Vous habitez Laval ?

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

De nombreux patients de Laval 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)

Traitement de la hernie discale pour les résidents de Laval

Find your quality of life!

Herniated disc is a painful condition that can seriously affect your quality of life. Fortunately, in Laval, the TAGMED Clinic offers cutting-edge treatments for this condition. Their team of dedicated specialists uses a personalized approach to identify the precise cause of your herniated disc and develop a treatment plan tailored to your specific needs. Their main goal is to relieve your pain and help you regain your quality of life. Whether your herniated disc is the result of an injury, general wear and tear, or a pre-existing medical condition, the TAGMED Clinic in Laval is ready to help you regain control of your health.

 

Herniated Disc Treatment In Laval Tagmed Clinic Montreal Terrebonne

 

Introduction to Herniated Disc and the TAGMED Clinic

 

Do you suffer from persistent, incapacitating lower back or neck pain?

Herniated disc is a debilitating condition that affects millions of people around the world. It is a condition in which the discs between the bones of the spine (the vertebrae) shift or become deformed, often causing severe, persistent pain in the lower back or neck. Fortunately, there are specialized centers for the treatment of this condition. One of them is the TAGMED Clinic, a renowned clinic that specializes in the diagnosis, treatment and rehabilitation of herniated discs. With a team of highly qualified experts and a holistic approach to lower back and neck pain, TAGMED Clinic is committed to helping its patients regain their quality of life.

 

If you live in Laval or the surrounding area, you are not alone.

Herniated discs are a common cause of neck or lower back pain and can significantly affect your quality of life. Fortunately, the TAGMED Clinic, specialized in the treatment of herniated discs, is here to help you return to a pain-free life and get back on your feet quickly.

If you live in Laval or surrounding areas, you do not have to face your health problems alone. It is a reality that herniated discs are a common cause of persistent pain, not only in the cervical region, but also in the lumbar region. These types of chronic pain can greatly affect your overall quality of life, limiting your daily activities and preventing you from enjoying life to the fullest.

Although the pain can sometimes be almost unbearable, it is important to know that there are treatment options available. And it starts here, in Laval, where the TAGMED Clinic is at your disposal. Specializing in the treatment of herniated discs, the clinic offers effective care solutions to help you deal with this debilitating problem.

TAGMED Clinic's philosophy is to provide exceptional medical care to every patient. Their vision is to improve your quality of life by eliminating or at least minimizing the pain caused by herniated discs. You can return to a pain-free, healthier and more active life thanks to their services.

At TAGMED, the focus is on the rapid recovery of their patients. Using various advanced medical techniques and implementing a personalized treatment plan for each patient, they aim to get you back on your feet as quickly as possible. You will be able to regain your mobility and live the life you deserve.

So you are not alone in facing your herniated disc pain near Laval. With the help of the TAGMED Clinic, you can regain control of your pain and regain your joy of living. Don't wait another minute and make an appointment today to begin your healing journey.

 

Summary: The TAGMED Clinic, which serves Laval, is your solution for the treatment of herniated disc. Our team of experienced professionals offers personalized care and cutting-edge treatment options to help you regain your quality of life.

 

Herniated Disc Treatment In Laval Tagmed Clinic Montreal Terrebonne

 

Understanding herniated discs with the TAGMED Clinic

The spine is made up of intervertebral discs that act as shock absorbers between the vertebrae. A herniated disc occurs when the gelatinous core (nucleus pulposus) inside a spinal disc protrudes through a crack in the outer fibrous ring (annulus fibrosus). This can cause nerves in the spine to become compressed, leading to pain, numbness, and weakness in the limbs.

 

The TAGMED Clinic helps patients understand the complexity of herniated discs, a spinal condition that can cause a variety of problems, including pain, numbness and weakness. The spine is made up of intervertebral discs which serve as cushions between the vertebrae. A herniated disc occurs when the inner gelatinous core of a spinal disc shifts through a crack in the outer annulus fibrosus. This condition can compress the nerves in the spine, which can cause a range of symptoms. The TAGMED Clinic is dedicated to educating patients about this condition, helping identify symptoms and providing treatment solutions.

 

Herniated Disc Symptoms Treated at TAGMED Clinic

 

The symptoms of a herniated disc, also called herniated disc, treated at the TAGMED Clinic can vary depending on the location and severity of the disc displacement. This medical condition often occurs when a disc in the spine ruptures or becomes damaged, causing the gel-like substance inside the disc to leak. This puts pressure on surrounding nerves and can cause a variety of symptoms. In some cases, a person with a herniated disc may not have any symptoms.

 

Herniated Disc Treatment In Laval Tagmed Clinic Montreal Terrebonne

 

The most common symptoms treated by the TAGMED clinic include:

1. Back or neck pain : This is often the first sign of a herniated disc. The pain usually begins in the area of the herniated disc and may radiate to other parts of the body depending on which nerves are affected. The pain can vary from a constant, dull ache to sudden, sharp pains.

2. Numbness or tingling sensations in the arms or legs : These are common symptoms when the herniated disc is in the neck or lower back. Patients may feel as if their limbs are “falling asleep” or experience tingling sensations. The numbness may come and go and is usually on one side of the body.

3. Muscle weakness : If the herniated disc puts pressure on a nerve that controls muscle power, the muscle may respond by weakening. This could cause difficulty when trying to lift or move objects. It can also affect balance and coordination.

4. Radiating pain in the limbs : it can often be described as a burning or tingling sensation. The pain usually travels along the nerve compressed by the herniated disc. For example, if the herniated disc is in your lower spine, you will likely feel pain radiating down the back of your leg.

 

At the TAGMED clinic, these symptoms are carefully evaluated through physical examinations as well as a detailed patient history to determine the best treatment. The approach to treating a herniated disc can range from conservative to surgical interventions, depending on the patient's specific condition and the severity of their symptoms.

 

Herniated Disc Treatment In Laval Tagmed Clinic Montreal Terrebonne

 

Why choose the TAGMED Clinic when you live in Laval?

The TAGMED Clinic, which has already treated many patients in Laval, specializes in the treatment of herniated discs and is made up of a dedicated team of experienced health professionals.

 

Here are some reasons why you should choose us for your herniated disc treatment:

  • Personalized Approach: We understand that each patient is unique, and that is why we offer personalized treatment plans to meet your specific needs.
  • Cutting-edge technology: Our clinic is equipped with the latest technologies and techniques to provide you with the best possible care.
  • Rehabilitation and support: We offer comprehensive support throughout your recovery, including rehabilitation and lifestyle advice to help you return to normal life.

 

Traitement de la hernie discale pour les résidents de: Laval

Treatment for herniated disc depends on the severity of the condition and the patient's symptoms. Here are some of the treatment options we offer at the TAGMED Clinic in Laval: Treatment Effectiveness Spinal decompression therapy Very effective Osteopathy Moderately effective Medications and injections Variable Neurovertebral decompression is a cutting-edge technique that has proven itself in the treatment of herniated discs.

 

It involves using a specialized device to apply a controlled traction force to the spine, thereby reducing pressure on the intervertebral discs and nerves. This non-invasive approach is often more effective than other treatment options, and it is highly recommended by our team at the TAGMED Clinic.

 

Treatment of herniated discs at Clinique TAGMED in Laval depends on the severity of the condition and the patient's symptoms. Some of the treatment options we offer at Clinique TAGMED include Spinal decompression therapy qui est très efficace, l’ostéopathie qui est modérément efficace et les résultats variables des médicaments et des injections. La Spinal decompression therapy est une technique de pointe qui s’est avérée efficace dans le traitement des hernies discales. Cela implique l’utilisation d’équipements spécialisés pour appliquer une force de traction contrôlée sur la colonne vertébrale, réduisant ainsi la pression sur les disques intervertébraux et les nerfs. Cette approche non invasive est souvent plus efficace que les autres options de traitement et elle est fortement recommandée par notre équipe de la Clinique TAGMED.

 

How to take appointment at the TAGMED Clinic for a patient from Laval?

If you suffer from a herniated disc and you are looking for an effective treatment near Laval, do not hesitate to make an appointment online. During your initial consultation, our team will assess your condition and discuss the treatment options best suited to your needs.

 

Published research/studies in Spinal Decompression Therapy

 

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

 

Herniated Disc Treatment In Laval Tagmed Clinic Montreal Terrebonne

 

FREE special report on spinal decompression to download

Herniated Disc Treatment In Laval 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

 

 

 

 

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 28921 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

TAGMED CLINIC
Montreal

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