Conditions Summary

Conditions Our Treatments

Conditions Conditions Treated

Conditions To Do

Traitement de la hernie discale pour L’Île-Cadieux

Vous habitez L’Île-Cadieux ?

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

De nombreux patients de L’Île-Cadieux 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 L’Île-Cadieux

Le traitement de la hernie discale est essentiel pour les personnes souffrant de douleurs chroniques et persistantes à L’Île-Cadieux. Une hernie discale survient lorsque le disque intervertébral, qui agit comme un amortisseur entre les vertèbres, se déplace ou se fissure, comprimant ainsi les nerfs environnants. Pour L’Île-Cadieux, la décompression neurovertébrale est une méthode efficace pour soulager cette pression et atténuer les symptômes, permettant ainsi aux patients de retrouver une meilleure qualité de vie.

Les cliniques pour L’Île-Cadieux proposent des solutions adaptées pour le traitement de la herniated disc, en mettant l’accent sur la décompression neurovertébrale. Cette technique non invasive permet de réduire la compression nerveuse sans nécessiter de chirurgie, offrant ainsi un soulagement durable. C’est une option thérapeutique sécuritaire pour ceux qui cherchent à éviter les interventions chirurgicales plus invasives.

En plus de soulager la douleur, le traitement de la hernie discale par Spinal decompression therapy pour L’Île-Cadieux aide également à restaurer la mobilité et à prévenir de futures complications. Les patients peuvent ainsi reprendre leurs activités quotidiennes sans être freinés par les douleurs liées à la hernie discale.

 

Traitement De La Hernie Discale À L’île-Cadieux Clinique Tagmed Montréal Terrebonne

 

Common symptoms requiring herniated disc treatment

Les douleurs persistantes dans le dos, le cou ou les jambes sont souvent les premiers signes indiquant qu’un traitement de la hernie discale est nécessaire. Ces douleurs sont causées par la pression exercée par la hernie discale sur les nerfs, provoquant également des sensations désagréables telles que des picotements, des engourdissements ou une sensation de brûlure. Pour L’Île-Cadieux, la décompression neurovertébrale est une méthode éprouvée pour atténuer ces symptômes et restaurer une qualité de vie optimale.

Les patients atteints de hernie discale rencontrent souvent des difficultés à accomplir leurs tâches quotidiennes en raison de la douleur et de la perte de mobilité. Le traitement de la hernie discale par décompression neurovertébrale pour L’Île-Cadieux offre une solution pour restaurer la mobilité et réduire la douleur, permettant ainsi aux patients de retrouver leur indépendance et leur confort de vie.

Les troubles du sommeil sont un autre symptôme fréquent chez ceux qui souffrent d’une hernie discale. La douleur peut s’aggraver pendant la nuit, perturbant ainsi le sommeil et entraînant une fatigue chronique. En tant que traitement pour L’Île-Cadieux, la décompression neurovertébrale aide à atténuer ces douleurs nocturnes, permettant ainsi un sommeil plus réparateur et une meilleure récupération.

Les causes fréquentes des hernies discales pour L’Île-Cadieux

À L’Île-Cadieux, plusieurs facteurs peuvent favoriser l’apparition d’une hernie discale. Le mode de vie sédentaire est l’un des principaux responsables, surtout pour ceux qui passent de longues heures assis ou effectuent des mouvements répétitifs sollicitant la colonne vertébrale. Cette pression constante peut entraîner une usure prématurée des disques intervertébraux, conduisant à une hernie discale.

Le vieillissement est une autre cause fréquente de hernies discales. Avec l’âge, les disques intervertébraux perdent leur élasticité et leur capacité à absorber les chocs, ce qui les rend plus vulnérables aux fissures ou aux déplacements. Cette dégénérescence naturelle peut entraîner des douleurs chroniques nécessitant un traitement par décompression neurovertébrale pour L’Île-Cadieux.

Les traumatismes physiques, tels que les accidents ou les chutes, sont aussi des causes fréquentes de hernie discale pour L’Île-Cadieux. Ces incidents peuvent causer des lésions aux disques, entraînant une compression nerveuse. La décompression neurovertébrale s’avère alors être un traitement essentiel pour soulager la douleur et favoriser la guérison après un traumatisme.

 

Traitement De La Hernie Discale À L’île-Cadieux Clinique Tagmed Montréal Terrebonne

 

Les techniques de décompression neurovertébrale pour le traitement de la hernie discale pour L’Île-Cadieux

Pour L’Île-Cadieux, les patients souffrant de hernie discale ont accès à plusieurs techniques de décompression neurovertébrale. L’une des méthodes les plus couramment utilisées est la thérapie par traction, qui vise à étirer doucement la colonne vertébrale afin de réduire la pression exercée sur les disques intervertébraux endommagés. Cette approche non invasive permet de soulager efficacement la douleur tout en améliorant la mobilité et la flexibilité de la colonne vertébrale.

La thérapie manuelle est également une option populaire pour le traitement de la hernie discale par décompression neurovertébrale pour L’Île-Cadieux. Ce traitement consiste en des manipulations précises réalisées par des professionnels de santé qualifiés, visant à réaligner les vertèbres et à diminuer la compression nerveuse. Combinée à d’autres techniques non invasives, cette approche permet de traiter efficacement les symptômes de la hernie discale.

Les cliniques pour L’Île-Cadieux proposent également des technologies de pointe, telles que la décompression vertébrale assistée par ordinateur. Ces dispositifs permettent de cibler avec précision les zones touchées de la colonne vertébrale, offrant un traitement personnalisé et efficace. Grâce à ces innovations, les patients bénéficient d’une prise en charge qui maximise les résultats tout en minimisant les risques de complications.

 

Traitement De La Hernie Discale À L’île-Cadieux Clinique Tagmed Montréal Terrebonne

 

Pourquoi choisir un traitement de la hernie discale pour L’Île-Cadieux

L’Île-Cadieux se distingue par la qualité de ses services de santé, en particulier dans le domaine du traitement de la hernie discale. Les professionnels de santé locaux sont non seulement hautement qualifiés, mais aussi expérimentés dans la gestion des affections de la colonne vertébrale. En optant pour un traitement de la hernie discale pour L’Île-Cadieux, les patients peuvent être assurés de recevoir des soins adaptés à leurs besoins spécifiques et à leur condition individuelle.

La proximité des services de santé pour L’Île-Cadieux est un autre avantage important pour ceux qui recherchent un traitement de la hernie discale. Les patients peuvent accéder facilement à des soins de qualité sans avoir à se déplacer loin, ce qui est crucial pour ceux qui souffrent de douleurs chroniques ou de limitations de mobilité. De plus, les cliniques locales offrent souvent des appointment rapides, permettant de commencer le traitement sans délai.

Les cliniques pour L’Île-Cadieux sont également équipées des dernières technologies en matière de décompression neurovertébrale. Cette combinaison d’équipements modernes et d’une expertise médicale reconnue garantit des résultats optimaux pour le traitement de la hernie discale. Les patients peuvent ainsi bénéficier des meilleures options thérapeutiques disponibles, tout en restant proches de leur domicile.

Benefits of herniated disc treatment using spinal decompression

Le traitement de la hernie discale par décompression neurovertébrale présente de nombreux avantages, notamment la réduction de la douleur sans avoir recours à la chirurgie. Pour L’Île-Cadieux, cette méthode non invasive est une alternative attrayante aux interventions chirurgicales, offrant moins de risques et un temps de récupération plus court. Cela permet aux patients de reprendre rapidement leurs activités quotidiennes avec moins de douleur et plus de confort.

En plus de réduire la douleur, le traitement de la hernie discale par décompression neurovertébrale améliore également la mobilité et la flexibilité de la colonne vertébrale. Les patients signalent souvent une diminution de la raideur et une plus grande amplitude de mouvement, ce qui leur permet de retrouver un mode de vie plus actif et de prévenir de futures complications liées à l’inactivité.

Enfin, la décompression neurovertébrale aide à stabiliser la colonne vertébrale et à prévenir l’aggravation des hernies discales. En réduisant la pression sur les nerfs et en améliorant la santé des disques intervertébraux, ce traitement permet d’éviter l’apparition de nouveaux problèmes. Pour L’Île-Cadieux, cela se traduit par une meilleure qualité de vie à long terme et une réduction du risque de récidive de la douleur.

Local case studies and testimonials

Pour L’Île-Cadieux, plusieurs patients ont partagé des témoignages positifs après avoir suivi un traitement de la hernie discale par décompression neurovertébrale. Par exemple, un patient souffrant de douleurs récurrentes dans le bas du dos a constaté une nette amélioration après plusieurs séances de thérapie par traction. Avant cela, il avait exploré diverses options de traitement sans succès, mais grâce à la décompression neurovertébrale, il a pu reprendre ses activités quotidiennes sans douleur.

Une autre patiente, qui souffrait de douleurs cervicales sévères, a également trouvé un soulagement significatif après avoir suivi un programme de décompression neurovertébrale pour traiter sa hernie discale pour L’Île-Cadieux. Elle a noté une amélioration de sa mobilité et une réduction marquée de la douleur, ce qui lui a permis de reprendre ses tâches quotidiennes avec plus de confort. Elle recommande ce traitement à toute personne confrontée à des problèmes similaires.

Ces témoignages mettent en lumière l’efficacité du traitement de la hernie discale par décompression neurovertébrale pour L’Île-Cadieux. Les résultats montrent non seulement une réduction de la douleur, mais aussi une amélioration générale de la qualité de vie. Grâce à cette approche thérapeutique, les patients peuvent reprendre leurs activités habituelles sans être limités par la douleur.

Tips for preventing herniated discs

Pour L’Île-Cadieux, il est essentiel d’adopter certaines pratiques pour prévenir le développement des hernies discales. Maintenir une bonne posture, surtout pour ceux qui passent de longues heures assis, est crucial pour minimiser la pression sur la colonne vertébrale. Ajuster l’ergonomie de l’espace de travail peut également jouer un rôle important dans la prévention de cette condition.

Une alimentation équilibrée et une hydratation adéquate sont également importantes pour préserver la santé des disques intervertébraux. Les nutriments appropriés aident à maintenir l’intégrité des disques, réduisant ainsi le risque de dégénérescence et de hernie discale. Pour L’Île-Cadieux, il est conseillé de consulter des professionnels de santé qui peuvent offrir des conseils personnalisés pour maintenir une colonne vertébrale en bonne santé.

Il est aussi important d’être attentif aux premiers signes de douleur ou d’inconfort dans le dos ou le cou. Un diagnostic précoce et un traitement approprié peuvent empêcher l’aggravation de la condition. Pour L’Île-Cadieux, consulter un professionnel de santé dès l’apparition des symptômes peut grandement contribuer à une gestion efficace de la hernie discale.

Conclusion and call to action

Le traitement de la hernie discale par décompression neurovertébrale est une solution efficace et non invasive pour les personnes souffrant de douleurs chroniques pour L’Île-Cadieux. Grâce à l’utilisation de techniques modernes et à l’expertise des professionnels locaux, les patients peuvent espérer un soulagement durable de leurs symptômes. Cette méthode permet de réduire la douleur, d’améliorer la mobilité et de prévenir de futures complications.

Si vous ressentez des douleurs dans le dos ou le cou, il est important de consulter rapidement un professionnel de santé pour L’Île-Cadieux. Un diagnostic précoce et un traitement adapté peuvent faire une grande différence dans les résultats à long terme. La décompression neurovertébrale pourrait être la clé pour retrouver une vie sans douleur et pleinement active.

Pour en savoir plus sur les options de traitement de la hernie discale disponibles pour L’Île-Cadieux ou pour prendre rendez-vous, n’hésitez pas à contacter une clinique spécialisée. Les professionnels de santé sont prêts à vous accompagner dans votre parcours vers une meilleure santé de la colonne vertébrale. Ne laissez pas la douleur vous freiner – explorez les solutions offertes par la décompression neurovertébrale dès aujourd’hui.

 

Published research/studies in Spinal Decompression Therapy

 

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

 

Traitement De La Hernie Discale À L’île-Cadieux Clinique Tagmed Montréal Terrebonne

 

FREE special report on spinal decompression to download

Traitement De La Hernie Discale À L’île-Cadieux 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 84971 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