Conservative and Surgical Treatment of Lumbar Disc Herniation

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Conservative and Surgical Treatment of Lumbar Disc Herniation


1Guilherme I. Santos, 1Thalita P.M. Alineri, 1Délio T. M. Malaquias, 1Juliana Paschoal, 1Isabeli G.  Oliveira, 1Brenda M.M.R. Oliveira, 1Eliza F. Prezotto, 1Isadora O. Soler, 1Bruna D. Araujo, 1Caroline P.  Golin, 1Maria Gabriela S Guzzi, 1Igor F. Forechi, 1Guilherme G. Martins, 1Ana Clara F. Parreira, 1Samantha R.G.  Sanches, 1Adriana F. Viana Delgado, 1Diego P. Mariz, 1Karina F. Dias, 1Agatha A.M. Faria, 1Julio E. Calheiros, 1Talita R.Q. Lopes, 1Elysa F. Camargo, 1Cristiana N.O. Beloto, 1Maria Clara G. Costa, 1Ana Clara P. R de Souza, 1Leonardo da Silva,  1Giovana R. Victorello, 1Isabela F.Krebs, 1Hiromi M.K. Fujishima, 2Thiago G. Trigueiro, 2Hamilton R. M. de O. Carriço, 4Ana Carolina R. do Vale, 5Raquel S. R. Borges, 5Camila C. Lopes, 1,6Thiago A. R. Bezerra, 7Leonardo Mendes Faria
1Academic in Medicine. University of Ribeirão Preto, Campus Guarujá, São Paulo, Brazil.
2Academic in Medicine. University Potiguar, Natal, Rio Grande do Norte, Brazil.
3Academic in Medicine. University of Southern Santa Catarina (Unisul). Tubarão, SC, Brazil.
4Medical student. Nove de Julho University, São Bernardo do Campo, São Paulo, Brazil.
5Bachelor of Medicine. Nove de Julho University, São Bernardo do Campo, São Paulo, Brazil.
6Bachelor’s degree in Physical Education. Federal University of São Carlos. MSc and PhD in Orthopaedics, Traumatology and Rehabilitation of the Locomotor System. Ribeirão Preto Medical School. University of São Paulo. Brazil.
7Bachelor of Medicine. Federal University of Minas Gerais, Belo Horizonte-MG. Medical Residency in Orthopaedics and Traumatology at Irmandade Santa Casa de Santos-SP. Specialization in Orthopaedics and Traumatology in the area of shoulder and elbow. Postgraduate Latu Sensu in Chronic Pain Intervention. Member of the Brazilian Orthopaedic Society.


ABSTRACT:

Introduction: A herniated disc occurs when the disc that acts as a cushion between the vertebrae of the spine shifts and presses on nearby nerves. The L4-L5 region refers to the lumbar vertebrae located in the lower back. A herniated disc in this region can cause pain, tingling, muscle weakness and even the inability to perform daily tasks. Evidence comparing the effectiveness of surgical and conservative treatment for symptomatic lumbar disc herniation is controversial. Objectives: The aim of this study is to discuss, through a literature review, the pros and cons of conservative and surgical treatment for herniated discs, as well as their risks and benefits according to current medical advances. Results and Discussion: Compared to conservative therapy, surgical treatment provided faster relief of low back pain symptoms in patients with lumbar disc herniation, but showed no benefits over conservative treatment in medium and long-term follow-up. Final considerations: Surgical treatment may therefore be attractive for patients with debilitating pain symptoms who are looking for rapid relief or who have not achieved satisfactory improvement with conservative treatment.

 

KEYWORDS: 

Surgery, conservative, hernia, prolapse, sciatica.

 

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