Conditions Summary

Conditions Our Treatments

Conditions Conditions Treated

Conditions To Do

Serving Mascouche residents · TAGMED Clinic in Terrebonne

Herniated disc treatment for Mascouche residents

Free Examination — $85 CAD Value

Request My Free ExaminationView Appointment Availability

Live in Mascouche and looking for a herniated disc consultation? Request your free examination at our Terrebonne clinic and prepare for your first visit.

Appointments at 1150 rue Lévis, suite 200, Terrebonne. The offer covers the examination; any treatment is separate.

Call (450) 704-4447 and ask for the “Free examination — $85 value” offer. You can also view appointment options online and specify this offer when booking.

Illustration of a consultation for lower back or sciatic pain
Appointments in Terrebonne for Mascouche residents.

From Mascouche, visit our Terrebonne clinic

Your appointment takes place in Terrebonne. TAGMED does not have a Mascouche branch: use the address and phone number below to plan your visit.

Your appointment location

TAGMED Clinic Terrebonne

1150 Lévis Street, Suite 200, Terrebonne, QC J6W 5S6

Monday and Wednesday, 8 a.m. to 6 p.m., by appointment.

Call (450) 704-4447

Plan your visit

Check the date, time and address confirmed for your appointment. If you book online, mention the free examination so your request is clear before your visit.

Your guide to understanding a herniated disc

Explore the detailed explanations in our guides, then return to this page to arrange your consultation from Mascouche.

Herniated disc treatment for Mascouche residents

Herniated disc treatment is essential for people suffering from chronic pain caused by this condition. A herniated disc occurs when an intervertebral disc shifts or tears, putting pressure on adjacent nerves. For Mascouche residents, spinal decompression is an effective way to relieve this pressure and ease the associated symptoms, helping patients regain comfort in their lives.

Clinics serving Mascouche offer personalized herniated disc treatments, with a particular focus on spinal decompression. This non-invasive technique reduces nerve compression without surgery, providing lasting pain relief. It is a safe and proven alternative for those who want to avoid the complications associated with surgery.

In addition to relieving pain, traitement de la hernie discale par décompression neurovertébrale for Mascouche residents also helps restore mobility and prevent recurrence. Patients can therefore resume their daily activities more freely, without being held back by pain.

 

Traitement De La Hernie Discale À Mascouche Clinique Tagmed Montréal Terrebonne

 

Common symptoms requiring herniated disc treatment

Persistent pain in the back, neck or lower limbs is often an early sign that herniated disc treatment is needed. This pain is caused by pressure from the herniated disc on the nerves, which can also produce tingling, numbness or burning sensations. For Mascouche residents, spinal decompression is an effective way to reduce these symptoms and restore an optimal quality of life.

Limited mobility is another common problem for people with a herniated disc. Everyday movements can become difficult and painful, seriously affecting daily life. Herniated disc treatment using spinal decompression for Mascouche residents offers a way to restore mobility and ease pain, allowing patients to regain freedom of movement.

Sleep problems are another common symptom among people with a herniated disc. Pain may worsen at night, disrupting sleep and leading to chronic fatigue. Spinal decompression, as a herniated disc treatment for Mascouche residents, reduces this nighttime pain, improving sleep quality and overall recovery.

Common causes of herniated discs for Mascouche residents

In Mascouche, several factors can contribute to a herniated disc. One of the main factors is a sedentary lifestyle, particularly for people who spend long hours sitting or performing repetitive movements that strain the spine. This constant pressure can damage the intervertebral discs and lead to a herniation.

Ageing is another common cause of herniated discs. Over time, the intervertebral discs lose flexibility and become more fragile, which can lead to tears or displacement. This natural degeneration often results in chronic pain requiring spinal decompression treatment for Mascouche residents.

Physical trauma, such as road accidents or falls, is also a common cause of herniated discs among Mascouche residents. These events can damage the intervertebral discs and cause nerve compression. In these cases, spinal decompression proves to be an essential treatment for relieving pain and promoting healing.

 

Traitement De La Hernie Discale À Mascouche Clinique Tagmed Montréal Terrebonne

 

Spinal decompression techniques for treating herniated discs in Mascouche residents

Mascouche residents with a herniated disc have access to several spinal decompression techniques. One of the most commonly used methods is traction therapy, which gently stretches the spine to reduce pressure on damaged intervertebral discs. This non-invasive approach is particularly effective at relieving pain and improving spinal flexibility.

Manual therapy is another widely used option for treating herniated discs with spinal decompression for Mascouche residents. This treatment involves precise manipulations performed by qualified health professionals to realign the vertebrae and reduce nerve compression. Combined with other non-invasive techniques, this approach effectively treats herniated disc symptoms.

Clinics serving Mascouche also offer advanced technologies, such as computer-assisted spinal decompression. These devices precisely target affected areas of the spine, providing personalized and effective treatment. These innovations allow patients to benefit from care that maximizes results while minimizing risks.

Why choose herniated disc treatment for Mascouche residents

Mascouche is known for the quality of its health services, particularly for herniated disc treatment. Local health professionals are highly qualified and have extensive expertise in treating spinal conditions. By choosing herniated disc treatment serving Mascouche, patients can be assured of receiving care tailored to their specific needs and condition.

The proximity of health services serving Mascouche is another important advantage for those seeking herniated disc treatment. Patients can easily access quality care without travelling far, which is particularly important for those with chronic pain or limited mobility. Local clinics also often offer prompt appointments, allowing treatment to begin without delay.

Clinics serving Mascouche are also equipped with the latest spinal decompression technologies. This combination of modern equipment and medical expertise guarantees optimal results for herniated disc treatment. Patients can therefore benefit from the best available treatment options while staying close to home.

Benefits of herniated disc treatment using spinal decompression

Herniated disc treatment using spinal decompression offers many benefits, including pain reduction without surgery. For Mascouche residents, this non-invasive method is an attractive alternative to surgical procedures, with fewer risks and a shorter recovery time. It allows patients to quickly resume their daily activities with less pain.

In addition to relieving pain, herniated disc treatment using spinal decompression also improves spinal mobility and flexibility. Patients often report less stiffness and a greater range of motion, helping them return to a more active lifestyle and prevent future complications.

Finally, spinal decompression helps stabilize the spine and prevent herniated discs from worsening. By reducing pressure on the nerves and improving intervertebral disc health, this treatment helps prevent new problems. For Mascouche residents, this means a better long-term quality of life and a lower risk of recurring pain.

 

Traitement De La Hernie Discale À Mascouche Clinique Tagmed Montréal Terrebonne

 

Local case studies and testimonials

Many patients from Mascouche have shared their positive experiences after receiving herniated disc treatment using spinal decompression. For example, a patient with chronic lower back pain noticed a significant improvement after a few traction therapy sessions. Before this, he had tried various treatments without success, but spinal decompression allowed him to resume his daily activities without pain.

Another patient, who had severe neck pain, found notable relief after completing a spinal decompression program for herniated disc treatment serving Mascouche. She noticed improved mobility and less pain, which allowed her to resume her daily tasks more comfortably. Today, she recommends this treatment to anyone experiencing similar pain.

These testimonials demonstrate the effectiveness of herniated disc treatment using spinal decompression for Mascouche residents. The results show not only pain reduction but also an overall improvement in quality of life. With this treatment approach, patients can return to an active life without the limitations imposed by pain.

Tips for preventing herniated discs

For Mascouche residents, it is important to adopt prevention strategies to avoid developing herniated discs. Good posture, particularly for those who spend long periods sitting, is crucial to minimizing pressure on the spine. Adjusting the work environment to ensure appropriate ergonomics can also help prevent this condition.

Maintaining a balanced diet and staying properly hydrated are also essential for preserving intervertebral disc health. Adequate nutrients help maintain disc integrity, reducing the risk of degeneration and herniated discs. Mascouche residents are advised to consult health professionals who can provide personalized advice on maintaining a healthy spine.

It is also crucial to pay attention to early signs of pain or discomfort in the back or neck. Early diagnosis and appropriate treatment can prevent the condition from worsening. For Mascouche residents, consulting a health professional as soon as symptoms appear can make an important contribution to effective herniated disc management.

Conclusion and call to action

Herniated disc treatment using spinal decompression is an effective, non-invasive solution for Mascouche residents with chronic pain. With modern techniques and the expertise of local professionals, patients can hope for lasting symptom relief. This method reduces pain, improves mobility and prevents future complications.

If you have back or neck pain, it is important to promptly consult a health professional serving Mascouche. Early diagnosis and appropriate treatment can make a significant difference to long-term results. Spinal decompression could be the key to returning to a fully active, pain-free life.

To learn more about the herniated disc treatment options available to Mascouche residents or to book an appointment, contact a specialized clinic. Health professionals are ready to support you on your journey toward better spinal health. Do not let pain hold you back — explore the options offered by spinal decompression today.

 

Published research/studies in Spinal Decompression Therapy

 

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

 

Traitement De La Hernie Discale À Mascouche Clinique Tagmed Montréal Terrebonne

 

FREE special report on spinal decompression to download

Traitement De La Hernie Discale À Mascouche Clinique Tagmed Montréal 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 28930 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