The Orthobullets Podcast Foundations⎪Spine⎪Lumbar Disc Herniation
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Mar 11, 2025 Dive into the fascinating world of lumbar disc herniation! Discover the causes and demographics affected by this condition. Explore various diagnostic methods that can yield insights into patient care. The conversation covers a range of treatment options, highlighting both non-operative and surgical approaches. Engage with real clinical scenarios that challenge preconceptions and deepen understanding of musculoskeletal health.
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Lumbar Disc Herniation Overview
- Lumbar disc herniation commonly causes low back pain and leg pain (radiculopathy).
- Rarely, it can cause cauda equina syndrome, needing urgent care.
Non-Operative Treatment
- First-line treatment includes rest, physical therapy, anti-inflammatories, and limited narcotics.
- Consider injections if initial treatment fails after six weeks.
Surgical Intervention
- Surgery is for persistent pain over six weeks despite non-operative treatment, progressive weakness, or cauda equina syndrome.
- Better surgical outcomes are seen if addressed within two months of failed non-operative treatment.