J Korean Soc Spine Surg.  2001 Sep;8(3):321-326. 10.4184/jkss.2001.8.3.321.

Non-operative Management of Lumbar Disc Herniation

Affiliations
  • 1Department of Orthopedic Surgery, School of Medicine, Kyungpook University, Daegu, Korea. bcpark@knu.ac.kr

Abstract

A Wide variety of non-operative treatments are advocated in management of lumbar disc herniations. Unfortunately the multiplicity of treatment methods implies the absence of a clearly superior treatment program. Because of the great expense created by the chaotic array of conservative care measures and arbitrary selection of these measures by different subspecialist, Quebec Task Force, the Agency for Health Care Policy and Research, AAOS/NASS spine Algorithm Task Force developed the guidelines for conservative treatments. It is generally accepted that past medical recommendations may have been overly cautious in returning patients to activity to their possible detriment, thereby slowing recovering and worsening prognosis were resulted. Therefore there is a shifts towards more active therapy with involvement of the patient in various excercise programs recently. In this articles various conservative treatments were reviewed in order to help in managing the patient with lumbar disc herniation.

Keyword

Lumbar disc herniation; Conservative treatment

MeSH Terms

Advisory Committees
Humans
Prognosis
Quebec
Spine
United States Agency for Healthcare Research and Quality

Reference

1). AAOS/NASS. Draft Clinical Algorithm on Low Back Pain. in. Orthopaedic Knowledge Update Spine. 1997. American Academy of Orthopaedic Surgeons.
2). Bigos SJ. A Literature-Based Review as a Guide for Generating Recommendations to Patients Acutely Limited by Low Back Sympotoms. in. Orthopaedic Knowledge Update Spine. 1997. American Academy of Orthopaedic Surgeons.
3). Cherkin DC, Deyo RA, Wheeler K, Ciol MA. Physician's view about treating low back pain. Spine. 20:1–9. 1995.
4). Deyo RA, Diehl AK, Rosenthal M. How many days bed rest for acute low back pin A randomized clinical trial. N Engl J Med. 315:1064–1070. 1986.
5). Deyo RA, Walsh NE, Martin DCI. A controlled trial of transcutaneous electrical nerve stimulation(TENS) and exercise for chronic low back pain. N Engl J Med. 322:1627–1634. 1990.
6). Fisk JR, Dimonte P, Courington SM. Back schools: past, present, and futrue. Clin Orthop. 179:18. 1983.
7). Frymoyer JW. Back pain and sciatica. N Engl J Med. 318:291–300. 1998.
Article
8). Jackson CP, Brown MD. Analysis of current appo -raches and a practical guide to prescription of exercise. Clin Orthop. 179:46–54. 1983.
9). Knedall PH, Jenkins JM. Lumbal isometric flexion exercises. Physiotherapy. 54:158. 1968.
10). Lantz SA, Schultz AB. Lumbar spine orthosis wearing. 1. restriction of gross body motions. Spine. 11:834–937. 1986.
11). McKenzie RA. The lumbar spine: Mechanical diagnosis and therapy. Waikanae, New Zealand: Spinal Publications;1981.
12). Nachemson A. A long term followup study of nontreated scoliosis. Acta Orthop Scand. 39:466. 1968.
Article
13). Nachemson AL. Newest knowledge of low back pain, a critical look. Clin Orthop. 279:8–20. 1992.
Article
14). Saal JA, Saal JS. Nonoperative treatment of hemiat -ed lumbar intervertebral disc with radiculopathy. An outcome study. Spine. 14:431–437. 1989.
15). Spitzer WO, LeBlanc FE, Dupuis M. Scient ific approach to the assessment and management of activity-related spinal disorders. A monograph for physicians: Report of the quebec Task Force on Spinal Disorders. Spine. 12(suppl 7):S1–S59. 1987.
16). Stankovic R, Johnell O. Conservative treatment of acute low back pain: a 5-year followup study of two methods of treatment. Spine. 20:468–472. 1995.
17). Wheeler AH, Hanley EN. Non operative treatment for low back pain. Spine. 20:375–378. 1995.
Full Text Links
  • JKSS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr