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Regression of lumbar disc herniation with non-surgical treatment: a case report

机译:腰椎间盘突出症袭击非手术治疗的回归 - 案例报告

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摘要

To date, only a few reports have described the regression of lumbar disc herniation, which may be because of a failure to follow up patients treated conservatively. We report a case of a 25-year-old man who presented with a 2-month history of pain and soreness owing to lumbar disc herniation. He was managed conservatively, and his presenting symptoms and scoliosis gradually decreased over approximately 5 months. Two years later, he returned unexpectedly and was advised to undergo magnetic resonance imaging, which revealed regression of the disc herniation; the patient also confirmed that the pain had not recurred. After 8 months, he underwent repeat magnetic resonance imaging, and the findings pertaining to disc herniation were normal. Our findings suggest that previous cases should be retrospectively studied to establish a prediction model for the outcomes of conservative treatment in patients with lumbar disc herniation. We also emphasize the significance of selecting suitable patients for conservative treatment to obtain the best therapeutic outcomes. The CARE guidelines have been followed in the reporting of this case.
机译:迄今为止,只有少数报告描述腰椎间盘突出症的消退,这可能是因为未能跟进保守治疗的患者。我们报告一个25岁的男子谁与疼痛和酸胀由于腰椎间盘突出症的2个月的历史呈现的情况。他管理保守,而他的表现症状和脊柱侧弯逐渐下降,在大约5个月。两年后,他意外地回来,被告知接受磁共振成像,它揭示了椎间盘突出症的消退;患者也证实,疼痛没有复发。后8个月,他接受了重复磁共振成像,以及涉及椎间盘突出症的调查结果均正常。我们的研究结果表明,以前的病例应回顾性研究,以建立患者腰椎间盘突出症保守治疗的效果的预测模型。我们还强调,选择合适的患者进行保守治疗,以获得最佳的治疗效果的重要意义。护理准则已经遵循这一案件的报告。

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