[Diagnostic ideas and programs of lumbar intervetebral disc herniation]

Area of Science:

• Neurology
• Orthopedics
• Diagnostic Medicine

Background:

• Lumbar intervertebral disc herniation (LIDH) is a frequent cause of debilitating lumbocrural pain.
• LIDH presents with diverse clinical manifestations and individual variability, complicating diagnosis.
• Nervous system symptoms and signs are crucial for LIDH diagnosis but can be inconsistent.

Purpose of the Study:

• To systematically review and analyze the diagnostic value of specific symptoms and signs in LIDH.
• To evaluate the utility of selected physical and imaging examination methods for LIDH diagnosis.
• To propose a comprehensive approach for accurate and timely LIDH assessment.

Main Methods:

• Systematic literature review focusing on diagnostic factors for LIDH.
• Analysis of the specificity and sensitivity of neurological symptoms and signs.
• Evaluation of physical examination techniques and imaging modalities.

Main Results:

• Specific symptoms and signs demonstrate high diagnostic value for LIDH.
• Physical and imaging examinations are essential components of a comprehensive diagnostic strategy.
• Integrating various diagnostic factors improves accuracy and timeliness.

Conclusions:

• A systematic and comprehensive approach combining clinical presentation, neurological findings, physical examination, and imaging is vital for accurate LIDH diagnosis.
• This integrated diagnostic strategy facilitates timely and individualized treatment planning for patients with LIDH.
• The proposed diagnostic framework offers valuable insights for clinical practice and patient management.