among%20people%20aged%2030%20to%2050%20years%2C%20with%20a%20male%20to%20female%20ratio%20of%202%3A1.%20There%20is%20little%20evidence%20to%20suggest%20that%20drug%20treatments%20are%20effective%20in%20treating%20herniated%20disc.%5CnMETHODS%20AND%20OUTCOMES%3A%20We%20conducted%20a%20systematic%20review%20and%20aimed%20to%20answer%20the%20following%20clinical%20questions%3A%20What%20are%20the%20effects%20of%20drug%20treatments%2C%20non-drug%20treatments%2C%20and%20surgery%20for%20herniated%20lumbar%20disc%3F%20We%20searched%3A%20Medline%2C%20Embase%2C%20The%20Cochrane%20Library%2C%20and%20other%20important%20databases%20up%20to%20June%202010%20%28Clinical%20Evidence%20reviews%20are%20updated%20periodically%3B%20please%20check%20our%20website%20for%20the%20most%20up-to-date%20version%20of%20this%20review%29.%20We%20included%20harms%20alerts%20from%20relevant%20organisations%20such%20as%20the%20US%20Food%20and%20Drug%20Administration%20%28FDA%29%20and%20the%20UK%20Medicines%20and%20Healthcare%20products%20Regulatory%20Agency%20%28MHRA%29.%5CnRESULTS%3A%20We%20found%2037%20systematic%20reviews%2C%20RCTs%2C%20or%20observational%20studies%20that%20met%20our%20inclusion%20criteria.%20We%20performed%20a%20GRADE%20evaluation%20of%20the%20quality%20of%20evidence%20for%20interventions.%5CnCONCLUSIONS%3A%20In%20this%20systematic%20review%2C%20we%20present%20information%20relating%20to%20the%20effectiveness%20and%20safety%20of%20the%20following%20interventions%3A%20acupuncture%2C%20advice%20to%20stay%20active%2C%20analgesics%2C%20antidepressants%2C%20bed%20rest%2C%20corticosteroids%20%28epidural%20injections%29%2C%20cytokine%20inhibitors%20%28infliximab%29%2C%20discectomy%20%28automated%20percutaneous%2C%20laser%2C%20microdiscectomy%2C%20standard%29%2C%20exercise%20therapy%2C%20heat%2C%20ice%2C%20massage%2C%20muscle%20relaxants%2C%20non-steroidal%20anti-inflammatory%20drugs%20%28NSAIDs%29%2C%20percutaneous%20disc%20decompression%2C%20spinal%20manipulation%2C%20and%20traction.%22%2C%22date%22%3A%222011-06-28%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%221752-8526%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A45%3A33Z%22%7D%7D%2C%7B%22key%22%3A%22UVERZMYA%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chu%20et%20al.%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChu%2C%20Eric%20Chun-Pu%2C%20Divya%20Midhun%20Chakkaravarthy%2C%20Fa-Sain%20Lo%2C%20and%20Amiya%20Bhaumik.%202020.%20%26%23x201C%3BRegression%20of%20Lumbar%20Disc%20Herniation%20Following%20Non-Surgical%20Treatment.%26%23x201D%3B%20%26lt%3Bi%26gt%3BEuropean%20Journal%20of%20Molecular%20%26amp%3B%20Clinical%20Medicine%26lt%3B%5C%2Fi%26gt%3B%207%281%29%3A%2027%26%23x2013%3B29.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Regression%20of%20Lumbar%20Disc%20Herniation%20Following%20Non-surgical%20Treatment%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eric%20Chun-Pu%22%2C%22lastName%22%3A%22Chu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Divya%20Midhun%22%2C%22lastName%22%3A%22Chakkaravarthy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fa-Sain%22%2C%22lastName%22%3A%22Lo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Amiya%22%2C%22lastName%22%3A%22Bhaumik%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222020%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A44%3A13Z%22%7D%7D%2C%7B%22key%22%3A%22IKQYPQZC%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Lee%20et%20al.%22%2C%22parsedDate%22%3A%222021%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BLee%2C%20Ye%20Ji%2C%20Ju%20Hyun%20Jeon%2C%20Eunseok%20Kim%2C%20and%20Young%20Il%20Kim.%202021.%20%26%23x201C%3BRetrospective%20Statistical%20Analysis%20of%20Patients%20with%20Disc%20Herniation%20Treated%20with%20Cervical%20or%20Lumbar%20Decompression%20Treatment.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Korean%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2042%282%29%3A%201%26%23x2013%3B20.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Retrospective%20Statistical%20Analysis%20of%20Patients%20with%20Disc%20Herniation%20Treated%20with%20Cervical%20or%20Lumbar%20Decompression%20Treatment%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ye%20Ji%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ju%20Hyun%22%2C%22lastName%22%3A%22Jeon%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunseok%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Young%20Il%22%2C%22lastName%22%3A%22Kim%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%221010-0695%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A43%3A59Z%22%7D%7D%2C%7B%22key%22%3A%22MW8VKI79%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Amjad%20et%20al.%22%2C%22parsedDate%22%3A%222022%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BAmjad%2C%20Fareeha%2C%20Mohammad%20A%20Mohseni-Bandpei%2C%20Syed%20Amir%20Gilani%2C%20Ashfaq%20Ahmad%2C%20and%20Asif%20Hanif.%202022.%20%26%23x201C%3BEffects%20of%20Non-Surgical%20Decompression%20Therapy%20in%20Addition%20to%20Routine%20Physical%20Therapy%20on%20Pain%2C%20Range%20of%20Motion%2C%20Endurance%2C%20Functional%20Disability%20and%20Quality%20of%20Life%20versus%20Routine%20Physical%20Therapy%20Alone%20in%20Patients%20with%20Lumbar%20Radiculopathy%3B%20a%20Randomized%20Controlled%20Trial.%26%23x201D%3B%20%26lt%3Bi%26gt%3BBMC%20Musculoskeletal%20Disorders%26lt%3B%5C%2Fi%26gt%3B%2023%281%29%3A%201%26%23x2013%3B12.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Effects%20of%20non-surgical%20decompression%20therapy%20in%20addition%20to%20routine%20physical%20therapy%20on%20pain%2C%20range%20of%20motion%2C%20endurance%2C%20functional%20disability%20and%20quality%20of%20life%20versus%20routine%20physical%20therapy%20alone%20in%20patients%20with%20lumbar%20radiculopathy%3B%20a%20randomized%20controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fareeha%22%2C%22lastName%22%3A%22Amjad%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mohammad%20A%22%2C%22lastName%22%3A%22Mohseni-Bandpei%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Syed%20Amir%22%2C%22lastName%22%3A%22Gilani%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ashfaq%22%2C%22lastName%22%3A%22Ahmad%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Asif%22%2C%22lastName%22%3A%22Hanif%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222022%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%221471-2474%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A43%3A47Z%22%7D%7D%2C%7B%22key%22%3A%22ANIQKU5E%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22El-Zayat%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BEl-Zayat%2C%20Ahmed%20Ramzy%2C%20Wael%20Gomah%2C%20and%20Ahmed%20H%20Aldesouky.%202019.%20%26%23x201C%3BSpinal%20Decompression%20Therapy%20as%20an%20Alternative%20Modality%20for%20Management%20of%20Low%20Back%20Pain%20and%20Radicular%20Pain%20Caused%20by%20Lumbar%20Disc%20Herniation%20or%20Protrusion.%26%23x201D%3B%20%26lt%3Bi%26gt%3BEgyptian%20Rheumatology%20and%20Rehabilitation%26lt%3B%5C%2Fi%26gt%3B%2046%283%29%3A%20183%26%23x2013%3B88.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Spinal%20decompression%20therapy%20as%20an%20alternative%20modality%20for%20management%20of%20low%20back%20pain%20and%20radicular%20pain%20caused%20by%20lumbar%20disc%20herniation%20or%20protrusion%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ahmed%20Ramzy%22%2C%22lastName%22%3A%22El-Zayat%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wael%22%2C%22lastName%22%3A%22Gomah%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ahmed%20H%22%2C%22lastName%22%3A%22Aldesouky%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222019%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%222090-3235%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A43%3A23Z%22%7D%7D%2C%7B%22key%22%3A%224EX377RC%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Kim%20et%20al.%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BKim%2C%20Beom%20Seok%2C%20Ye%20Ji%20Lee%2C%20Hyo%20Bin%20Kim%2C%20Ki%20Jung%20Sung%2C%20Ju%20Hyun%20Jeon%2C%20Eun%20Seok%20Kim%2C%20and%20Young%20Il%20Kim.%202020.%20%26%23x201C%3BEffects%20of%20Nonsurgical%20Spinal%20Decompression%20Treatment%20on%20the%20Level%20of%20Pain%20and%20Quality%20of%20Life%20in%20Patients%20with%20Cervical%20or%20Lumbar%20Disc%20Herniation%3A%20A%20Retrospective%20Observational%20Study.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Acupuncture%20Research%26lt%3B%5C%2Fi%26gt%3B%2037%284%29%3A%20259%26%23x2013%3B69.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Effects%20of%20nonsurgical%20spinal%20decompression%20treatment%20on%20the%20level%20of%20pain%20and%20quality%20of%20life%20in%20patients%20with%20cervical%20or%20lumbar%20disc%20herniation%3A%20a%20retrospective%20observational%20study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Beom%20Seok%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ye%20Ji%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hyo%20Bin%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ki%20Jung%22%2C%22lastName%22%3A%22Sung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ju%20Hyun%22%2C%22lastName%22%3A%22Jeon%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eun%20Seok%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Young%20Il%22%2C%22lastName%22%3A%22Kim%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222020%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%222586-288X%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A42%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22GCEM8SVS%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Gil%20et%20al.%22%2C%22parsedDate%22%3A%222021%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGil%2C%20Ho%20Young%2C%20Eunjoo%20Choi%2C%20Ju%20Jiyoun%2C%20Woong%20Ki%20Han%2C%20Francis%20Sahngun%20Nahm%2C%20and%20Pyung-Bok%20Lee.%202021.%20%26%23x201C%3BFollow-Up%20Magnetic%20Resonance%20Imaging%20Study%20of%20Non-Surgical%20Spinal%20Decompression%20Therapy%20for%20Acute%20Herniated%20Intervertebral%20Disc%3A%20A%20Prospective%2C%20Randomized%2C%20Controlled%20Study.%26%23x201D%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Follow-Up%20Magnetic%20Resonance%20Imaging%20Study%20of%20Non-surgical%20Spinal%20Decompression%20Therapy%20for%20Acute%20Herniated%20Intervertebral%20Disc%3A%20A%20Prospective%2C%20Randomized%2C%20Controlled%20Study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ho%20Young%22%2C%22lastName%22%3A%22Gil%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjoo%22%2C%22lastName%22%3A%22Choi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ju%22%2C%22lastName%22%3A%22Jiyoun%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Woong%20Ki%22%2C%22lastName%22%3A%22Han%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francis%20Sahngun%22%2C%22lastName%22%3A%22Nahm%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pyung-Bok%22%2C%22lastName%22%3A%22Lee%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A42%3A24Z%22%7D%7D%2C%7B%22key%22%3A%22QUFCYV3V%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Xu%20et%20al.%22%2C%22parsedDate%22%3A%222022%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BXu%2C%20Qing%2C%20Xuewen%20Tian%2C%20Xintong%20Bao%2C%20Dongren%20Liu%2C%20Fanshuo%20Zeng%2C%20and%20Qiangsan%20Sun.%202022.%20%26%23x201C%3BNonsurgical%20Spinal%20Decompression%20System%20Traction%20Combined%20with%20Electroacupuncture%20in%20the%20Treatment%20of%20Multi-Segmental%20Cervical%20Disc%20Herniation%3A%20A%20Case%20Report.%26%23x201D%3B%20%26lt%3Bi%26gt%3BMedicine%26lt%3B%5C%2Fi%26gt%3B%20101%283%29.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Nonsurgical%20spinal%20decompression%20system%20traction%20combined%20with%20electroacupuncture%20in%20the%20treatment%20of%20multi-segmental%20cervical%20disc%20herniation%3A%20A%20case%20report%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Qing%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Xuewen%22%2C%22lastName%22%3A%22Tian%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Xintong%22%2C%22lastName%22%3A%22Bao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dongren%22%2C%22lastName%22%3A%22Liu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fanshuo%22%2C%22lastName%22%3A%22Zeng%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Qiangsan%22%2C%22lastName%22%3A%22Sun%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222022%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A42%3A11Z%22%7D%7D%2C%7B%22key%22%3A%22J5HP9KLS%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Wang%20et%20al.%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BWang%2C%20Yi%2C%20Guogang%20Dai%2C%20Ling%20Jiang%2C%20and%20Shichuan%20Liao.%202020.%20%26%23x201C%3BThe%20Incidence%20of%20Regression%20after%20the%20Non-Surgical%20Treatment%20of%20Symptomatic%20Lumbar%20Disc%20Herniation%3A%20A%20Systematic%20Review%20and%20Meta-Analysis.%26%23x201D%3B%20%26lt%3Bi%26gt%3BBMC%20musculoskeletal%20disorders%26lt%3B%5C%2Fi%26gt%3B%2021%281%29%3A%201%26%23x2013%3B12.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20incidence%20of%20regression%20after%20the%20non-surgical%20treatment%20of%20symptomatic%20lumbar%20disc%20herniation%3A%20a%20systematic%20review%20and%20meta-analysis%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Wang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Guogang%22%2C%22lastName%22%3A%22Dai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ling%22%2C%22lastName%22%3A%22Jiang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shichuan%22%2C%22lastName%22%3A%22Liao%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222020%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%221471-2474%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A41%3A13Z%22%7D%7D%2C%7B%22key%22%3A%226IDTG9JS%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chu%20et%20al.%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChu%2C%20Eric%20Chun-Pu%2C%20Divya%20Midhun%20Chakkaravarthy%2C%20Fa-Sain%20Lo%2C%20and%20Amiya%20Bhaumik.%202020.%20%26%23x201C%3BRegression%20of%20Lumbar%20Disc%20Herniation%20Following%20Non-Surgical%20Treatment.%26%23x201D%3B%20%26lt%3Bi%26gt%3BEuropean%20Journal%20of%20Molecular%20%26amp%3B%20Clinical%20Medicine%26lt%3B%5C%2Fi%26gt%3B%207%281%29%3A%2027%26%23x2013%3B29.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Regression%20of%20Lumbar%20Disc%20Herniation%20Following%20Non-surgical%20Treatment%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eric%20Chun-Pu%22%2C%22lastName%22%3A%22Chu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Divya%20Midhun%22%2C%22lastName%22%3A%22Chakkaravarthy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fa-Sain%22%2C%22lastName%22%3A%22Lo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Amiya%22%2C%22lastName%22%3A%22Bhaumik%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222020%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%22%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A41%3A00Z%22%7D%7D%2C%7B%22key%22%3A%22EJ5ERN7J%22%2C%22library%22%3A%7B%22id%22%3A722490%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Yoon%20and%20Koch%22%2C%22parsedDate%22%3A%222021%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BYoon%2C%20Wai%20Weng%2C%20and%20Jonathan%20Koch.%202021.%20%26%23x201C%3BHerniated%20Discs%3A%20When%20Is%20Surgery%20Necessary%3F%26%23x201D%3B%20%26lt%3Bi%26gt%3BEFORT%20Open%20Reviews%26lt%3B%5C%2Fi%26gt%3B%206%286%29%3A%20526%26%23x2013%3B30.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Herniated%20discs%3A%20when%20is%20surgery%20necessary%3F%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wai%20Weng%22%2C%22lastName%22%3A%22Yoon%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jonathan%22%2C%22lastName%22%3A%22Koch%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%222058-5241%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%228ZX8DH8R%22%5D%2C%22dateModified%22%3A%222023-01-12T15%3A40%3A46Z%22%7D%7D%5D%7D
Kim, Chi Heon, Yunhee Choi, Chun Kee Chung, Ki-Jeong Kim, Dong Ah Shin, Youn-Kwan Park, Woo-Keun Kwon, et al. 2021. “Nonsurgical Treatment Outcomes for Surgical Candidates with Lumbar Disc Herniation: A Comprehensive Cohort Study.” Scientific Reports 11(1): 3931. http://doi.org/10.1038/s41598-021-83471-y.
Ma, Zhijia, Pengfei Yu, Hong Jiang, Xiaochun Li, Xiang Qian, Zhenhan Yu, Yu Zhu, and Jintao Liu. 2021. “Conservative Treatment for Giant Lumbar Disc Herniation: Clinical Study in 409 Cases.” Bread Physician 24(5): E639–48.
Jordan, Jo, Kika Konstantinou, and John O'Dowd. 2009. “Herniated Lumbar Disc.” BMJ clinical evidence 2009: 1118.
van der Windt, Daniëlle Awm, Emmanuel Simons, Ingrid I. Riphagen, Carlo Ammendolia, Arianne P. Verhagen, Mark Laslett, Walter Devillé, et al. 2010. “Physical Examination for Lumbar Radiculopathy Due to Disc Herniation in Patients with Low-Back Pain.” The Cochrane Database of Systematic Reviews (2): CD007431. http://doi.org/10.1002/14651858.CD007431.pub2.
Wang, Rui, and Huasong Luo. 2021. “Regression of Lumbar Disc Herniation with Non-Surgical Treatment: A Case Report.” The Journal of International Medical Research 49(6): 3000605211020636. http://doi.org/10.1177/03000605211020636.
Benzakour, Thami, Vasilios Igoumenou, Andreas F. Mavrogenis, and Ahmed Benzakour. 2019. “Current Concepts for Lumbar Disc Herniation.” International Orthopaedics 43(4): 841–51. http://doi.org/10.1007/s00264-018-4247-6.
Demirel, Aynur, Mehmet Yorubulut, and Nevin Ergun. 2017. “Regression of Lumbar Disc Herniation by Physiotherapy. Does Non-Surgical Spinal Decompression Therapy Make a Difference? Double-Blind Randomized Controlled Trial.” Journal of Back and Musculoskeletal Rehabilitation 30(5): 1015–22. http://doi.org/10.3233/BMR-169581.
Andersen, Mikkel Østerheden, Andreas K. Andresen, Marianne Dyrby Lorenzen, Alexander Isenberg-Jørgensen, and Christian Støttrup. 2017. “[Non-surgical treatment of lumbar radiculopathy].” Ugeskrift for Laeger 179(23): V05170397.
Chen, Bing-Lin, Jia-Bao Guo, Hong-Wei Zhang, Ya-Jun Zhang, Yi Zhu, Juan Zhang, Hao-Yu Hu, Yi-Li Zheng, and Xue-Qiang Wang. 2018. “Surgical versus Non-Operative Treatment for Lumbar Disc Herniation: A Systematic Review and Meta-Analysis.” Clinical Rehabilitation 32(2): 146–60. http://doi.org/10.1177/0269215517719952.
Jordan, Jo, Kika Konstantinou, and John O'Dowd. 2011. “Herniated Lumbar Disc.” BMJ clinical evidence 2011: 1118.
Chu, Eric Chun-Pu, Divya Midhun Chakkaravarthy, Fa-Sain Lo, and Amiya Bhaumik. 2020. “Regression of Lumbar Disc Herniation Following Non-Surgical Treatment.” European Journal of Molecular & Clinical Medicine 7(1): 27–29.
Lee, Ye Ji, Ju Hyun Jeon, Eunseok Kim, and Young Il Kim. 2021. “Retrospective Statistical Analysis of Patients with Disc Herniation Treated with Cervical or Lumbar Decompression Treatment.” The Journal of Korean Medicine 42(2): 1–20.
Amjad, Fareeha, Mohammad A. Mohseni-Bandpei, Syed Amir Gilani, Ashfaq Ahmad, and Asif Hanif. 2022. “Effects of Non-Surgical Decompression Therapy in Addition to Routine Physical Therapy on Pain, Range of Motion, Endurance, Functional Disability and Quality of Life versus Routine Physical Therapy Alone in Patients with Lumbar Radiculopathy; a Randomized Controlled Trial.” BMC Musculoskeletal Disorders 23(1): 1–12.
El-Zayat, Ahmed Ramzy, Wael Gomah, and Ahmed H Aldesouky. 2019. “Spinal Decompression Therapy as an Alternative Modality for Management of Low Back Pain and Radicular Pain Caused by Lumbar Disc Herniation or Protrusion.” Egyptian Rheumatology and Rehabilitation 46(3): 183–88.
Kim, Beom Seok, Ye Ji Lee, Hyo Bin Kim, Ki Jung Sung, Ju Hyun Jeon, Eun Seok Kim, and Young Il Kim. 2020. “Effects of Nonsurgical Spinal Decompression Treatment on the Level of Pain and Quality of Life in Patients with Cervical or Lumbar Disc Herniation: A Retrospective Observational Study.” Journal of Acupuncture Research 37(4): 259–69.
Gil, Ho Young, Eunjoo Choi, Ju Jiyoun, Woong Ki Han, Francis Sahngun Nahm, and Pyung-Bok Lee. 2021. “Follow-Up Magnetic Resonance Imaging Study of Non-Surgical Spinal Decompression Therapy for Acute Herniated Intervertebral Disc: A Prospective, Randomized, Controlled Study.”
Xu, Qing, Xuewen Tian, Xintong Bao, Dongren Liu, Fanshuo Zeng, and Qiangsan Sun. 2022. “Nonsurgical Spinal Decompression System Traction Combined with Electroacupuncture in the Treatment of Multi-Segmental Cervical Disc Herniation: A Case Report.” Medicine 101(3).
Wang, Yi, Guogang Dai, Ling Jiang, and Shichuan Liao. 2020. “The Incidence of Regression after the Non-Surgical Treatment of Symptomatic Lumbar Disc Herniation: A Systematic Review and Meta-Analysis.” BMC musculoskeletal disorders 21(1): 1–12.
Chu, Eric Chun-Pu, Divya Midhun Chakkaravarthy, Fa-Sain Lo, and Amiya Bhaumik. 2020. “Regression of Lumbar Disc Herniation Following Non-Surgical Treatment.” European Journal of Molecular & Clinical Medicine 7(1): 27–29.
Yoon, Wai Weng, and Jonathan Koch. 2021. “Herniated Discs: When Is Surgery Necessary?” EFORT Open Reviews 6(6): 526–30.

TAGMED CLINIC
Terrebonne

1150 rue Levis, suite 200, Terrebonne, QC, J6W 5S6
 (450) 704-4447

Make an appointment

TAGMED CLINIC
Montreal

1140 ave Beaumont, Mont-Royal, QC, H3P 3E5
 1-877-672-9060

Make an appointment