Traitement de la hernie discale à Montréal — Mont-Royal
Examen gratuit — valeur de 85 $ CA
Demandez l’offre « Examen gratuit — valeur de 85 $ » lors de votre réservation à Montréal / Mont-Royal. L’offre porte sur l’examen; les traitements éventuels sont distincts.
Vous recherchez un traitement pour une hernie discale à Montréal ? La Clinique TAGMED Montréal, située à Mont-Royal, propose la décompression neurovertébrale. Retrouvez les informations sur cette approche pour les hernies lombaires ou cervicales et prenez rendez-vous pour en faire évaluer la pertinence dans votre situation.
Clinique TAGMED Montréal — Mont-Royal
1140, avenue Beaumont, Mont-Royal (Québec) H3P 3E5
Mardi et jeudi : de 9 h à 18 h.
Sur Medexa, le portail affiche « Le Centre Neurothérapie de Montréal ». Pour un premier rendez-vous avec Sylvain Desforges, choisissez « Nouveau patient », puis « Ostéopathie / Osteopathy ». Vérifiez que Sylvain Desforges est sélectionné.
Consultez les coordonnées et l’itinéraire de la clinique de Montréal, ainsi que nos honoraires. Pour un rendez-vous sur la Rive-Nord, consultez la page hernie discale à Terrebonne.
Hernie discale lombaire ou cervicale : informations pour votre consultation
Introduction
Les hernies discales sont une condition médicale courante qui peut causer des douleurs sévères et des limitations fonctionnelles. Si vous résidez à Montréal ou dans les environs, la Clinique TAGMED est là pour vous offrir des solutions de traitement innovantes et efficaces pour hernie discale Montréal.
Sommaire
Comprendre la hernie discale
La colonne vertébrale est une structure complexe composée de vertèbres, de disques intervertébraux, de ligaments et de muscles. Les disques intervertébraux agissent comme des coussins entre les vertèbres, permettant une mobilité fluide de la colonne vertébrale. Une hernie discale se produit lorsque le noyau gélatineux d'un disque vertébral fait saillie à travers une fissure dans l'anneau fibreux externe.
Causes de la hernie discale
- Usure naturelle: Avec l'âge, les disques intervertébraux peuvent perdre de leur élasticité et de leur hydratation, ce qui les rend plus susceptibles de se fissurer.
- Blessures: Les accidents, les chutes et les mouvements brusques peuvent causer des dommages aux disques intervertébraux.
- Surcharge pondérale: Le surpoids peut exercer une pression supplémentaire sur la colonne vertébrale, contribuant à la détérioration des disques.
- Posture incorrecte: Une mauvaise posture peut également contribuer à la dégénérescence des disques intervertébraux.
Symptômes de la hernie discale
Les symptômes d'une hernie discale peuvent varier en fonction de l'emplacement et de la sévérité de la hernie. Ils peuvent inclure :
- Douleurs au dos ou à la nuque: Ces douleurs peuvent être aiguës ou chroniques et peuvent s'aggraver avec certains mouvements.
- Engourdissements ou picotements: Ces sensations peuvent se produire dans les bras ou les jambes et sont souvent associées à une compression nerveuse.
- Faiblesse musculaire: La compression des nerfs peut entraîner une faiblesse dans les muscles affectés.
- Douleur irradiante: La douleur peut se propager le long du trajet d'un nerf comprimé, créant une sensation de brûlure ou de piqûre.
La Clinique TAGMED : Votre partenaire de choix à Montréal pour le traitement de la hernie discale
La Clinique TAGMED est un centre de traitement spécialisé dans les hernies discales et autres troubles de la colonne vertébrale. Située à Montréal, notre clinique est composée d'une équipe de professionnels dédiés et expérimentés.
Pourquoi choisir la Clinique TAGMED?
- Expertise: Notre équipe possède une vaste expérience dans le traitement des hernies discales et autres conditions de la colonne vertébrale.
- Innovation: Nous utilisons des techniques de pointe, y compris la décompression neurovertébrale, pour offrir des solutions de traitement efficaces.
- Approche personnalisée: Chaque patient est unique, et nous nous engageons à fournir un plan de traitement personnalisé.
- Environnement accueillant: Notre clinique offre un environnement chaleureux et confortable, où vous vous sentirez pris en charge et compris.
Options de traitement de la hernie discale à la Clinique TAGMED
Nous proposons une gamme complète d'options de traitement pour les hernies discales, adaptées aux besoins spécifiques de chaque patient. Ces options incluent :
- Thérapie manuelle (ostéopathie): Nos thérapeutes utilisent des techniques manuelles pour améliorer la mobilité et réduire la douleur.
- Thérapie par décompression vertébrale: Cette méthode non invasive utilise une traction contrôlée pour réduire la pression sur les disques intervertébraux.
- Infiltrations de corticostéroïdes: Ces injections peuvent réduire l'inflammation et la douleur dans la région affectée.
La décompression neurovertébrale à la Clinique TAGMED
La décompression neurovertébrale est une technique innovante utilisée pour traiter les hernies discales et autres troubles de la colonne vertébrale. Elle offre une alternative non invasive à la chirurgie et peut être particulièrement efficace pour les patients qui n'ont pas trouvé de soulagement avec d'autres méthodes de traitement. 
Qu'est-ce que la décompression neurovertébrale?
La décompression neurovertébrale utilise un appareil spécialisé pour appliquer une force de traction contrôlée sur la colonne vertébrale. Cette force crée un espace entre les vertèbres, permettant aux disques intervertébraux de retrouver leur forme normale et de soulager la pression sur les nerfs.
Comment fonctionne la décompression neurovertébrale?
La décompression neurovertébrale est réalisée sur une table spécialement conçue, où le patient est confortablement allongé. L'appareil applique une traction douce et contrôlée, créant un espace entre les vertèbres et permettant aux disques de se réhydrater et de se régénérer.
Avantages de la décompression neurovertébrale
- Réduction de la douleur: En éliminant la pression sur les nerfs comprimés, la décompression neurovertébrale peut réduire significativement la douleur.
- Amélioration de la mobilité: En créant de l'espace entre les vertèbres, la décompression neurovertébrale favorise une meilleure mobilité de la colonne vertébrale.
- Traitement ciblé: La décompression neurovertébrale permet un traitement précis des zones affectées, offrant une solution sur mesure pour chaque patient.
- Sans chirurgie: Contrairement à la chirurgie, la décompression neurovertébrale est une méthode non invasive qui ne nécessite pas d'incisions ni de temps de récupération prolongé.
Qui peut bénéficier de la décompression neurovertébrale?
La décompression neurovertébrale est adaptée à ceux qui souffrent de hernies discales, de douleurs chroniques au dos ou au cou, et d'autres problèmes liés à la colonne vertébrale. Elle offre une alternative sûre et efficace à la chirurgie pour de nombreux patients.
La décompression neurovertébrale à Montréal : Une révolution dans le traitement des hernies discales
La décompression neurovertébrale est une technique de pointe qui a révolutionné le traitement des hernies discales et autres troubles de la colonne vertébrale. À Montréal, la Clinique TAGMED est fière d'offrir cette méthode de traitement innovante.
Comment se déroule une séance de décompression neurovertébrale?
- Évaluation initiale: Avant le traitement, une évaluation complète est effectuée pour comprendre les besoins spécifiques du patient.
- Positionnement sur la table: Le patient est allongé sur une table spécialement conçue, et des sangles sont utilisées pour sécuriser le corps.
- Application de la traction: La table applique une traction contrôlée et ciblée sur la région affectée, créant un espace entre les vertèbres.
- Relaxation et récupération: Après la séance, le patient peut ressentir un soulagement immédiat de la douleur et une amélioration de la mobilité.
Résultats de la décompression neurovertébrale
- Soulagement de la douleur: De nombreux patients rapportent une réduction significative de la douleur après seulement quelques séances.
- Restauration de la fonction: La décompression neurovertébrale peut aider à restaurer la fonction normale de la colonne vertébrale, permettant un retour aux activités quotidiennes.
- Prévention de la chirurgie: Pour certains patients, la décompression neurovertébrale peut éliminer le besoin d'une intervention chirurgicale.
Témoignages de patients traités pour une hernie discale à notre clinique de Montréal
"Après des années de douleur au dos, la décompression neurovertébrale à la Clinique TAGMED a changé ma vie. Je peux enfin profiter de mes activités préférées sans douleur!" - Marie, Montréal "La décompression neurovertébrale était ma dernière chance avant la chirurgie. Je suis tellement reconnaissant d'avoir trouvé la Clinique TAGMED. Le traitement a été un succès total!" - Jean, Montréal
La décompression neurovertébrale : Une exploration approfondie
La décompression neurovertébrale est une méthode de traitement qui a gagné en popularité ces dernières années, notamment pour son efficacité dans le traitement des hernies discales. Voici une exploration plus approfondie de cette technique.
La science derrière la décompression neurovertébrale
La décompression neurovertébrale fonctionne en créant un espace entre les vertèbres, permettant aux disques intervertébraux de se réhydrater et de se régénérer. Cette méthode utilise la mécanique et la biologie pour favoriser la guérison.
- Mécanique: La traction contrôlée crée un espace entre les vertèbres, réduisant la pression sur les disques intervertébraux.
- Biologie: L'espace créé permet aux nutriments et à l'oxygène de pénétrer dans les disques, favorisant la guérison et la régénération.
La décompression neurovertébrale comme alternative à la chirurgie
La chirurgie de la colonne vertébrale peut être une option de traitement pour les hernies discales sévères, mais elle comporte des risques et nécessite une récupération prolongée. La décompression neurovertébrale offre une alternative non invasive.
- Moins de risques: Contrairement à la chirurgie, la décompression neurovertébrale ne nécessite pas d'incisions ni d'anesthésie, réduisant les risques de complications.
- Récupération plus rapide: La décompression neurovertébrale ne nécessite pas de temps de récupération prolongé, permettant aux patients de reprendre rapidement leurs activités quotidiennes.
- Coût plus faible: Comparée à la chirurgie, la décompression neurovertébrale peut être une option plus abordable pour de nombreux patients.
La décompression neurovertébrale à la Clinique TAGMED de Montréal
La Clinique TAGMED est un leader dans le domaine de la décompression neurovertébrale à Montréal. Voici pourquoi notre clinique est le choix idéal pour ce traitement.
- Technologie de pointe: Nous utilisons des équipements de dernière génération pour assurer un traitement précis et efficace.
- Personnel qualifié: Notre équipe est hautement qualifiée dans l'application de la décompression neurovertébrale, garantissant un traitement sûr et efficace.
- Suivi personnalisé: Chaque patient reçoit un suivi personnalisé pour s'assurer que le traitement est adapté à ses besoins spécifiques.
Hernie discale et douleur sciatique à Montréal
Une hernie discale lombaire peut parfois irriter ou comprimer une racine nerveuse qui participe au trajet du nerf sciatique. Dans ce contexte, la douleur peut descendre de la région lombaire vers la fesse, l’arrière de la cuisse, le mollet, le pied ou certains orteils. Cette présentation est souvent décrite comme une douleur sciatique d’origine discale.
À Montréal, l’évaluation d’une douleur compatible avec une sciatique doit tenir compte du trajet de la douleur, de la présence d’engourdissements, de fourmillements, de faiblesse musculaire, de la tolérance à la position assise et des résultats d’imagerie lorsqu’ils sont disponibles. Une hernie discale ne doit pas être interprétée isolément : elle doit être corrélée aux symptômes et à l’examen clinique.
Pour mieux comprendre cette présentation, consultez notre page dédiée au traitement de la sciatique à Montréal.
Montréal : Une ville engagée dans la santé et le bien-être
Montréal est une ville dynamique et cosmopolite, connue pour son engagement envers la santé et le bien-être de ses résidents. La Clinique TAGMED est fière de faire partie de cette communauté, offrant des soins de qualité aux habitants de Montréal et des environs.
La Clinique TAGMED : Un pilier de la communauté de Montréal
- Localisation pratique: Située au cœur de Montréal, la Clinique TAGMED est facilement accessible en voiture ou en transport en commun.
- Éducation et sensibilisation: La Clinique TAGMED s'engage à éduquer le public sur les hernies discales et la décompression neurovertébrale, offrant des ateliers et des séminaires gratuits.
La décompression neurovertébrale : Une exploration encore plus approfondie
Les origines de la décompression neurovertébrale
La décompression neurovertébrale n'est pas une technique nouvelle, mais elle a été perfectionnée au fil des années grâce à la recherche et à la technologie. Son origine remonte aux thérapies manuelles où les praticiens utilisaient leurs mains pour appliquer une traction douce sur la colonne vertébrale.
- Les premières méthodes: Les thérapies manuelles, telles que l'ostéopathie, utilisaient la traction pour soulager la pression sur les disques intervertébraux.
- L'évolution de la technologie: Avec l'avancement de la technologie, des tables de décompression spécialisées ont été développées pour appliquer une traction précise et contrôlée.
- Recherche et développement: La recherche continue a permis d'affiner la technique, en comprenant mieux comment la décompression affecte la biologie des disques intervertébraux.
La Décompression Neurovertébrale : Conditions Traitées
1. Hernie Discale
- Description: Une hernie discale se produit lorsque le noyau d'un disque intervertébral fait saillie à travers l'anneau fibreux externe.
- Traitement avec Décompression Neurovertébrale: La décompression soulage la pression sur le disque, permettant au noyau de revenir à sa position normale et de favoriser la guérison.
2. Sténose Spinale
- Description: La sténose spinale est un rétrécissement du canal spinal qui peut comprimer les nerfs.
- Traitement avec Décompression Neurovertébrale: La décompression élargit l'espace dans le canal spinal, réduisant la pression sur les nerfs et soulageant la douleur.
3. Sciatique
- Description: La sciatique est une douleur qui irradie le long du nerf sciatique, souvent causée par la compression de ce nerf.
- Traitement avec Décompression Neurovertébrale: La décompression peut réduire la compression du nerf sciatique, soulageant ainsi la douleur et l'inflammation.
4. Spondylolisthésis
- Description: Le spondylolisthésis se produit lorsque une vertèbre glisse vers l'avant par rapport à la vertèbre adjacente.
- Traitement avec Décompression Neurovertébrale: La décompression aide à réaligner les vertèbres et à réduire la pression sur les nerfs et les tissus environnants.
5. Douleur Chronique au Dos et au Cou
- Description: La douleur chronique au dos ou au cou peut avoir diverses causes, y compris des problèmes de disque, des tensions musculaires, ou des problèmes articulaires.
- Traitement avec Décompression Neurovertébrale: La décompression peut soulager la pression sur les disques et les articulations, favorisant la relaxation musculaire et la réduction de la douleur.
6. Radiculopathie
- Description: La radiculopathie est une irritation ou une compression des racines nerveuses sortant de la colonne vertébrale.
- Traitement avec Décompression Neurovertébrale: La décompression peut réduire la pression sur les racines nerveuses, soulageant les symptômes associés tels que la douleur, les picotements, ou la faiblesse.
La décompression neurovertébrale est une technique polyvalente et efficace qui peut traiter une variété de conditions liées à la colonne vertébrale. En réduisant la pression sur les disques, les nerfs, et les autres structures de la colonne vertébrale, elle offre un soulagement pour de nombreux patients qui souffrent de douleurs chroniques et de troubles débilitants. À la Clinique TAGMED, cette technique est appliquée par des professionnels qualifiés qui comprennent les nuances de chaque condition et adaptent le traitement aux besoins spécifiques de chaque patient.
La décompression neurovertébrale à la Clinique TAGMED de Montréal : Une expérience patient
À la Clinique TAGMED, nous nous engageons à offrir une expérience patient exceptionnelle. Voici ce que vous pouvez attendre:
- Consultation initiale: Une évaluation complète pour comprendre vos besoins et déterminer si la décompression neurovertébrale est le bon traitement pour vous.
- Plan de traitement personnalisé: Un plan de traitement sur mesure, conçu pour répondre à vos besoins spécifiques.
- Séances de traitement: Des séances régulières avec notre équipe qualifiée, utilisant la technologie de pointe pour appliquer la décompression.
- Soutien continu: Un soutien continu tout au long de votre traitement, y compris des ajustements au plan de traitement si nécessaire.
Conclusion
La hernie discale peut être une condition débilitante, mais avec la bonne approche de traitement, il est possible de retrouver une vie sans douleur. La décompression neurovertébrale est une méthode de traitement innovante qui offre une solution non invasive et efficace. À Montréal, la Clinique TAGMED est votre partenaire de choix pour le traitement des hernies discales. Avec une équipe dédiée et une approche centrée sur le patient, nous sommes là pour vous aider à retrouver la santé et le bien-être. Si vous ou un être cher souffrez de hernie discale ou d'autres problèmes de colonne vertébrale, n'hésitez pas à nous contacter pour en savoir plus sur la décompression neurovertébrale et comment nous pouvons vous aider.
Recherches/études publiées en décompression neurovertébrale
Téléchargez les recherches qui ont été publiées concernant la décompression neurovertébrale:
Rapport spécial GRATUIT sur la décompression neurovertébrale à télécharger
Nos Traitements
Conditions Traitées
- Vertèbre déplacée
- Traitement du Syndrome du Tunnel Carpien
- Traitement du bombement discal à Terrebonne
- Traitement du bombement discal à Montréal
- Traitement de la sténose spinale à Terrebonne
- Traitement de la sténose spinale à Montréal
- Traitement de la sténose foraminale à Terrebonne
- Traitement de la sténose foraminale à Montréal
- Traitement de la protrusion discale à Terrebonne
- Traitement de la protrusion discale à Montréal
- Torticolis
- Tendinite calcifiée
- Tendinite
- Sténose spinale
- Sténose foraminale
- Spondylolisthésis
- Sciatique
- Protrusion discale
- Pincement discal
- Névrome de Morton
- Maux de dos
- Maux de cou
- Hernie discale
- Fasciite plantaire
- Épitrochléite (Golfer Elbow)
- Épine de Lenoir
- Épicondylite (Tennis elbow)
- Douleur entre les omoplates
- Douleur au pied
- Douleur au genou
- Douleur au coude ou au poignet
- Douleur au cou, bras et omoplate
- Cruralgie
- Capsulite
- Bursite et Tendinite
- Bursite calcifiée
- Brachialgie
- Bombement discal
- Arthrose facettaire
- Arthrite, Arthrose, Ostéoporose
Questions fréquemment posées
Hernie discale
Hernie discale : de quoi s’agit-il ?
Une hernie discale est un déplacement localisé de matière d’un disque intervertébral. Sa signification dépend de la région, de sa position et de sa concordance avec les symptômes et l’examen clinique.
Pour en savoir plus : AAOS — Herniated Disk in the Lower Back.
Hernie discale : quels symptômes sont possibles ?
Une hernie peut être asymptomatique ou s’accompagner d’une douleur au dos ou au cou. Lorsqu’une racine nerveuse est irritée, la douleur peut irradier dans un membre et s’accompagner de fourmillements ou de faiblesse.
Pour en savoir plus : AAOS — Herniated Disk in the Lower Back.
Hernie discale : quelles distinctions sont importantes ?
Les mots hernie, protrusion et bombement décrivent des aspects anatomiques différents. Leur présence dans un rapport d’imagerie ne permet pas, à elle seule, de déterminer la gravité des symptômes ou le traitement approprié.
Pour en savoir plus : AAOS — Herniated Disk in the Lower Back.
Hernie discale : comment se déroule l’évaluation ?
L’évaluation commence par votre histoire, le trajet de la douleur, les activités difficiles et les traitements déjà essayés. Elle comprend un examen des mouvements et, lorsque les symptômes le justifient, de la sensibilité, de la force et des réflexes. Les rapports d’imagerie disponibles sont mis en relation avec ces observations.
Pour en savoir plus : AAOS — Herniated Disk in the Lower Back.
Hernie discale : faut-il toujours une IRM ?
L’imagerie n’est pas systématique pour chaque douleur du dos. Elle est envisagée selon les symptômes, l’examen et sa capacité à modifier la prise en charge. Une faiblesse progressive ou d’autres signes préoccupants peuvent justifier une investigation plus rapide.
Pour en savoir plus : NICE NG59 — Low back pain and sciatica.
Hernie discale : quelle place peut avoir la décompression neurovertébrale chez TAGMED ?
Chez TAGMED, la pertinence d’une décompression neurovertébrale se discute après une évaluation individuelle. La table motorisée applique des phases de traction contrôlée et de relâchement adaptées à la région. Cette approche n’est pas indiquée pour toutes les situations et ne permet pas de garantir une guérison ou la disparition d’une anomalie à l’imagerie.
Pour en savoir plus : Clinique TAGMED.
Hernie discale : quelles autres mesures peuvent être discutées ?
Selon la situation, les options comprennent l’adaptation des activités, des exercices progressifs et une prise en charge conservatrice individualisée. Un avis médical peut être pertinent pour les médicaments, les infiltrations ou d’autres interventions. Le choix tient compte de vos objectifs, de la tolérance et de l’évolution des symptômes.
Pour en savoir plus : NICE NG59 — Low back pain and sciatica.
Hernie discale : comment suivre l’évolution et déterminer la durée des soins ?
Le suivi porte sur la douleur, les capacités dans les activités quotidiennes, la tolérance aux positions et, si nécessaire, les signes neurologiques. La fréquence et la durée des soins sont réévaluées selon la réponse. Une absence de progrès ou une aggravation doit conduire à revoir le plan et les investigations utiles.
Pour en savoir plus : NICE NG59 — Low back pain and sciatica.
Hernie discale : quels signes nécessitent une évaluation médicale rapide ?
Une perte récente du contrôle urinaire ou intestinal, une diminution de sensibilité dans la région périnéale ou une faiblesse importante et progressive des jambes nécessitent une évaluation urgente. Une douleur avec fièvre, traumatisme important ou altération de l’état général mérite aussi une évaluation médicale rapide.
Pour en savoir plus : AAOS — Herniated Disk in the Lower Back.
Hernie discale : comment préparer une consultation chez TAGMED ?
Préparez la chronologie de vos symptômes, les activités qui les modifient, la liste des traitements déjà essayés et vos rapports d’imagerie, si vous en avez. Notez vos objectifs et vos questions. La page détaillée associée présente la condition et les informations pratiques pour poursuivre votre démarche.
Pour en savoir plus : Clinique TAGMED.
Références
722490
8ZX8DH8R
1
apsa
50
default
1
82489
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.” Pain 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.
Préparations au traitement de décompression neurovertébrale pour la hernie discale
- Prenez votre rendez-vous en ligne ou contactez notre personnel de la clinique TAGMED afin de prendre votre rendez-vous par téléphone.
- Avant de se rendre à la clinique TAGMED de Montréal ou Terrebonne pour un premier traitement, il y a certaines choses que vous devriez absolument faire. Tout d'abord, assurez-vous d'avoir vos rapports d’imagerie médicale (radiographie, IRM ou échographie) disponibles.
- Après cela, téléchargez, imprimez et remplissez notre formulaire plus bas, avec toutes les informations pertinentes qui peuvent être nécessaires pour votre traitement. Enfin, avant de vous rendre à la clinique TAGMED pour votre premier traitement, familiarisez-vous avec les différents traitements offerts par notre clinique et sachez ce à quoi vous pouvez vous attendre.
- Assurez-vous également d'être conscient des différents risques et effets secondaires possibles associés au traitement proposé par la clinique Tagmed. Vous devriez également prendre toutes les mesures nécessaires (ex. Appliquez de la glace à l’endroit inflammé) afin de vous assurer que votre corps est prêt à recevoir un nouveau traitement.
- Finalement, si vous n’avez pas pu remplir notre formulaire, tel que mentionné plus haut, arrivez 15 minutes avant l’heure de votre rendez-vous afin de vous assurer d’avoir suffisamment de temps pour discuter de votre condition, faire l’évaluation et votre traitement.
À Compléter Avant Votre Consultation à la clinique TAGMED
Téléchargez, imprimez et remplissez ce questionnaire (votre historique de santé), avant de nous consulter, afin de sauver du temps. (Cliquez sur la tablette !)
Pour en savoir plus, veuillez consulter nos sites internet spécialisés en décompression neurovertébrale:
Découvrez le traitement de la hernie discale à Montréal le plus avancé chez Clinique TAGMED!
Questions fréquentes : votre consultation à Montréal
Où se trouve la clinique pour un rendez-vous à Montréal ?
La Clinique TAGMED Montréal est située au 1140, avenue Beaumont, à Mont-Royal (Québec), H3P 3E5. Consultez les coordonnées et l’itinéraire.
Quels sont les jours et les heures de consultation à Montréal ?
Les consultations à Montréal — Mont-Royal ont lieu le mardi et le jeudi, de 9 h à 18 h. Les disponibilités de rendez-vous sont affichées dans Medexa.
Comment prendre un premier rendez-vous à Montréal ?
Utilisez le bouton « Rendez-vous à Montréal ». Sur Medexa, le portail affiche « Le Centre Neurothérapie de Montréal ». Choisissez « Nouveau patient », puis « Ostéopathie / Osteopathy », et vérifiez que Sylvain Desforges est sélectionné.
Que dois-je préparer avant ma consultation ?
Ayez vos rapports d’imagerie médicale disponibles et remplissez le questionnaire d’historique de santé présenté sur cette page. Si vous ne l’avez pas rempli, prévoyez d’arriver 15 minutes avant le rendez-vous.
Où consulter les honoraires ?
Les honoraires de la Clinique TAGMED sont présentés sur la page des prix. Vous pouvez aussi appeler le 1 877 672-9060 avant de réserver.
Où trouver les informations pour Terrebonne ?
Pour un rendez-vous sur la Rive-Nord, consultez la page traitement de la hernie discale à Terrebonne.
