Spontaneous Regression of Lumbar Disc Herniation: Three Case Reports

2014 ◽  
Vol 4 (1) ◽  
pp. 24-28
Author(s):  
Mehmet Kara ◽  
Aram Bakirci ◽  
Cem Dinc ◽  
Celal Ahmet Iplikcioglu
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Regression ◽  
Case Reports ◽  
Lumbar Disc

scholarly journals Lumbar Discal Cyst With Spontaneous Regression and Subsequent Occurrence of Lumbar Disc Herniation

2011 ◽  
Vol 51 (11) ◽  
pp. 809-811 ◽  
Author(s):  
Yasuhiro TAKESHIMA ◽  
Toshiyuki TAKAHASHI ◽  
Junya HANAKITA ◽  
Mizuki WATANABE ◽  
Yoshihiro KITAHAMA ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Regression ◽  
Lumbar Disc

scholarly journals Clinical and Radiological Follow-Up Results of Patients with Sequestered Lumbar Disc Herniation: A Prospective Cohort Study

2021 ◽  
Author(s):  
Hamza Sucuoğlu ◽  
Abdullah Yüksel Barut
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Complete Resolution ◽  
Spontaneous Regression ◽  
Early Stage ◽  
Lumbar Disc ◽  
Partial Regression ◽  
Significant Difference ◽  
Radiological Changes ◽  
Magnetic Resonance Imaging Mri

Purpose: To assess radiological changes and clinical outcomes of patients with sequestered lumbar disc herniation (LDH) and evaluate the relationship between them. Methods: Patients diagnosed with sequestered LDH were followed-up in two groups: operated (within the first month after diagnosis) and nonoperated. Visual analog scale (VAS) and Oswestry Disability Index (ODI) scores at baseline (V1) and 1st (V2), 3rd (V3), 6th (V4) month visits were used for clinical evaluation. Radiological evaluation was performed by measuring the sequestered LDH level and herniation volume using magnetic resonance imaging (MRI) at V1 and V4. After the second MRI, patients in the nonoperated group were divided into three groups: nonregression (n=6), partial regression (n=22), and complete resolution (n=27); patients were analyzed in four groups including the ones in the operated (n=25) group. Results: Significant improvements were observed in VAS and ODI scores at V2 and V3 in all groups and at V4 in partial regression and complete resolution groups. VAS and ODI score improvements at V2 and V3 were significantly higher in the operated group than in other groups. At V4, no significant difference remained between the operated group and partial regression and complete resolution groups regarding VAS and ODI scores. Conclusions: Spontaneous regression was observed in the 6th month MRI in most of the nonoperated sequestered LDH patients with conservative treatment. Improvements in pain and disability scores were higher among the operated patients at the early stage, whereas they were found to have no difference with spontaneous regression patients at the 6th month.

scholarly journals Spontaneous regression of extruded lumbar disc herniation: case report and its pathogenesis

2017 ◽  
Vol 31 (3) ◽  
pp. 399-403
Author(s):  
Prajapati Hanuman Prasad ◽  
Singh Deepak Kumar ◽  
Singh Rakesh Kumar ◽  
Ahmed Faran
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Annulus Fibrosus ◽  
Spontaneous Regression ◽  
Lumbar Disc ◽  
Radicular Pain ◽  
Diagnostic Tools ◽  
Common Disease

Abstract Lumbar disc herniation is a common disease that present with back pain and radicular pain. The most efficient method for the treatment of lumbar disc herniation is still controversial. Spontaneous regression of lumbar disc herniation has been recognized with the advancement of radiological diagnostic tools and can explain the reason of spontaneous relief of symptoms without treatment. The proposed hypothesis are; dehydration, retraction of the disc herniation in the annulus fibrosus, enzymatic catabolism and phagocytosis. In this study we present a case with large lumbar disc herniation regressing by itself and the potential mechanisms of disc regression have been discussed.

scholarly journals Spontaneous Regression of Extruded Lumbar Disc Herniation: Three Cases Report

2013 ◽  
Vol 10 (2) ◽  
pp. 78 ◽  
Author(s):  
Sung Gon Kim ◽  
Joo Chul Yang ◽  
Tae Wan Kim ◽  
Kwan Ho Park
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Regression ◽  
Lumbar Disc

scholarly journals Spontaneous Regression of Lumbar Disc Herniation.

1997 ◽  
Vol 46 (4) ◽  
pp. 1082-1086
Author(s):  
Takamitsu Tokioka ◽  
Kimio Shimada ◽  
Toshihisa Oshige
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Regression ◽  
Lumbar Disc

scholarly journals Lumbar Disc Herniation Might Spontaneously Regress, While Neuropathic Pain Might Start: Retrospective Clinical Study

2020 ◽  
Vol 8 (10) ◽  
pp. 2243-2247
Author(s):  
Yener Akyuva ◽  
Necati Kaplan ◽  
Boran Urfalı ◽  
Özkan Özger ◽  
Erdinç Civelek ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Regression ◽  
Lumbar Disc ◽  
Radicular Pain ◽  
Initial Examination ◽  
Retrospective Clinical Study

Lumbar disc herniation (LDH) is a common cause of low back pain and radicular pain. The aim of our study was to evaluate the regression of LDH in patients who are considered to require surgical treatment but prefer conservative treatment. Patients who presented between January 2018 and June 2020 and who did not accept the recommended surgical treatment following a diagnosis of LDH based on clinical and radiological findings were retrospectively reviewed. All 12 of the patients included in the study showed spontaneous regression of LDH during outpatient clinical follow-up. Our study included 12 patients (seven male and five female). The mean age was 46.5 (the youngest was 30 years old; the oldest was 70 years old). Regression was observed at the L2-L3 level in two patients (10%), at the L4-L5 level in four patients (40%), and at the L5-S1 level in six patients (50%). On the follow-up examination of all patients, the severity of their pain was evaluated with the Visual Analogue Scale, and all patients described a reduction in pain (min: 2, max: 8). Ten patients described radicular pain at the initial examination, eight patients received physical therapy and rehabilitation treatment before the follow-up examination, and nine patients described neuropathic pain at the follow-up examination. Spontaneous regression of LDH is rare. While conservative treatments provided partial improvement in the complaints of these patients, conservative treatments usually cannot prevent the development of neuropathic pain.

scholarly journals Spontaneous regression of extruded lumbar disc herniation: Correlation with clinical outcome

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Bilge Kesikburun ◽  
Emel Eksioglu ◽  
Aynur Turan ◽  
Emre Adiguzel ◽  
Serdar Kesikburun ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Complete Resolution ◽  
Spontaneous Regression ◽  
Lumbar Disc ◽  
Herniated Disc ◽  
Partial Regression ◽  
Conservative Care ◽  
Over Time

Objective: To evaluate the natural history of lumbar extruded disc with conservative treatment on MRI and to assess relation between the radiologic changes and clinical outcome. Methods: This prospective observational study was conducted at University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital between May 2015-June 2018. It included consecutive patients who were diagnosed as having lumbar symptomatic extruded disc as shown in MRI. After an average period of 17.0±7.2 months, repeat MRI was taken in 40 patients who received only conservative care during follow-up. Changes in the volume of herniated disc was measured. The patients were assigned into 3 groups as follow: (1) non-regression, (2) partial-regression, and (3) complete resolution. Numeric Rating Scale (NRS) pain score, the Oswestry Low Back Pain Disability Index (ODI) and muscle weakness were evaluated. Results: Based on disc volume of the T2-weighted MR images; four patients (10%) did not show any regression, six patients (15%) had a partial regression, and 30 patients (75%) had a complete resolution. Patients with complete resolution showed a significant improvement in the NRS pain score and the ODI score (p<0,001) over time. In patients with partial regression, only the ODI score improved significantly (p=0,043). Non-regression group did not show any improvement in any clinical outcome measure (p>0,05). Changes in the NRS scores over time were significantly higher in complete resolution group compared to non-regression group (p=0.016). Conclusion: The majority of the patients with extruded lumbar disc herniation might have reduction in size of herniated disc in the long run along with improvement in symptoms and function with conservative care. doi: https://doi.org/10.12669/pjms.35.4.346 How to cite this:Kesikburun B, Eksioglu E, Turan A, Adiguzel E, Kesikburun S, Cakci A. Spontaneous regression of extruded lumbar disc herniation: Correlation with clinical outcome. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.346 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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