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[Physiotherapy in lumbar disc herniation ].

T Stoll1, D Germann, H Hagmann

  • 1aarReha Schinznach, Fachklinik für Rehabilitation, Rheumatologie und Osteoporose, Schinznach. Thomas.Stoll@aarReha.ch

Therapeutische Umschau. Revue Therapeutique
|September 13, 2001
PubMed
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Physiotherapy effectively manages lumbar disc herniation symptoms. Acute stages benefit from McKenzie concept, mobilization, and traction, while chronic stages require active physiotherapy for muscle strengthening.

Area of Science:

  • Orthopedics
  • Physical Therapy
  • Rehabilitation Medicine

Context:

  • Lumbar disc herniation presents significant symptomatic challenges.
  • Physiotherapy is the primary treatment modality for this condition.
  • Various therapeutic approaches exist for managing lumbar disc herniation.

Purpose:

  • To review the evidence-based physiotherapy interventions for lumbar disc herniation.
  • To delineate effective treatments for acute and chronic stages of the condition.
  • To discuss indications for inpatient rehabilitation and surgery.

Summary:

  • During the acute phase, the McKenzie concept, mobilization, and traction have demonstrated efficacy in randomized controlled trials.
  • Pain-reducing physical therapies (cold, electrotherapy) and medications (NSAIDs, analgesics, muscle relaxants) are recommended initial adjuncts.

Related Experiment Videos

  • Active physiotherapy, focusing on back and abdominal muscle strength and endurance, is effective for chronic lumbar disc herniation.

    • Impact:

    • Provides a comprehensive overview of physiotherapy for lumbar disc herniation.
    • Guides clinical decision-making for acute and chronic management strategies.
    • Highlights the importance of active rehabilitation in preventing chronic low back pain.