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Academia Mexicana de Neurología, A.C.

2017, Number 5

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Rev Mex Neuroci 2017; 18 (5)

Where are we and where are we going? Review of strategies and new integral proposals in the management of herniated disc

Ovando-Sanders E, Urias-Valdez DP, Rendón-Félix J, Echevarría-Requeijo H, Rodríguez-Cisneros DG

Language: Spanish
References: 41
Page: 54-63
PDF size: 174.94 Kb.


ABSTRACT

At some point in their lives, 66% of adults suffer low back pain, of which 85% have at least one herniated disc. This disease is the leading cause of disability, reduced working hours and high costs due to persistent pain. Historically, the mainstay of treatment has been based on drugs, leaving imaging studies and invasive treatments as a last resort when there was no observed improvement with the conservative treatment.
The main justification for surgery is an accelerated pain relief compared to conservative therapy (reason of its high practice) but, besides not having a standardized management, there has been no difference in long-term benefits or lower costs. Similarly, there is not a consensus to establish a specific drug, dose or precise exact rehabilitation sessions for the proper management of the condition, so that each case must be individualized.
In recent years, there have been new management strategies based on anti-inflammatories, ozone therapy and proper rehabilitation, with promising results (pain remission in up to 95% of patients) in early stages, but wider dissemination is needed in order to establish them as therapeutic alternatives


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